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: 1015057
Sex: F
Age: 91
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient experienced weakness; BP 159/91, HR 102. Gave water - patient did not take BP medications. After water, patient felt better, and was safe for home discharge. MD speculated about vasovagal reaction.

Other Meds:

Current Illness:

ID: 1015059
Sex: F
Age: 23
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Vomiting - one time Sweating while feeling extremely cold- for 1 hour Fatigue- 12 to 36 hours after injection

Other Meds: Monophasic birth control 30mg fluoxetine (Prozac)

Current Illness: None

ID: 1015063
Sex: F
Age: 42
State: AZ

Vax Date: 01/24/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Blood work done 2/5/21, no IV antibiotic needs. Steroids and continue antibiotic

Allergies: None

Symptoms: rash across left Breast, under arm and across back on Sunday 1/31/21 @2100, dr visit on 2/2/21 diagnosed with shingles . Started Valacyclovir 1gm Three times a day for 7 days. Emergency Room to follow up on dissemination of shingles 2/5/21, blood work no IV course needs. Given prednisone to take at home if needed , not taken

Other Meds: None

Current Illness: None

ID: 1015066
Sex: F
Age: 64
State: MN

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

Lab Data:

Allergies: Latex Cephalosporin

Symptoms: Large red, itchy, hot, achey, sore arm for multiple days Ice, elevation, ibuprofen

Other Meds: Lisinopril-HCTC 12.5 Raloxifene 60 mg

Current Illness: NA

ID: 1015070
Sex: F
Age: 58
State: CA

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

Lab Data: none

Allergies: PCN, Hyprex, Pyridium, E-mycin, Latex,

Symptoms: 1 st dose: Red sore arm 2nd dose: fever, chills, body ache, head ache, loss of appetite

Other Meds: none

Current Illness: None

ID: 1015073
Sex: M
Age: 56
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: 12 hours post shot two: Fever, chills, aches, nausea, lethargy. Duration: Approx. 48 hours 12 hours post shot one: Fever, chills, aches, nausea, lethargy. Duration: Also about 48 hours.

Other Meds: Lisinopril/HCT, Plavix, Baby aspirin, Atorvastatin, Metformin, Fluoxetine.

Current Illness: None

ID: 1015076
Sex: F
Age: 66
State: WA

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

Lab Data: NA

Allergies: Environmental: cats, dogs, smoke, dust

Symptoms: Red itch spot at injection site several days after vaccination. According to ?doctor ? Covid arm.

Other Meds: Celebrex, Tylenol, setraline, prebiotic probiotic, AREDS2, furosemide phenteramine, bupropion albuerol, advair

Current Illness:

ID: 1015079
Sex: F
Age: 50
State: IL

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

Lab Data: none

Allergies: none

Symptoms: headache, fever, chills, swelling in shoulder of same side of injection site, feeling unwell, lump in shoulder, body aches, elevated temperature

Other Meds: none

Current Illness: none

ID: 1015083
Sex: F
Age: 30
State: NY

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

Lab Data:

Allergies: None

Symptoms: Got a rash on my right arm. It doesn?t hurt, but is slightly itchy

Other Meds: Birth control

Current Illness: None

ID: 1015086
Sex: F
Age: 50
State: IL

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

Lab Data:

Allergies: Morphine

Symptoms: Rash over upper arm, itching, hot to touch, swelling

Other Meds: Multi vitamin , zinc and aspirin

Current Illness: None

ID: 1015088
Sex: F
Age: 63
State: TX

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

Lab Data: N/a

Allergies:

Symptoms: I had pain at the injection site initially and it increased on day 2. Also on day 2, I saw a small rash after showering. The muscle pain has de erased, but the injection site is very tender and the rash has spread down my arm about 2-3 inches. Today, day 5, the rash is slightly itchy. On day 2, I had chills, body aches, joint pain and a headache. All symptoms were gone within 48 hours with the exception of the headache. The headache lasted until day 5.

Other Meds: Atorvastatin, Xanax, Citalopram, vitamin C, magnesium, calcium and zinc, vitamin D, low dose aspirin,

Current Illness: Anxiety

ID: 1015092
Sex: F
Age: 46
State: MI

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

Lab Data:

Allergies: Morphine

Symptoms: Fainted , fever of 102.5 and ached all over for 24 hours

Other Meds: Losartan

Current Illness: None

ID: 1015095
Sex: F
Age: 45
State: NY

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

Lab Data:

Allergies: Keflex (break out in hives)

Symptoms: Fever-started approximately 12 hours after 2nd shot. Coughing, wheezing, moderate headache.

Other Meds: Low dose aspirin (81mg)

Current Illness: None

ID: 1015099
Sex: F
Age: 38
State: ID

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

Lab Data:

Allergies:

Symptoms: Within the waiting time injection site became itchy and started to sting. Arm swelled up and was hot to the touch. After being monitored I was allowed to leave. My arm returned to normal later that night. On 2/7 my arm again swelled, became painful, hot to the touch and developed a elevated patch well away from the injection site. As of today it is still present. It will recede and then flare back up.

Other Meds:

Current Illness:

ID: 1015102
Sex: F
Age: 72
State: CA

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

Lab Data:

Allergies:

Symptoms: Flushed, post-vaccine. Felt weak and dehydrated after standing outside. BP 170/96, HR 100, O2 sat 96%. BP 142/95, HR 88, O2 sat 96%.

Other Meds:

Current Illness:

ID: 1015106
Sex: F
Age: 33
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Extreme joint pain and muscle pain more than one week post vaccine. Feeling of being overheated more than one week after vaccine. No treatment, can?t afford dr visit.

Other Meds: None

Current Illness: None

ID: 1015109
Sex: F
Age: 51
State: MN

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

Lab Data:

Allergies: sulfa drugs

Symptoms: One week after the shot, the injection site has turned red, warm, swollen and itchy.

Other Meds: Metformin

Current Illness: none

ID: 1015113
Sex: F
Age: 62
State: WA

Vax Date: 01/23/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Codine

Symptoms: At 14 days after injection I noticed my arm was getting really sore again about three inches below the injection site. I have a three inch by three inch red patch that feels warm to the touch. Not a rash. It has throbbed and been very sore to touch. It has persisted for about three days now.

Other Meds: Losartan, levothyroxin, progesterone, estradiol,, Vic Tosa

Current Illness: None

ID: 1015117
Sex: F
Age: 75
State: AZ

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

Lab Data: None

Allergies: Penicillin

Symptoms: Chills, muscle pain, joint pain, bad headache, fever reaching 101 (I am usually about 97.2)

Other Meds: 0

Current Illness: 0

ID: 1015120
Sex: F
Age: 64
State: MA

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

Lab Data: None, answered No to #20 because arm is still swollen, all other symptoms have gone

Allergies: neomycin clindamycin codeine ciprofloxacin

Symptoms: Symptoms started about 12 hours later and included: brief dizziness, tachycardia (100 bom), headache, low grade temperate (98.8 F), sweating out my back/neck and from my face (face was HOT), body aches, arm swollen, hard and pink/red (still 4 days later!), and lichen sclerosus flare requiring use of clobetesol.

Other Meds: Synthroid 100 mcg PO daily Vitamin D 2000 mg PO daily clobetesol ointment

Current Illness: infected molar pulled on 01/12/2021

ID: 1015124
Sex: F
Age: 84
State: MN

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

Lab Data:

Allergies: NKA

Symptoms: resident received TB injection on 1/26/21 and 2/4/21 and it was discovered that she received her COVID 19 vaccine on 1/20/21 so she should not have been eligible for the TB injection. No adverse reactions have been noted.

Other Meds: traMADol HCl Tablet 50 MG , Aspirin EC Tablet Delayed Release 81 MG (Aspirin), Nitroglycerin Tablet Sublingual, Lidocaine Patch 5 %, Tylenol Extra Strength Tablet 500 MG (Acetaminophen)

Current Illness:

ID: 1015127
Sex: F
Age: 79
State:

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

Lab Data:

Allergies:

Symptoms: Covid Arm

Other Meds:

Current Illness:

ID: 1015131
Sex: F
Age: 36
State: CO

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

Lab Data:

Allergies:

Symptoms: 8 days after my first dose I developed a rash or hives on my thighs first, and then to my entire legs, feet, upper arms, hands and buttox within 2 additional days. Bumps are mostly small, singular and very red, raised and itchy- not painful. They are not on my belly, back, face, chest or breasts.

Other Meds:

Current Illness:

ID: 1015134
Sex: F
Age: 38
State: ID

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

Lab Data: None

Allergies: Sulfa, codeine, hydrocodone, demerol, Topamax, iodine, mint, peppermint, citric acid

Symptoms: My arm has been swollen and red in the injection site for 11 days now. It itches too. No other side effects. It has been a constant. Clinic recommended heat pack and benadryl today. I talked with someone and he explained it is a continued reaction to the shot. I then called the clinic and they gave me the above suggestions.

Other Meds: Vitamin D, Magnesium, Baby Aspirin, cortisol management, adrenaline glad support

Current Illness: None

ID: 1015138
Sex: F
Age: 42
State: PA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Wheezing, dizziness, headache, fatigue, chills, achy

Other Meds: Allegra, Advair, Singular, Sertraline, Metoperol Multivitamin, Vitamin C, Vitamin D, Zinc, Essential oils

Current Illness:

ID: 1015141
Sex: F
Age: 62
State: CA

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: CBC and chemistry panel ok except slight lower lymphocytes than normal

Allergies: Avelox

Symptoms: Started to have weird body weakness sensation associated with mild nausea when I lay down at night. Almost every night. As soon as I lay flat. Comes in waves. Causing me having problems falling asleep. Also happens when I tried to fall back to sleep. Mostly when I am about to fall asleep. During the day I am ok if I am upright. No fever or other symptoms. Getting insomnia from it every night.

Other Meds: Vitamin D Biotin supplements

Current Illness: Premature ventricular complex

ID: 1015145
Sex: M
Age: 73
State: CA

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

Lab Data:

Allergies: Most common antibiotics, ibuprofen

Symptoms: 1.5 in dia red rash around injection site

Other Meds: Vit D3, Omeprazole, Prevastatin, Tamulosin, Doxepin , Calcium, MgOx,Alendronate, Rhinocort I took the Alendronate and Rhinocort yesterday (before I noticed the rash.

Current Illness: received epidural steroid 8 days prior

ID: 1015148
Sex: F
Age: 52
State: CA

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

Lab Data: Zyrtec, benadryl, steroid cream

Allergies: Codeine, oxycodone

Symptoms: Rash, itching on face, neck, back with small papules oozing yellow fluid. Rash was elevated, red and scaly. Rash has lasted 4 days and is still present despite treatment. Also fatigue., joint pain the day after the vaccination, lasting only 1 day

Other Meds: None

Current Illness: None

ID: 1015150
Sex: F
Age: 58
State: NV

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

Lab Data:

Allergies: No

Symptoms: Headache, chills, fatigue

Other Meds: Aleve

Current Illness: No

ID: 1015154
Sex: F
Age: 72
State: CA

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

Lab Data:

Allergies:

Symptoms: Dizzy, anxious, and flushed after the vaccine. BP 160/93, pulse 86; repeat BP 157/90 (pulse 84); O2 sat 98%-100%. Improved with water.

Other Meds:

Current Illness:

ID: 1015157
Sex: F
Age: 26
State: CA

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

Lab Data: none.

Allergies: none

Symptoms: possible not enough dose received. Patient was part of tracking for same vaccinator when it was brought to attention.

Other Meds: none

Current Illness: none

ID: 1015161
Sex: F
Age: 31
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: N/A

Allergies: None known

Symptoms: I had a huge red spot start to form a couple days after the shot. The delayed reaction was weird. It itched a little but it wasn?t particularly painful. My arm felt a little swollen & tender but I kept second guessing that because I was just so surprised. I didnt put anything on it and it didn?t prevent me from doing any daily activities so I didn?t contact my PCP about it. Eventually it wasn?t there or faded and it?s been 2 weeks since my first dose as of today (2/8/21).

Other Meds: Lo Loestrin Fe; cetirizine

Current Illness: n/a

ID: 1015164
Sex: F
Age: 26
State: MD

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

Lab Data: none

Allergies: none known

Symptoms: Description of adverse event - Upon disrobing in order to shower for the evening, I noticed a rash, primarily on my torso, but also on my arms. I had not noticed it before this time. I had not noticed itching or any other side effects other than the (expected) arm pain. Treatment - 50 mg of Benadryl Outcome - rash is still present at this time (11:05 PM, Monday 2/8)

Other Meds: Loratadine

Current Illness: none

ID: 1015168
Sex: F
Age: 43
State: FL

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

Lab Data:

Allergies: Augmentin

Symptoms: Red swollen skin, itchy and painful, started on about day 2. Currently still present on day 7. Darkened area in center, appears bruised

Other Meds: Metoprolol, Lasix, Cymbalta, NP thyroid, gabapentin, Lupron injection, young living thyromin supplement, young living corti-stop supplement

Current Illness: None

ID: 1015171
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: Pt was given Moderna Vaccine Dose #1 at community clinic. After 20 min, pt felt nauseated, with a HA and felt flushed all over. Pt did not want to be evaluated further at a hospital. Pt did not require any medication and left after being observed once patient felt better.

Other Meds:

Current Illness:

ID: 1015175
Sex: F
Age: 29
State: NY

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

Lab Data:

Allergies: Shrimp

Symptoms: Rash at the site of injection developed this morning. The rash gradually became more itchy and spread a lot on my arm through out the day

Other Meds:

Current Illness:

ID: 1015177
Sex: M
Age: 65
State: MD

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

Lab Data: None

Allergies: Mo

Symptoms: Noticed a rash on entire top body, back and front and sides

Other Meds: Aspirin (81mg)? Niacin ER 1000 mg, Simvastatin 20 mg - Terazosin (10mg) , Myrbetriq (50mg), Vitamin B12 (1000) ,Vitamin Whole Earth&Sea Men?s 50+, Fiber capsules' Zolpidem (5 mg), Tramadol HCL 50 mg

Current Illness: None

ID: 1015180
Sex: M
Age: 65
State: CA

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

Lab Data: none reported

Allergies: none

Symptoms: possible not enough dose given. Patient was in the vaccinator list when it was brought to attention.

Other Meds: slo-fe, D3

Current Illness: none

ID: 1015183
Sex: F
Age: 63
State: CA

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

Lab Data:

Allergies:

Symptoms: possible not right dose. Patient is the list of vaccinator when brought to attention.

Other Meds:

Current Illness:

ID: 1015186
Sex: F
Age: 37
State: MN

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

Lab Data: None

Allergies: Mild food sensitivities, seasonal allergies

Symptoms: Fatigue, chills, site is red and slightly itchy - can feel raised area where it was given

Other Meds: Multivitamin, fish oil, vitamin c, keratin, propranolol, lisinopril, metformin, fenofibrate

Current Illness: None

ID: 1015188
Sex: F
Age: 58
State: TN

Vax Date: 12/10/2020
Onset Date: 12/10/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Lisinopril causes coughing

Symptoms: Unknown Pneumonia vaccine made the arm very sore within 15 minutes. Within 45 minutes the top half of the upper arm was red, swollen, painful and itching. Took Benadryl per Nurse?s recommendation. Arm remained red, swollen and uncomfortable all day. Day 2 the redness and swelling encompassed the whole upper arm. Day 3 the redness and swelling moved to upper half of forearm. Day 4 the redness and swelling moved to lower half of forearm and hand. Day 5 the redness and swelling began to dissipate. Took Benadryl throughout.

Other Meds: Welchol; Crestor; Pepcid; Empagliflozin / Metformin HCL; Norvasc; Lozol; Glucosamine Chondroitin MSM w/ Vitamin D; Aspirin (low dose); Multivitamin (Women?s 50+)

Current Illness: Yeast

ID: 1015191
Sex: M
Age: 49
State: MS

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

Lab Data: PCR test for COVID-19 to confirm no evidence of disease

Allergies: None

Symptoms: Onset of headache, arm soreness, chills, and fatigue 10 hours past administration and consistent with other 2nd dose side effects. None severe or required medical attention. 36 hours post administration skin rash with radius of 3 cm from injection site developed. Rash grew to radius of 5 cm in 24 hours and was firm, red, warm to the touch, and underlying tissue were very sore. 48 hours post administration the pain began to transition to a mild itch. Medical advice sought at facility with Nurse who confirmed that rash is likely "COVID Arm". Patient advised to take take 25mg diphenhydramine q4 and apply topical steroid.

Other Meds: Metoprolol, amiodarone, Cialis, Flexeril, Eliquis, Olmesartan medoxomil, bupropion, Ozempic, Ambien, acetaminophen, ibuprofen

Current Illness: Sinusitis

ID: 1015195
Sex: F
Age: 70
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient complained of nausea (nervous before vaccine); BP 120/63 (pulse 70), O2 sat 100%. Better after blood pressure was checked.

Other Meds:

Current Illness:

ID: 1015198
Sex: M
Age: 66
State: NJ

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

Lab Data: None yet

Allergies: None

Symptoms: COVID ARM. RED RASH ON ARM WITH SHOT RASH IS RAISE AND ABOUT 1-2 inches

Other Meds: Ampholphine Simistatin

Current Illness: None

ID: 1015201
Sex: F
Age: 46
State: GA

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

Lab Data:

Allergies: Morphine, codeine, Z-pac, bees, wasps, wheat, dust, mold, animal dander, milk, various food colorings, MSG.

Symptoms: Symptoms started by 11pm day of vaccination. Full arm red bumpy rash, 5" diameter hard raised inflamed red area around injection, 2 degree intermittent fever, intermittent headache, fatigue, hot and cold flashes, intermittent unexplained sweating, worsened tendinitis in left arm.

Other Meds: Tylenol, Sudafed, Allegra, Claritin, Xyzal, Fluconazole, Lisinopril, Amlodipine Besylate, Naprosyn, Albatros Sulfate inhaler

Current Illness: sinus infection 1 month prior, tendinitis

ID: 1015205
Sex: F
Age: 19
State: CO

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

Lab Data: None

Allergies: None

Symptoms: Flu symptoms- 3 days and continuing, began about 5 hours post-2nd vaccine dose: 101-102 degree fever, chills/sweating, severe headache, stiffness in head/neck/shoulders/back, dizziness, extreme fatigue, nausea

Other Meds: Lamotrigine 50mg, Biotin and Iron supplements

Current Illness: None

ID: 1015209
Sex: M
Age: 37
State: CA

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

Lab Data:

Allergies: none

Symptoms: probable not right dose. Patient is in the list of vaccinator when brought to attention

Other Meds: pravastatin

Current Illness:

ID: 1015212
Sex: F
Age: 27
State: IL

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

Lab Data:

Allergies:

Symptoms: Deep Venous Thrombosis of Right Axillary and Subclavian vein. Treated with IV Heparin Drip.

Other Meds: Hormonal Intrauterine device

Current Illness:

ID: 1015216
Sex: F
Age: 73
State: WA

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Compazine, Phenergan, Bactrim, Klonopin, all dopamine blockers

Symptoms: Initially, mild pain at injection site only lasting 1-2 days. This adverse reaction that began nine days later started with a small red circle with a hard lump inside. By the next morning, the lump was gone and the red started expanding. It became very red and mildly hot. Very little pain This is eleven days later and the size is about a 2 by 3 inch oval, and it is fading.

Other Meds: None

Current Illness: None

ID: 1015219
Sex: F
Age: 42
State: MO

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

Lab Data: none at this time

Allergies: kiwi, dragon fruit, pet hair

Symptoms: at first I had the expected reaction and feeling of being "hungover" on night after vaccine, 7pm on 1/29/2021. I felt better overall in 24 hrs, but I've continued to have mild arm pain at injection site. Now, over a week and a half later, on 1/8/2021, I have mild itching at injection site and moderate arm pain. V-safe check-in site I was using has stopped actively sending my daily checkins after a week, switching to weekly check-ins instead.

Other Meds: Chlorthalidone, Zoloft, Potassium Chloride, Claritin, Vit D, Iron

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm