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: 1015952
Sex: F
Age: 56
State: NC

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: suspected allergies to amoxicillin, sulfa

Symptoms: Nine days following my first of two Moderna covid vaccines, I developed a bright red rash around the injection site, measuring at its largest approximately 6" by 4". It is very warm to the touch. It is sore and not itchy. It is splotchy. It is not hard. The skin feels normal except for the warmth. Today is the sixth day of this event, and while it has faded some, it is still there. My PA saw the rash yesterday via telemedicine and she prescribed Cephalexin, as she was suspicious it had become more like a cellulitis. Today, it is still warm and sore, but there is improvement.

Other Meds: Lexapro, Topamax, Wellbutrin XL, Metoprolol, Emgality injection 1/17/2021

Current Illness: none

ID: 1015953
Sex: F
Age: 72
State: MI

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: Wellbutrin

Symptoms: I had redness of the skin about 2" x 4" in size on my arm in the area where I received the injection. It was itchy and tender to the touch where the needle went in. This began 8 days after I received the vaccine. I used hydrocortisone cream to stop the itch. It has been 3 days since the onset and the rash is still there but I can see it is going away.

Other Meds: Levothyroxine 112 mg. Oxybutynin 10 mg, Multi vitamin, Fish oil

Current Illness: None

ID: 1015954
Sex: M
Age: 36
State: NE

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Muscular pain in left shoulder and arm became very painful 24-36 hours after injection. It was difficult to sleep due to pain. This pain dissipated 48 hours after injection. Pain returned 6 days after injection, on Monday the 8th. Pain was in the lower portion of the left arm and in the calf muscle of left leg. In my opinion, this cannot be explained by any other physical activities.

Other Meds: Daily multivitamin

Current Illness: None

ID: 1015955
Sex: F
Age: 39
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Penicillin, Biaxin

Symptoms: Headache, fever, bodyaches, sick to stomach, blurry vision Took 600mg advil

Other Meds: Zetia, omeprazole, Zoloft, Fenofibrate

Current Illness:

ID: 1015956
Sex: F
Age: 66
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none--I dont even know who to ask about this. My rheumatologist has had no vaccine info beyond what is readily available on line.

Allergies: codeine

Symptoms: Had normal side effects of complete ftigue, body aches, chills for 2-3 days after vaccine. On day 5 I totally lost my sense of smell and taste. I can find no where else to report this and do not see this listed as a vaccine side effect anywhere.

Other Meds: Synthroid, Plaquenil, vitamin D, calcium, magnesium

Current Illness: minor cold

ID: 1015957
Sex: F
Age: 37
State: KY

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Two days later I had chest tightness for less than 1 minute. Two weeks later I had loss of sensation in both arms that lasted for 6 hours. All resolved now.

Other Meds: Vitamin D

Current Illness: None

ID: 1015958
Sex: F
Age: 83
State: GA

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

Lab Data:

Allergies:

Symptoms: A week later I noticed my arm is itching and when I looked at it, it was swollen and red. It was itching like crazy. I went to the doctor. I went to my doctor's office and she prescribed a cream for the itching and told me to put ice on it.

Other Meds: Lorazepam daily, Lisinopril daily, Serternan for sleep (unsure of spelling), Calcium, Zinc, Baby Aspirin, Vitamin B12, Vitamin D, Milk something (something that I taken for years to make me pretty)

Current Illness:

ID: 1015959
Sex: F
Age: 29
State: IN

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Achey body, lethargic, foggy brain, tired

Other Meds: No

Current Illness: No

ID: 1015960
Sex: F
Age: 67
State: NJ

Vax Date: 01/31/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None.

Allergies: Latex Amoxicillin

Symptoms: On Friday, February 5, the injection site became itchy, swollen and a red rash. I applied Benadryl spray and Calamine lotion to alleviate the itch. Today, Feb 9, I still have the itchiness, slight rash and the site is slightly swollen. On Saturday, Feb. 6, I noticed a pea size lump on my left neck about 1 inch above the collar bone.

Other Meds: None at the time of vaccination. Later that day, I took the following vitamins/supplements: Vitamin D3- 4,000 IU Biotin: 500mcg B Complex (B6 - 50mg; B12(25mcg; Vitamin C 150mg) Liquid Calcium & Magnesium- 500mg each At night time, I

Current Illness: None

ID: 1015961
Sex: F
Age: 47
State: ID

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

Lab Data: N/A

Allergies: Fentanyl, Influenza Vaccine

Symptoms: Patient experienced "tightness in neck and throat. Patient provided one 25 mg dose of Benadryl, tightness resolved after admin of Benadryl per patient report. VSS during observation. Patient observed for additional 30 minutes.

Other Meds: unknown

Current Illness: unknown

ID: 1015962
Sex: F
Age: 42
State: GA

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: N/A

Allergies: No allergies

Symptoms: After receiving dose one on Saturday Jan 30 2021 I was okay and a few days later about a week I noticed swelling and redness on my left arm where the shot was administered. It itches really bad. I scratched it several times and then put rubbing alcohol on it to ease the itchiness. Currently my left arm is still red and swollen and itchy.

Other Meds: Birth control pills

Current Illness: No illnesses

ID: 1015964
Sex: U
Age:
State: MI

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Improperly stored vaccine administered; This spontaneous report was received from a registered nurse, referring to a patient of unknown age and gender. The patient's historical drugs, medical history, concomitant therapies, drugs allergies and concurrent conditions were not reported. On 18-JAN-2021, the patient was vaccinated with an improperly stored dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9)(lot # S031287, expiration date 08-APR-2022; dose, route of administration and anatomical location were not reported) for prophylaxis. Administered dose of vaccine was stored in the temperature of 46.7 degrees Fahrenheit for 5 minutes. There were no previous temperature excursions reported. The improper storage was recorded by digital data logger. No product quality complaint (PQC) was reported. combinationproductreport: Yes; brandname: GARDASIL 9 SYRINGE (DEVICE); commondevicename: HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast); productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.; devicelotnumber: S031287; expirationdate: 08-APR-2022; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet the criteria for Reportability

Other Meds: GARDASIL 9 SYRINGE (DEVICE)

Current Illness:

ID: 1015965
Sex: F
Age: 66
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Penicillin Sulfa Bee stings

Symptoms: Scratchy throat Wheezing Shortness of breath

Other Meds: Coozar Avastartin Water pill Nexium Vitamin d

Current Illness: None

ID: 1015966
Sex: F
Age: 71
State: GA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: Sulfa, Nexium, all quin drugs (Levaquin), contrast dye for GI

Symptoms: Approximately one week later, a mild rash occurred below injection site which has persisted to this day. Did not itch, but felt hot to the touch. It becomes much redder after showering.

Other Meds: Metoprolol, Losartan, Amlodipine,Rosuvastatin,Omeprazole,Culturelle, Vitamin D3, aspirin (low dose)

Current Illness: none

ID: 1015967
Sex: F
Age: 44
State: CA

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

Lab Data: Spoke to telehealth urgent care doctor, who recommended Tylenol every 4-6 hours, epsom bath, alternate Tylenol with ibuprofen, rest for a few days, monitor for signs of infection, present in-person if fever does not dissipate within 72 hours or there are new-onset symptoms

Allergies: Wellbutrin, penicillin, nickel, apples

Symptoms: Dizziness onset approximately 30 minutes after shot, resolved after laying down for a while. Development of fever, body aches, and chills by about 10 pm. Fever went from 99.5 at 10 pm to 103 at 5 am (was wrapped in blankets to try to control chills). Attempted to bring fever down with cold washcloth and drinking ice water, which dropped it to 101 within an hour, but then it went back up to 102.7 at about 6:30 am. Chills have somewhat improved, muscles still quite tender. I did not sleep all night secondary to these symptoms.

Other Meds:

Current Illness: Adenomyosis, obesity

ID: 1015968
Sex: F
Age: 69
State: OK

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: Penicillin, Neomycin, Sulfa, red wasps, cedar spore, paint enamel, pineapple, roses,

Symptoms: Approx 10-15 minutes after receiving the vaccine, client started c/o feeling shaky and overall jitteriness, and elevated blood pressure. She was monitored for several minutes and started feeling better. She admits to being nervous to take the vaccine and has had several episodes like this before after vaccines. She was steady enough to drive herself home and she went to bed for a few hours and woke up feeling fine except for a sore arm for 2-3 days. Had physical 3 days after this episode and he said she was fine.

Other Meds: Metformin, Enalapril, levothyroxine, Januvia, I aleve daily, 1 baby ASA daily, omeprozal, amlodipine are routines, prn's: albuterol inhaler,

Current Illness: none

ID: 1015969
Sex: F
Age: 38
State: GA

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Dermatologist appointment on 2/9/2021 confirmed diagnosis of Shingles.

Allergies: no know allergies

Symptoms: Received vaccine dose 2 on 2/3/2021. 72 hours later a red, painful, and blistered rash appeared on my upper left torso, under my armpit and on my left breast, Shingles (Herpes Zoster). A minor headache and soreness of the injection site were the only other symptoms I experienced.

Other Meds: Prenatal vitamin, vitamin D, zinc, Elderberry, CBD

Current Illness: none

ID: 1015970
Sex: M
Age: 66
State: NY

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

Lab Data:

Allergies: penicillin

Symptoms: injection site pain (like flu vaccine) chills 101.1 fever body aches, heavy chest

Other Meds: Vitamin D (2000 mg), Multivitamin, Red Krill, Tylenol

Current Illness: no

ID: 1015971
Sex: F
Age: 46
State: MO

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Left arm pit lymph swelling and tightness of Internal rotation muscles

Other Meds: Vitamin D3, C , B complex, Wellbutrin, Amlodipine

Current Illness: No

ID: 1015972
Sex: F
Age: 23
State:

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Sore arm day after immunization. 7 days post had enlarging rash (started small and slowly grew over all upper arm in ring like )

Other Meds: None

Current Illness: Irregular periods

ID: 1015973
Sex: F
Age: 66
State: TX

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

Lab Data:

Allergies: Tegretol

Symptoms: Injection site pain a few hours following injection. About 7 hours after injection started feeling body aches and every bone in my body hurt. Teeth too. Felt like I had a sinus infection. Head and eye ached. Bad headache the next am. Took Tylenol at 10 am and felt better. Nothing more after that. Just tested the remainder of the day.

Other Meds: Levoxyl, cevimeline, Restasis , biotin, Vitamin D.

Current Illness: None

ID: 1015974
Sex: F
Age: 78
State: FL

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Minimal bibasal pleural and adjacent atelectasis. Chest xray.

Allergies: Kenalog and duricef

Symptoms: 3 days after the injection I experienced a heavy chest and shortness of breathe on exertion. This happened after receiving each shot.

Other Meds: Ibandronate, sprycel, carvedilol, levothyroxine and simvastatin.

Current Illness:

ID: 1015975
Sex: F
Age: 66
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Resident had 2 emesis and complaints of headache.

Other Meds:

Current Illness:

ID: 1015976
Sex: F
Age: 68
State: NC

Vax Date: 01/28/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None were given.

Allergies: Sulphur, contrast dye.

Symptoms: Left arm itching, swollen and skin on entire left arm was red and across shoulder to neck. Neck pain and headache. Early evening I developed hoarseness and trouble breathing. Went to Emergency room. They administered IVwith Benedryl; Prednisone; and Pepcid. After an hour my breathing was better and some of the redness on arm was better. I went to physician on 2/5/2021 because of neck pain and was prescribed MethylPrednisolone Tablets, 4 MG. 6 day pack and was on day 3 when the symptoms started.

Other Meds: Lisinopril 5mg daily, probiotic; Multivitamin; Vitamins D3, C.

Current Illness: Neck pain.

ID: 1015977
Sex: F
Age: 25
State: IL

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: rash and swelling at injection site then large hard welt occurred, 1 week later redness occurred and lymph nodes under arm swelled and are still there. Both sites are painful.

Other Meds: Large red lump occurred at injection site (left deltoid) with pain, then red rash occurred 1 week later with enlarged lymph nodes under left arm. Area very painful both at site of injection and in lymph nodes. Lymph nodes still swollen as o

Current Illness: none

ID: 1015978
Sex: F
Age: 41
State: SC

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

Lab Data: None yet

Allergies: None

Symptoms: I immediately felt nauseated and fatigued, but severe reaction occurred at 10 pm. Extreme weakness and tingling on lips and tongue with difficulty breathing. Migraine and body aches not resolved with OTC meds. Lower back pain was notable and prevented me from sleeping. I passed out in the bathroom when trying to get Tylenol.

Other Meds: Duloxetine, Adderall, levothyroxine, bcp

Current Illness: None

ID: 1015979
Sex: F
Age: 38
State: AR

Vax Date: 01/19/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Shingles diagnosis, left side neck face presentation

Other Meds: Lexapro

Current Illness:

ID: 1015980
Sex: F
Age: 52
State: VA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: OTC meds

Allergies: Bactrim, Biaxin, Clindamycin, Dilaudid, Doxy, Morphine, Nitrofurantoin

Symptoms: Pain in shoulder directly after injection.

Other Meds: Bupropion, Buspirone, Nortriptyline, Omeprazole, Rizatriptan

Current Illness:

ID: 1015981
Sex: M
Age: 64
State: TX

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

Lab Data:

Allergies: None

Symptoms: Low-grade fever 100/ Head and body ache nausea

Other Meds: Vitamin C 1000mg, D50mcg,Zinc 50mg B 12 1000 mcg Magnesiun 250 mg 81 mg Aspirin

Current Illness: Covid 19 12/27/2021

ID: 1015982
Sex: F
Age: 82
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient reported sensation of lip tingling 13 minutes after vaccine administration. Symptoms resolved with minutes after removing her mask and drinking water. Patient was observed for 30 minutes with no new or worsening symptoms. She remained well appearing throughout observation.

Other Meds:

Current Illness:

ID: 1015983
Sex: F
Age: 49
State: NY

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: erythromycin

Symptoms: "Started to have itch on Thurs 2/4/21, then noticed a red spot, almost a quarter and hard underneath like more firm -slight warm -not draining -no fevers"

Other Meds: None

Current Illness: None

ID: 1015984
Sex: F
Age: 40
State: TX

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Environmental

Symptoms: Chills on day 1 @ 20:00pm Day 2 (2/6/21)- Headache, Body ache, Left eye swelling (ongoing for 2 days)-Treated with tylenol and Motrin, Xyzal taken daily. Day 3 (2/7/21)- Left eye swelling, decreased.

Other Meds: Xyzal, Tylenol

Current Illness: Unknown

ID: 1015985
Sex: F
Age: 25
State: IN

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Carrots, almonds, sesame seed, peanuts, soy

Symptoms: 3:00am severe full body pain and cramping, high fever 6:00am nausea and vomiting, migraine, incoherent thoughts Continued body pain, vomiting, fever for 24 hours

Other Meds:

Current Illness: N/A

ID: 1015986
Sex: F
Age: 70
State: NJ

Vax Date: 01/25/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Seafood allergy; iodine allergy

Symptoms: 11 days after I received the shot - I had swelling on my face in the areas where I got Juverderm injections. The swelling lasted for about 24 hours - I took benadryl and it seemed to help. I wasn't sure if it was the vaccine. Please advise.

Other Meds: Multiple Vitamin, Probiotic, Levothyroxine (50 mg); Bystolic (10 mg) and Rosuvastatin (10 mg)

Current Illness: None

ID: 1015987
Sex: F
Age: 87
State: TX

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: pt states that on 2/6/2021 that she noticed her arm has a 3X5 red spot below the injection spot. Pt will contact her PCP to let them know.

Other Meds: Amlodipine, escitalopram, lisinopril, Montelukast, vitamin C, Iron, Melatonin, aspirin, Bio Complete 3,

Current Illness: no

ID: 1015988
Sex: F
Age: 33
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient reported mild headache after ~10 minutes after vaccine administration, and lip numbness ~15 minutes after vaccine administration. Vitals 167/52, O298%, HR 67. Patient was evaluated by Dr. ~20 minutes after administration and monitored for 45 minutes. Headache and lip numbness resolved during observation period. Patient remained well appearing throughout. Reviewed s/sx anaphylaxis, advised her to call 911 if these occur at all today.

Other Meds:

Current Illness:

ID: 1015989
Sex: F
Age: 43
State: IN

Vax Date: 02/07/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Diarrhea, fatigue, nausea, chills, low grade fever - began 2/9/2021

Other Meds: Adderall 30mg

Current Illness: None

ID: 1015990
Sex: F
Age: 66
State: FL

Vax Date: 02/02/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Planning to get a COVID test today, 2-9-2021

Allergies: None

Symptoms: 5 days after vaccine began experiencing chills, fever (up to 100.8), and diarrhea. Fever lasted 2 days. Chills lasted 2 days. Diarrhea currently on day 3.

Other Meds: Synthroid, Prempro

Current Illness: None

ID: 1015991
Sex: F
Age: 58
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Zithromax, Gentamycin eye drops

Symptoms: Swollen lymph node in left underarm started the day after the vaccine. Four days later (today 2/9/21), I have a rash (hives-looking) on my left upper arm where I received the vaccine. A couple of the bumps are raised. The swollen lymph node persists today after using warm compresses and antibiotic cream to the area.

Other Meds: HCTZ, Vitamin B12, Vitamin C, Vitamin D3, Glucosamine Chondroitin, Magnesium, Cranberry, Flonase Nasal spray, Cromolyn eye drops

Current Illness: None

ID: 1015992
Sex: M
Age: 73
State: AL

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Went to ER on 01/25, diagnosed with Bell's Palsy. Patient was having pain in jaw and terrible headaches.

Other Meds:

Current Illness:

ID: 1015993
Sex: M
Age: 75
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: no

Allergies: None

Symptoms: He is dizzy, weak, and his neck is stiff and painful. His shoulders hurt. Joints are achy and stiff. Poor appetite. Used a heat pad on his neck.

Other Meds: losartan hetz 25 mg daily amloditine 5 mg daily aspirin 81 mg daily coumadol 40 mg daily tremadol 60 mg (one tablet every 12 hours) percoset (every 4-6 hours) vitamin C vitamin D3

Current Illness: No

ID: 1015994
Sex: F
Age: 55
State: MO

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

Lab Data: N/A

Allergies: Sulfur, possible Mango

Symptoms: Twenty four hours after I received the injection my arm had two red knots, one at the injection site and nother about 1/2 inch below the knot explained above. These knots were extremely painful to touch, but didn't affect my ability to use my arm. The knots expanded the next few day but I became unaware of them. Day eight, I woke up with my right arm itching and felt the knots there again. I am using a ice pack to manage my symptoms currently.

Other Meds: Progesterone, Estradiol, Thyroid, Aloe Vera Gel, Calcium D3,

Current Illness: N/A

ID: 1015995
Sex: M
Age: 27
State:

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: EKG-Sinus at 48, physiologic LAD, QRS 112 by machine read but otherwise normal intervals. No e/o pathologic STE/D. Twaves peaked w/ J point elevation c/w early repole. No e/o pre/post excitation, brugada, or LVH. Mild IVCD but otherwise sinus brady w/ early repole and normal for athlete.

Allergies: sulfa drugs

Symptoms: Pt received first dose Pfizer COVID 19 vaccine 26JAN21 at approx 0830. Pt reports yesterday 2330 went to pee and was feeling tired. Became nauseated and then started quickly oscillating between feeling hot and cold. Sat up in bed and when he did, felt ''everything move to my toes''. Remained conscious for about 2-3 seconds and then woke up on the floor in a pool of sweat about 5 minutes later (knows the timespan based on looking at his watch when he went to the bathroom and when he woke up). Tried to get up and felt unstable so decided to lay in the floor which he did for about another 10 minutes. During this timeframe, noticed jaw pain and soreness which he attributes to clenching his jaw. At this point, able to struggle into his bed and noted that the oscillation of hot/cold had abated and he was left with a mild headache and fatigue which has slowly improved since that time. At this time, pt reports he feels about 90% of USOH but somewhat ''uneasy'' still. Denies reaction to medication or vaccine in the past other than sulfa abx for which he had skin rashes as a child.

Other Meds: None

Current Illness: none

Date Died: 01/31/2021

ID: 1015996
Sex: M
Age: 86
State: FL

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

Lab Data:

Allergies:

Symptoms: Family reported patient expired 1/31/2021.

Other Meds:

Current Illness:

ID: 1015997
Sex: F
Age: 22
State: RI

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

Lab Data:

Allergies: No known allergies

Symptoms: Patient began to feel what she describes as "tightness and pressure" on bilateral sides of neck near lymph nodes. Pt became flushed red in the face and face became warm. A minute thereafter breathing became difficulty and she began to feel some abdominal pain. After deep inhalation and exhalation, pt was administered a Benadryl 25mg and 8 ounces of water patient's color began to return and her breathing improved and her abdominal pain resolved. Patient was monitored for 30 minutes and assessed before departure.

Other Meds: melatonin, cranberry supplements, vitamin d, birth control: LEVONORG-ETH ESTRAD ETH

Current Illness: None

ID: 1015998
Sex: F
Age: 44
State: MD

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Keflex

Symptoms: Pfizer-BioNTech Covid-19 Vaccine EUA 2/7/2021 @3am- fever which subsided at 11:30am, chills, body aches, headache, fatigue lasting all day 2/8/2021- swollen lymph node left axilla, soft tissue swelling left axilla, no redness

Other Meds: Allegra, famotidine, orsythia

Current Illness: none

ID: 1015999
Sex: F
Age: 48
State: AL

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Swelling, redness, and itchiness at injection site came on approximately 7 days after vaccine injection and maintained for about 3 days. Swelling and redness approximately 3 inches in diameter from injection site. No fever.

Other Meds: daily multivitamin, 137mcg levothyroxine, 350mg Bupropion

Current Illness: none

ID: 1016000
Sex: M
Age: 83
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Resident had 2 emesis and complaints of body aches, headache, pain, decreased appetite.

Other Meds:

Current Illness:

ID: 1016001
Sex: F
Age: 55
State: GA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: Penicillin

Symptoms: About one to two minutes after receiving the vaccine, I felt dizzy and lightheaded. Nurses came to help me and put me on the floor. I felt flushed throughout my whole body and the nurse said my face and chest was very red. My blood pressure went up and I remember at one point the top number was in the 180s and bottom number in the 110s. My heart rate was fast, but I don't recall what it was from the monitor. At one point my jaw got tight, my face felt numb, and my fingers were tingly. They gave me a 50mg shot of Benadryl. One of the nurses wanted to give me an Epipen, but the other nurse said to wait and monitor me for a few more minutes to see if the Benadryl would take effect, which thankfully it did. I would say the entire episode lasted about 20 minutes. I never had a problem with breathing, throat closing up, or wheezing and the nurse told me after that my oxygen levels never went down.

Other Meds: Bystolic 2.5 mg daily Hydrochlorothiazide 12.5 mg daily Bupropion 300 mg daily Gabapentin 600 mg daily Topamax 100 mg daily melatonin, probiotic, multivitamin

Current Illness: none

ID: 1016002
Sex: F
Age: 66
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Report discomfort to mid-chest with radiation to mid back. Treatment: Advil. Outcome: no improvement, continues to work, does not interfere with ADLS. Recommend to follow-up primary care doctor.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm