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: 1014737
Sex: F
Age: 63
State: NV

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

Lab Data: cat scan of brain RMI of brain ultra sound of heart ultra sound of thyroid multiple blood work

Allergies: codine macrobid

Symptoms: the day of the injection arm pain at injection site. Later at 1:00am I had body ache, muscle and joint pain and fatigue. On following day early in the evening I lost the ability total ability to speak. I had a severe stutter. I was rushed to the hospital via ambulance. I remained in the hospital and was released on Feb. 8

Other Meds: Rapatha, Esomeprazole, vit. c, vit e, vit b-12, co-q 10, zinc, magnessium, vit d, probiotics, calcium, glucosomine, tumeric, Lutein, fish oil,

Current Illness:

ID: 1014738
Sex: F
Age: 75
State: VA

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

Lab Data: None this date

Allergies: ASA, MSG, Yellow DYE in food

Symptoms: Rash with itching at wrists and upper chest - administered 50 mg Benadryl PO with rash fading/itching resolved within 30 minutes after Benadryl.

Other Meds: Unknown

Current Illness: Unknown

ID: 1014739
Sex: F
Age: 66
State: GA

Vax Date: 01/24/2012
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Demerol

Symptoms: 16 days after vaccine I noticed some soreness at the site for the first time this morning. Later this evening the site is red and itching. I also noticed a sore lymph node on the left side of my neck. I have not had any treatment for this.

Other Meds: Pravastatin, Pepcid, Metformin, PreserVision AREDS2, B-12 1000mcg 3xweek, Vitamin D2 50,000IU 1xweek

Current Illness:

Date Died: 02/06/2021

ID: 1014740
Sex: F
Age: 83
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: Patient found down at home with agonal respirations and per EMS asystole, received 2 rounds of epi at her house with return of spontaneous pulses, lost pulse again in route to ER and another round of epi was given, CPR in progress when arrived at hospital. Prior to this patient's husband states he heard her fall in the bathroom but did not immediately check on her as he states that this has happened before. He checked on her 10 min later and that's when he found her unconscious. Daughter called 911 and she began CPR. No previous complaints of headache, chest pain, back pain, fever or chills. Husband states patient was drinking that evening which is not unusual for her. Patient died at hospital.

Other Meds: Lisinopri, Sertraline, pravastatin, alendronate, Cetirizine, Vitamin D3,

Current Illness: no acute illnesses

ID: 1014741
Sex: F
Age: 82
State:

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

Lab Data:

Allergies:

Symptoms: Pt admitted with ICH, likely secondary to increased ICP from nausea and vomiting after receiving her second pfizer covid vaccine.

Other Meds:

Current Illness:

ID: 1014742
Sex: F
Age: 34
State: PA

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

Lab Data:

Allergies:

Symptoms: patient felt like her throat was getting tight and was really nervous. vitals were obtained 141/87, pulse 112 resp 18 and oxygen 98% patient went to the bathroom, walked outside to get cool air on her face, and felt better after doing those things. patient felt very anxious and felt that this caused her sx's. patient was discharged home.

Other Meds:

Current Illness:

ID: 1014743
Sex: F
Age: 24
State: PA

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

Lab Data: none reported at this time

Allergies: no known allergies reported

Symptoms: patient called complaining of sharp pain in back and shortness of breath approximately 6 hours after receiving the first dose of Moderna COVID vaccine

Other Meds:

Current Illness: none reported

ID: 1014744
Sex: F
Age: 85
State: IN

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

Lab Data:

Allergies: Statins

Symptoms: Fever, aches, headache

Other Meds: High blood pressure medication Zetia Meloxicam Vitamin D Allegra

Current Illness: COVID on November 28,2020

ID: 1014745
Sex: M
Age: 66
State: ID

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

Lab Data: none

Allergies: None

Symptoms: Myalgias, arthralgias, headache, photophobia, sweats, chills lethargy all lasting twelve hours improved with ibuprofen

Other Meds: Irbesartan, hydrochlorothiazide, aspirin, magnesium oxide

Current Illness: none

ID: 1014746
Sex: F
Age: 63
State: CA

Vax Date: 01/09/2021
Onset Date: 01/14/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None. Was going to go to eye doctor but cleared up. Now I am waiting for it to clear up after 2nd vaccine. If not, I will go to eye doctor

Allergies: None

Symptoms: I am an RN. Got my first Covid vaccine on Jan 9th 2021. A week later my eyes burned and itched horribly. Also my scalp itched terribly. Never had this in my life. I used some eye drops and in a few days it went away. 28 days later, got my 2nd Covid vaccine. Again about 5 days later my eyes are burning and itching as well. I have never had allergies to anything. I am again putting eye drops in. Systane and Visine. I also have gotten a very tiny blister below my right eye. Very tiny..smaller than a pea. I don't see this side effect anywhere written. I am not allergic to dust or animal dander. I am 63 years old. Just wanted you to be aware, I believe this is caused by the vaccine.

Other Meds: None

Current Illness: None

ID: 1014747
Sex: M
Age: 99
State: FL

Vax Date: 01/25/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: He was taken to the ER today. Was given prednisone and antihistamine

Allergies: Penicillin Strawberries Peanuts (not fatal just allergy )

Symptoms: About 5 days after second dose he developed a red rash.. blotchy. Then a few days later he was very weak, especially his hands and had difficulty swallowing. Today the rash developed liquid filled pustules.

Other Meds: Oxybutynin, ezetimibe, simvastatin, cardioaspirin

Current Illness: No

ID: 1014748
Sex: M
Age: 36
State:

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

Lab Data:

Allergies: None

Symptoms: 17 hours later body aches, fever, lower back pain, tired

Other Meds: None

Current Illness: None

ID: 1014749
Sex: F
Age: 43
State:

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

Lab Data:

Allergies: N/a

Symptoms: Right arm bicep where moderna injection shot was given was tender, irritated, itchy, red and slightly rashy, 7 days after shot was given. Looked it up online may be "covid arm." Better 10 days after shot was given.

Other Meds: Ortho tri cyclen lo

Current Illness: N/a

ID: 1014750
Sex: F
Age: 32
State: OH

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

Lab Data: None

Allergies: None

Symptoms: About 30 minutes after the shot, my face became very red and flushed. I continued driving home and took xyzal when I arrived. My face cleared up about an hour later. My left arm has been sore since the shot (3 days now). Also the next day after my shot, I was completely exhausted.

Other Meds: One a day women?s multivitamin

Current Illness: Tested positive for Covid one month prior

ID: 1014751
Sex: F
Age: 22
State: PA

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

Lab Data: No medical tests ran

Allergies: None

Symptoms: Adverse events: 0600-1030 - Pain in arm got increasingly worse. 1015 - Felt super cold and nauseous. 1020 - Got a hot flash, felt dizzy and lightheaded, and heard ringing in my left ear. 1025 - I had trouble breathing and my throat felt tight. I developed hives on my forehead, cheeks, neck, chest, and arms. The fingers on both my hands and my lips were tingling. Treatment: I was rushed to the ER and given an IV steroid, IV fluids (2 bags), and IV benadryl. Outcome: All the reactions went away within 4 hours and I was discharged from the ER. I was advised to take benadryl for 48 hours afterwards as needed and given a 5 day course of prednisone; 2 tablets taken daily.

Other Meds: Tylenol, Depo-Provera

Current Illness: None

ID: 1014752
Sex: F
Age: 64
State: MO

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

Lab Data: Patient was diagnosed with post COVID pneumonia.

Allergies: Bactrim, Dilaudid, Erythromycin, Reglan, Augmentin

Symptoms: Patient reported shortness of breath Saturday morning, and reported to ER for evaluation.

Other Meds: Vitamin B12, Ferrous Sulfate, Januvia, Salagen, Norco, Lyrica, Zolpidem, Esomeprazole Magnesium, Cetirizine, Celexa, Bydureon, Humalog, Premarin, Lisinopril, Citalopram, Lantus, Pro Air, Diltiazem, Claritin D, Simethicone, Detrol LA,

Current Illness: None

ID: 1014753
Sex: F
Age: 64
State: PA

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

Lab Data: X-rays in December 2020

Allergies: NONE

Symptoms: Patient complained of delayed adverse reaction after Shingrix vaccine. 3-4 days after vaccine the patient developed constant stabbing Cervical & Thoracic back pain for 3 weeks. Patient also complained of lightheadedness on some of those days.

Other Meds: NONE

Current Illness: ADMITTED TO DEGENERATIVE BACK ISSUES PREVIOUSLY

ID: 1014754
Sex: F
Age: 70
State: PA

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

Lab Data:

Allergies:

Symptoms: Patient is a 70 y.o. female presenting to the ED with chief complaint of generalized feeling unwell, nausea, vomiting, dizziness, weakness. Patient had Covid 1 month ago. She received her first COVID-19 vaccine Moderna version yesterday. Cough well last evening. This morning started having symptoms. Overall just feels weak dizzy with vomiting. In addition to the other symptoms patient has noticed some diffuse erythema redness to her left side of her body. Did receive her vaccine on the left side. No alleviating factors. No specific aggravating factors. Diffuse body aches but no specific focal pain. No passing out. Dizziness and weakness is worse with exertion. No other complaints

Other Meds: Fosamax Lipitor cormax kenalog ointment alphagan eye drops xalatan eye drops

Current Illness:

ID: 1014755
Sex: F
Age: 57
State: AZ

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

Lab Data:

Allergies: none

Symptoms: I started feeling achy with chills on day 8 in the afternoon and on day 9 I was in bed all day on day 9 with ache/fever and headache. I am never ever just lay around but I had to. I noticed that my arm at injection site was really sore, but the time I took off long sleeves and looked at it that night, injection site was red, swollen and hot. I saw that I had Covid arm (after googling it). I took 2 Benedry, went to bed and in the morning was feeling much better. This is day 11 and I am fine, red swollen area in arm is slowly going away.

Other Meds: Bupropion

Current Illness: none

ID: 1014756
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies: Doxycycline -swelling

Symptoms: Headache, fatigue started same day. Arm soreness that evening, lasted for 2-3 days.

Other Meds: Fluoxetine 20 mg Loratidine 10 mg

Current Illness: Seasonal allergies

ID: 1014757
Sex: F
Age: 72
State: PA

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

Lab Data: None

Allergies: Sulfa drugs Nickel

Symptoms: Bruising and soreness noted next morning2/5/21. Site continued to get darker and reddened and itchy more each day. On 2/8 I contacted my doctor and sent him a photo of my arm and he saw me in his office. He described it as hemorrhagic dermatitis. He didn?t prescribe an antibiotic as he thought it might interfere with vaccine. Prescribed Claritin , ice packs to area and forward daily photos to monitor closely. The injection site is bslow the deltoid.

Other Meds: Protonix, zocor, preservision, calcium, vitaminD, multivitamin

Current Illness: None

ID: 1014758
Sex: M
Age: 16
State: OK

Vax Date: 09/18/2020
Onset Date: 09/21/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data: Upper GI, showed reflux only. EKG at emergency room, normal Cardiac Ultrasound and heart monitor worn for two weeks, normal MRI two months after getting vaccine, normal

Allergies: None

Symptoms: Vaccine on Friday, September 18th, Severe nausea and loss of appetite on Monday, September 21. After being sick all week patient taken back into his pediatrician and was told it was possibly a viral infection. He was given nausea medications and reflux medications. Then over the next 3 months patient had severe nausea off and on, dizziness, heart racing, chest discomfort, tingling in his arms and chest, eye discomfort, severe loss of appetite and weight loss. It finally resolved after about a 3 month period.

Other Meds: None

Current Illness: None

ID: 1014759
Sex: F
Age: 35
State: UT

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

Lab Data:

Allergies:

Symptoms: round red lesion on arm at site of Covid vaccination

Other Meds:

Current Illness:

ID: 1014760
Sex: F
Age: 49
State:

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

Lab Data:

Allergies: Adhesive (bandages) Nickel

Symptoms: Received the vaccine 1/30/2021 and had expected discomfort in right arm. Some swelling, warmth to the touch, painful. Lasted 2 days. In the middle of the night between 2/6/2021 and 2/7/2021 I started experiencing enough pain in my right armpit that woke me up in the middle of the night. I felt that it was likely swollen lymph nodes and took some Advil to relieve the discomfort. My armpit was sore through the weekend and the discomfort has slowly decreased. Today the area feels slightly swelled and I have experienced some aching in my right breast. It also feels as if my lymph nodes have started to get inflamed in my right groin area (2/8/2021).

Other Meds: Vicotoza 1.2mg 1x daily Metformin 1000mg 2 Tablets 2x daily Losartan 500mg 1x daily Levothyroxine o.125MCG 1x daily Atorvastatin 20mg 1x daily Adderall XR 25mg 1x daily.

Current Illness: None

ID: 1014761
Sex: M
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Fatigue, muscle pain in arm, and confusion

Other Meds: Sertraline

Current Illness:

ID: 1014762
Sex: F
Age: 41
State: IL

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

Lab Data:

Allergies: None

Symptoms: Feverish, chills, headache, nausea, swollen glands

Other Meds: None

Current Illness: None

ID: 1014763
Sex: F
Age: 27
State: GA

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

Lab Data:

Allergies: Doxycycline

Symptoms: Redness under site, heat

Other Meds:

Current Illness:

ID: 1014764
Sex: F
Age: 39
State: MA

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

Lab Data:

Allergies: Feraheme, Phenergan, Ceclor

Symptoms: Approx 5 min post Injection, mouth become tingly and throat felt thicker. No difficulty breathing. Received Benadryl 25mg, no further exacerbation of symptoms.

Other Meds: None

Current Illness: None

ID: 1014765
Sex: F
Age: 36
State: IL

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

Lab Data: N/A

Allergies: None

Symptoms: "Covid Arm" began a few hours after injection. Started at quarter sized and is now about half dollar sized. Circular itchy rash at injection site, painful upon touch. Have applied ice once or twice per day and it seems to be helping so far.

Other Meds:

Current Illness: None

ID: 1014766
Sex: M
Age: 53
State: PA

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

Lab Data: cat scan and mri

Allergies: none

Symptoms: stroke on 02/02/21, vaccine given on 01/29/21

Other Meds: Trileptal

Current Illness: none

ID: 1014767
Sex: F
Age: 78
State: HI

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

Lab Data: None

Allergies: None

Symptoms: About 10 minutes after receiving the covid vaccine, I developed a red flush on my face which was bright, hot and uncomfortable. The flush appeared nowhere else on my body so I concluded that the vaccine must have interacted with the tretinoin cream I use nightly. That is the only area of my skin on which i apply the cream. When I got home, I applied soothing skin cream but no relief. I then tried aloe, which grows in the area, and the flush/burning abated somewhat. The next day, my face was still flushed but less red. the skin surface was scaly. I am continuing to treat at home. No MDs involved.

Other Meds: Venlafaxine - 75 mg Tretinoin cream - .05% Kirkland multi-vitamin Kirkland cal citrate, mg, zinc, Vit D Qunol Turmeric Nature Made D3 2000 iu Equaline Vit # 400 IU

Current Illness: none

ID: 1014768
Sex: F
Age: 52
State: VA

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

Lab Data: N/A

Allergies: Ampucillin

Symptoms: One week later, I have a rash at the injection site and itching this morning that is now a burning sensation. It is now red, spread over 2-3 1/2 diameter and feels warm to the touch. Other than a very sore arm, I had not experienced any side effects but two days ago I felt like I was coming down with the flu. I don?t notice that anymore.

Other Meds: Forteo daily injections Women?s multivitamins D2 supplement Probiotics Lutein Cranberry supplement Fish oil Turmeric

Current Illness: None

ID: 1014769
Sex: M
Age: 19
State:

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

Lab Data: MDM: 19-year-old male presents with headache and body aches following COVID vaccination. Stable on arrival, afebrile with reassuring vitals. Non-toxic on exam with no focal neurologi

Allergies: NKDA

Symptoms: fever,H/A,chils. Presents with HA, chills, fever. Received second moderna COVID vaccine on 2/3. HISTORY OF PRESENT ILLNESS: 19-year-old male presents with headache, body aches and subjective fever following second COVID vaccination. She received a vaccination 2 days ago, and yesterday developed acute onset of generalized body aches, mild, constant with gradual onset of bitemporal frontal pressure headache, similar to priors. He also reports subjective fevers but has not checked his temperature. He took Motrin yesterday with some improvement. Denies objective fever, chills, nausea, vomiting, neck pain, vision changes, chest pain, dyspnea, abdominal pain, back pain, weakness or numbness.

Other Meds: UNK

Current Illness: N/A

ID: 1014770
Sex: F
Age: 66
State: CA

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

Lab Data: None

Allergies: Bactrim-Septra

Symptoms: Increased headaches, IBS symptoms worsened, and GERD worsened.

Other Meds: Alprazolam 1 Mg, Atorvastatin 40 Mg, Baclofen 20 Mg, Dexilant 60Mg, Lidocaine Patch 5%, ZTLido 1.8% Patch, Fluoxetine 60 Mg, Align 1 Cap, Clonazepam .5 Mg, Trazodone 50 Mg

Current Illness: Migraine, IBS, GERD

ID: 1014771
Sex: F
Age: 44
State: IN

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

Lab Data:

Allergies: Penicillin

Symptoms: 2/5/21 started having aches/chills at 11:30 a.m. Took temp that read 99 and throughout day went to 101. 2/6/21 had temp of 99 all day with chills/aches still present but not as bad. 2/7/21, temp normal but very tired. 2/8/21 feel good!

Other Meds: none

Current Illness: None

ID: 1014772
Sex: F
Age: 69
State: IL

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

Lab Data: None

Allergies: Penicillin, Latex, Cipro and a preservative Cl+Me- Isothiazolinone (also known as Methylisothiazoline, MCI, MI, Kathon CG)

Symptoms: My arm was fine after receiving the vaccine but nine days after receiving the vaccine, I experienced itching, redness, a raised bump and it was warm to the touch at the vaccination site (right arm). After two days most side effects went away. I still have a pale red circle at the site.

Other Meds: Crestor 10Mg, Dexilant 60mg, Vascepa 1 gram 2/twice daily, Metformin HCL ER 500mg 1Xday. Multivitamin, Vitamin C 1000 mg, Vitamin D 1000 units, Vitamin B-12 1000 mcg day.

Current Illness: None

ID: 1014773
Sex: M
Age: 78
State: AK

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

Lab Data:

Allergies:

Symptoms: Pt concerned about mild headache, chills, and fatigue after first dose of covid vaccine yesterday afternoon. Denies pain at injection site L. Deltoid. Denies NVD. States he feels a little dizzy when he stands. Denies chest pain or shortness of breathe.

Other Meds:

Current Illness:

Date Died: 01/15/2021

ID: 1014774
Sex: M
Age: 71
State: WA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Unknown

Allergies: None Reported

Symptoms: We were informed the patient passed away 2 days after receiving the vaccine. We do not have any details about what happened, we were informed by one of his employees. We have no knowledge that this had anything to do with the vaccination in any way.

Other Meds: Unknown

Current Illness: Unknown

ID: 1014775
Sex: M
Age: 32
State:

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

Lab Data:

Allergies: N/A

Symptoms: The main side effect I wish to report is severe joint pain in both knees, lower back, and ankles. Started around 3:00AM the night of the vaccine and lasted about 32 hours. I also experienced severe headache, restlessness, a 100.4-101.0 F fever lasting about 16 hours from 3:00 am of the night of vaccine. I did not take any medications. Side effects resolved on their own.

Other Meds: None

Current Illness: N/A

ID: 1014776
Sex: F
Age: 35
State: OR

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: reported she had 8 days after her first Moderna shot (/702021) a thick red, raised, itchy and painful rash. Rash was also hot to touch. Rash started 8 days after injection to Left Deltoid. It started from injection site and spread down to abover her elbow-grew to 4 by 6 inch long rash. It was most painful te 15th, 16Th, and 17 Th. She also reported feeling faint, dizzy, and weak/ unsteady gait at the time of the rash. By Jan 19 the she started to feel better. By 2/4/21 when seen again in clinic rash still ad some redness and rash was 1.5 by 1.5 inches but no longer raised and painful. All other symptoms had resolved. She was not given a second dose of the Moderna vaccine . She was instructed that the rash is not an absolute contraindication for the second Moderna vaccine dose but that she should see her primary care provider to discuss the rash/other symptoms and make a medical plan if she were to get the second dose.

Other Meds:

Current Illness:

ID: 1014777
Sex: F
Age: 85
State: NV

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

Lab Data: None

Allergies: none listed

Symptoms: Patient had a bruise at the site, she had a rash. It appears that the rash is already getting better. She has had the rash for just under a week. She is monitoring the rash and self treating with topical anti-itch medications.

Other Meds: unknown

Current Illness:

ID: 1014778
Sex: M
Age: 64
State:

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

Lab Data:

Allergies:

Symptoms: 15 minutes after second dose of COVID 19 vaccine patient was brought to nurses due to lip swelling. Patient took personal liquid benadryl prior to nurses. Unsure of dose patient states took "2 large swigs". VS taken. 911 called by patient refuses ambulance dispatch. Patient denies need to go to hospital states already took own benadryl and they will not do anything else. VS monitored q 5 minutes by nursing. House supervisor called and down to speak with patient. Patient denies difficulty breathing. Continues to deny need for ambulance to hospital for assessment. Patient alert and oriented and carrying on conversation without difficulty. No further increase in lower lip swelling noted by nursing. Nursing noted some flushing to face, patient states he does that from time to time but does not notice it but coworkers will tell him he has flushing. No increase in lip swelling but states now feels some nasal congestion. Patient continues to deny difficulty breathing. Patient does states still does not feel "quite right". Patient encouraged by multiple nurses to allow 911 transport. After 15 minutes of monitoring patient now agreeable to be assessed by ER and 911 called. Patient did notify spouse by phone that he was going to requested hospital- hospital Patient continued to be monitored by multiple nursing staff until ambulance arrival and transport to hospital.

Other Meds:

Current Illness:

ID: 1014779
Sex: F
Age: 84
State:

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports high blood pressure daily since receiving vaccine for the past 2 weeks. No other changes to medications/diet/conditions.

Other Meds:

Current Illness:

ID: 1014780
Sex: F
Age: 45
State: AR

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

Lab Data: None

Allergies: Zpack antibiotics and Hydrocodone

Symptoms: Fever, body aches, my arm got red, hot, and swollen

Other Meds: Lasix 20 mg Potassium Chloride 10 meq. 2 a day Hctz 25 mg Norvasc (amlodipine) 5 mg Diclofenac sod 75 mg twice a day - for inflammation Tizanidine 4 mg- I take once a day at bedtime - muscle relaxer Maxalt 10 mg as needed Amaryl (glimep

Current Illness: Asthma, allergies and sinus issues, diabetes, migraines, high blood pressure

ID: 1014781
Sex: F
Age: 70
State: AK

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

Lab Data:

Allergies:

Symptoms: Headache the night of injection

Other Meds:

Current Illness:

ID: 1014782
Sex: M
Age: 46
State: MA

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

Lab Data: N/A

Allergies: tegretol, trulicity, bees

Symptoms: Sore arm at injection site 1 hour post vaccination, severe headache 6 hours post vaccination, low-grade fever (99.7 to 100.7) 6 hours post vaccination, extreme fatigue 12 - 14 hours post vaccination, body chills 36 -38 hours post vaccination. All symptoms except low-grade fever were gone 48 post vaccination, low-grade fever was gone 52 hours post vaccination.

Other Meds: Ozempic, metformin, lisinopril, crestor, omeprazole, invokanna, vitamin D, zyrtek, 81 mg aspirin

Current Illness: N/A

ID: 1014783
Sex: F
Age: 35
State: AZ

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

Lab Data:

Allergies: Gluten

Symptoms: Enlarged Lymph Nodes in the right armpit, headache, shortness of breath.

Other Meds: Ibprofein

Current Illness: none

ID: 1014784
Sex: F
Age: 45
State: VA

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

Lab Data:

Allergies: Nuts

Symptoms: Knot on arm Itchy Round Large Rash after a week

Other Meds: Amlodipine Besylate Allegra Lo Loestrin

Current Illness:

ID: 1014785
Sex: M
Age: 49
State: OK

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

Lab Data:

Allergies: none

Symptoms: Fever, chills, flu like symptoms, diffuse body ache, malaise. Lasted 1 day

Other Meds: Claritin Vitamin C Vitamin D Zinc

Current Illness: none

ID: 1014786
Sex: F
Age: 40
State: OH

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

Lab Data: None

Allergies: NKA

Symptoms: Chills, fatigue, HA for 24 hrs Rash and itchy skin began 9 days later

Other Meds: Birth control pill

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm