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: 1016112
Sex: M
Age: 51
State: OK

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

Lab Data: none

Allergies: Penicillin

Symptoms: Approx 14 minutes after receiving the vaccine, client felt like his heart was racing and his blood pressure elevated, and dizzy. vital signs monitored, his BP was 150/108. He was clammy and shaky He was taken behind the white curtain and took his mask off, which he said helped tremendously. He was monitored. BP down to 140/100. He recently started BP medication. Told to discuss this episode with his PCP.

Other Meds: Losartan, Claritin-D, Zyrtec

Current Illness: none

ID: 1016113
Sex: M
Age: 83
State: MI

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None.

Allergies: None.

Symptoms: On 11/25/20 had a physical and they took him off of Atenolol, and put him on Metoprolol, one a day at bedtime. He took those for almost 2 months without any problem until he got his shot. He took his pill at 10:00 when he went to bed, woke him up around 12:30 AM and had severe itching all over his back, and his mouth, tooth area felt like they fell asleep. Got some water and rinsed his mouth and felt that it was something he ate. Again for the next 2 nights after taking his blood pressure medicine he was woken up with the same feeling (like it was asleep). It did not affect his swallowing. He then called his doctor and he put him back on his other medicine, and not having any trouble since switching back to Atenolol. He is scheduled for the 2nd vaccine on 2/25/21. Has an APT with his PCP 2/16/21.

Other Meds: Metoprolol,

Current Illness: None.

ID: 1016114
Sex: F
Age: 44
State:

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

Lab Data: none

Allergies: pcn

Symptoms: *Fever of 103 beginning the night of the vaccination (approximately 7 hours later on Friday 2/5) through the early morning of Sunday 2/7. *Chills during entire time of fever. *Body aches during entire time of fever. *Extreme headache 2 days after vaccine on Sunday 2/7 until Monday 2/8 (24 hours). *"Covid arm"- large red patch at site of injection approximately 2.5-3 inches in diameter; red patch was itchy and sore

Other Meds:

Current Illness:

ID: 1016115
Sex: F
Age: 83
State: WI

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: n/a

Allergies: NKDA; No known food allergies

Symptoms: pt reported sore arm days 1-4. lethargy days 5-8. itchy erythematous rash at site of vaccination days 9-12, approx 2 inches in diameter that expanded to 5 in diameter before reducing day 12.

Other Meds: Albuterol HFA PRN; ASA 81mg; Ca 500mg BID; Vit D3 1000 IU daily; estradiol suppository; flonase BID PRN; ADvair 1 buff BID; florajen3 PO 1 cap daily; multivitamin; 600 mg niacin; fish oil 1725 mg daily; red yeast rice 1200 mg BID; coQ10-vit

Current Illness: N/A

ID: 1016116
Sex: F
Age: 28
State: MA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Itchy, red patch of swollen skin appeared a exactly 1 week after I had the 1st injection. The area was approximately 2 inches in diameter.

Other Meds: Metformin, Vitamin D and Cinnamon

Current Illness: Pre-diabetes, IBS

ID: 1016117
Sex: F
Age: 30
State: OR

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

Lab Data: COVID test performed due to symptoms. Result was negative. Had a zoom visit with a provider on 2/3/21 to clear me to go back to work

Allergies: food allergy: strawberries

Symptoms: Started to get muscle aches and INTENSE chills at 11:30 pm. Arm was also quite painful around this time. Woke up at 0300 with nausea and a fever of 100.9. Also had a mild cough, SOB, fatigue, and low appetite. I called out of work that morning due to illness. I was instructed to get a COVID test that day. Results were negative. All symptoms resolved the following day with the exception of malaise which lasted until 2/5/21.

Other Meds: None

Current Illness: None

ID: 1016118
Sex: F
Age: 64
State: OK

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

Lab Data: none

Allergies: Macrobid, Carafate

Symptoms: had sudden worsening of sinus congestion for about an hour, also tightness of throat for about 3 hours, then rash on upper body for about 3 days, head felt tingly and dizzy. some redness and swelling of the injection site.

Other Meds: Lotrel, calcium, questran, B12, Prilosec, vitamin D, Zomig, multivitamin.

Current Illness:

ID: 1016119
Sex: F
Age: 76
State: FL

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

Lab Data: None

Allergies: sulfa drugs, lisinipril

Symptoms: When injected in the shoulder it was very painful. Went home and laid down. When I got up I could not move my arm without severe pain. I believe the shot was injected too high on my shoulder. Pain was severe for 3 days and I took maximum Tylenol. The arm is usuable now, pain is less, still have trouble raising the arm up or back. I have had no other ill effects from the vaccine.

Other Meds: synthroid, clopidogrel, losartan, amlodopine, amitriptyline, m

Current Illness:

ID: 1016120
Sex: F
Age: 16
State: SC

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

Lab Data:

Allergies:

Symptoms: Vaccine administered to a patient younger than minimum age range. No adverse event was observed following vaccine administration.

Other Meds:

Current Illness:

ID: 1016121
Sex: F
Age: 78
State: IN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Celebrex, Sulfa, latex

Symptoms: My Parkinson?s tremor increased on the left side where I had the Parkinson?s and a little bit on the right side where I don?t have it. My doctor indicated that this could be a temporary result of the vaccine which is what I?m hoping but she said to report it & To definitely get the second shot.

Other Meds: Lisinopril 2.5 mg, Trospium 20 mg, Flecainide 150 mg,CoQ 10 300 mg, Zinc 30 mg, DDR Prime 2 tablets, Vitamin code for women, Super Bio C 1000 mg, liquid vitamin D3 10,000 units, sinus. Herbal immune balance

Current Illness: Parkinson?s (3 yrs & no Parkinson Ed?s) Atrial fib

ID: 1016122
Sex: F
Age: 76
State:

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Resident had complaints of pain at injection site, left deltoid.

Other Meds:

Current Illness:

ID: 1016123
Sex: F
Age: 38
State: IN

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

Lab Data:

Allergies: Not applicable

Symptoms: Day after (2/8/21): Severe chills, tiredness, body aches, headache, loss of appetite, fever (101.4), bloody nose w/blood clots (left nostril only). 2 days after (2/9/21): Intermittent headache, aches in joints, bloody nose w/blood clots (left nostril only), hive around injection site.

Other Meds: Anastrozole

Current Illness: Not applicable

ID: 1016124
Sex: M
Age: 39
State: CA

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

Lab Data:

Allergies:

Symptoms: First day weak and kept forgetting what he was doing. Next day doesn't remember the day real hazy and slept. Following day fever, body aches, chills, shaky. Today fever, bones aching dizzy very tired. Body still weak and dizzy.

Other Meds:

Current Illness:

ID: 1016125
Sex: F
Age: 76
State: CO

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: No

Allergies: tetracycline

Symptoms: COVID arm . I developed a rash on the left arm a week after the injection. It turned red and and there was itching, not terrible but some. It's fading, not as red, still itching.

Other Meds: metaprolol 25 mg daily rossubastatin 40 mg daily relaxafine 60 mg daily aspirin 81 mg daily vitamin D 50000 IU daily calcium

Current Illness: No

ID: 1016127
Sex: F
Age: 42
State: MS

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Arm tenderness at the sight of injection, VERY BAD HEADACHE

Other Meds: Goli Apple Cidar Vinegar gummies

Current Illness: none

ID: 1016128
Sex: F
Age: 61
State: IA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data:

Allergies: beta blockers

Symptoms: Transient global amnesia and fall the day after vaccination Elevated ESR 51 and CRP 3 Symptoms resolved spontaneously except for labs, still monitoring

Other Meds: Current Outpatient Medications Medication Sig Dispense Refill ? azelastine HCl (ASTEPRO) 0.15 % nasal spray USE 1 TO 2 SPRAYS IN EACH NOSTRIL TWICE DAILY AS NEEDED 30 mL 6 ? levothyroxine (SYNTHROID) 25 MCG tablet TAKE 1 TABLET BY MOUTH DAI

Current Illness: none

ID: 1016129
Sex: F
Age: 76
State: NY

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

Lab Data: none

Allergies:

Symptoms: fever, fatigue, nausea, muscle aches

Other Meds: Losartan Amlodypine Synthroid

Current Illness:

ID: 1016130
Sex: F
Age: 43
State: TX

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Cellulitis at injection site Received IV antibiotics and rx for oral antibiotics from another provider

Other Meds:

Current Illness:

ID: 1016131
Sex: F
Age: 87
State: FL

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: sulfur

Symptoms: Red rash on left arm from point of shot about 2/3 down left arm covering width of arm. Occurred approximately a week after shot. Area itches. Have been using cortizone-10 cream to ease itching. Area is fading. 2nd dose is scheduled for 2/18/21.

Other Meds: Digoxin, Atenolol, Elizuis, CoQSupreme, Carnitex, Cucumin, Vitamin D, ProBiotic

Current Illness: none

ID: 1016132
Sex: M
Age: 69
State: CT

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

Lab Data: None

Allergies: none

Symptoms: I administered 1 ml. The correct dose is 0.5 ml. Patient has no adverse event.

Other Meds: none

Current Illness: none

ID: 1016133
Sex: F
Age: 31
State: IN

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

Lab Data: Physical exam at doctors office. If not better in a week will continue with additional testing.

Allergies: Benzocaine

Symptoms: Vaccine given too high in the arm. Being an immunizer myself for a different company I expressed concern immediately before vaccination, but was told that that was ?where it goes? and she injected me anyway. Experienced burning 2 minutes following vaccination. The following day I started experiencing shooting nerve pain in my affected arm and tingling in my fingertips. My range of motion was considerably decreased in the affected arm as well. Symptoms worsened after returning to work and trying to use the arm all day. I contacted facility via email on Tuesday, February 2nd, via phone Saturday, February 6th, and again via email yesterday, February 8th. I have not received any response. I found a provider who was able to see me and was covered by my insurance and was seen this morning at 9:20 am by the physician?s PA. Following physical exam and observation of the small bruise indicating the injection site, she stated she believed my immunizer hit a nerve with the needle and prescribed a rapid prednisone taper.

Other Meds: Cetirizine, montelukast, qvar, azelastine, lotemax, Flonase

Current Illness:

ID: 1016134
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies:

Symptoms: 2nd set of Reaction. Hives broke out all over body, looks like Mumps. traveled to face, around eyes.

Other Meds:

Current Illness:

ID: 1016135
Sex: F
Age: 66
State:

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

Lab Data:

Allergies:

Symptoms: Resident had fever and facial flushing.

Other Meds:

Current Illness:

ID: 1016137
Sex: F
Age: 73
State: NC

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

Lab Data: no

Allergies: none

Symptoms: pt stated she developed a painful red area around injection site. Pt has an appt w/ a new PCP on 2/23/2021 and will discuss getting the 2nd dose at this time.

Other Meds: lisinopril-HCTZ 12.5 x 2 daily, simvastatin, Vitamin D and B12, Tylenol,

Current Illness: no

ID: 1016138
Sex: F
Age: 49
State: CA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Body aches, Joints pain, muscles pain, headache

Other Meds: None

Current Illness: None

ID: 1016139
Sex: F
Age: 45
State: LA

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

Lab Data: Bloodwork completed on 5 February, chest x-ray on 8 February.

Allergies: None

Symptoms: Severe fever, chills, head ache, body aches, and cough lasing about 36 hours. Low grade fever and cough still persisting as of today, 9 February. Saw the NP on 5 February for both symptoms. Breathing treatments and Azithromycin prescribed by NP. Chest x-ray taken on 8 February showing pneumonia is clearing up.

Other Meds: Women's One A Day Multivitamin, Vit D3 (2,000iu), Calcium (600mg), Vit B1

Current Illness: Low grade fever (not over 99.8), cough at the time of 2nd vaccination dose.

ID: 1016140
Sex: F
Age: 84
State: MA

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

Lab Data:

Allergies: acetaminophen calcitonin metrondiazole

Symptoms: Pt felt a chest and stomach burning about 10 minutes, throat tightness, and tingling around her mouth

Other Meds: lipitor, pepcid

Current Illness:

ID: 1016141
Sex: F
Age: 64
State: CA

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

Lab Data: N/A

Allergies: Iodene

Symptoms: pain at injection site on 2/2/21; on 2/3/21 felt tired and had a severe headache; then on 2/4/21 found a lump under the left arm and it is still there today, 2/9/21

Other Meds: Multi vitamins

Current Illness: No

ID: 1016142
Sex: F
Age: 41
State: IL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: no allergies, but codeine makes me nauseous

Symptoms: Began as a small red circle about the size of a golf ball the day after the injection, by the evening of the 28th it was itchy and hot to the touch. The weekend of the 30th and 31st the swelling and redness began to get larger, I just assumed it was a general reaction to the vaccine. By Wednesday morning it was about the size of a softball. First thing Thursday morning I messaged my physicial because it took up 75% of my uper arm... I was seen at 10am at Dr. office. I was prescribed Cephalexin 500 mg (1 capsule by mouth twice a day morning/evening for 10 days) I was home from work Thursday and Friday the 4th and 5th of February due to discomfort and being very tired from the

Other Meds: supplement taken daily is collagen

Current Illness: none that I can recall

ID: 1016144
Sex: F
Age: 57
State: PA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt received the vaccine 1/29/21 at 3pm. Started developing symptoms of covid-19 (fever, chills) on 1/31/21. Diagnosed with covid-19 at PCP office on 2/3/21 - did not received any treatment at that time. Pt informed the pharmacy about this on 2/8/21

Other Meds:

Current Illness:

ID: 1016145
Sex: F
Age: 30
State: MA

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

Lab Data:

Allergies: Nonr

Symptoms: I was considered low risk for adverse events therefore was monitored for 15 minutes. As I left facility I started to have tingling and numbness in my right arm which is where I received injection. I then started to feel tingling and swelling in my mouth, tongue, and throat. I also noted some difficulty swallowing. I took 25 mg of Benadryl and monitored my symptoms. My symptoms resolved after 4 hours.

Other Meds: None

Current Illness: None

ID: 1016146
Sex: F
Age: 23
State: NY

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

Lab Data:

Allergies: N/A

Symptoms: big circular rash showed up on my left arm at the exact injection spot exactly a week after the 1st dose vaccination. it was painful and itchy and red for about 4 days then subsided after about a week

Other Meds: busiprone, adderall

Current Illness: N/A

ID: 1016147
Sex: F
Age: 46
State: IN

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

Lab Data: 1/21/21 Went to ER and received epinephrine, benadryl, pepcid, solumedrol, IV fluid at 1:30 pm. Discharged at 5 pm. At 11 pm tongue swelling again and returned to ER. Given Benadry IV and admitted to hospital for observation. Discharged 1/22/21 at 2pm. Discharged on prednisone, pepcid and benadryl. Tongue has been swollen since 1/22 and has never completely resolved. I have just finished 2nd round of steroids on 2/7/21. I have taken Benadryl every 6 hours for a week and am still taking benadryl 3 times a day and pepcid twice a day and swelling to tongue still not resolved. Still have a rash on and off to chest and arms. 2/3 went back for doctor visit and labs ordered.

Allergies: Erythromycin - nausea and vomiting Amoxicillin - rash

Symptoms: One hour after vaccine had swollen tongue while at work (in a hospital). I went straight to ER and was short of breath unable to talk by the time I reached ER (anaphylaxis). Also rash to chest and arms.

Other Meds: singulair, lexapro, norvasc, iron, multivitamin, potassium, pepcid, benadryl, prilosec

Current Illness: none

ID: 1016148
Sex: F
Age: 19
State: IL

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data: VSS PE: No abnormalities on cardiac exam. No pulsus paradoxus. No improvement of chest pain with leaning forward although poor effort by patient due to pain from a fall two days ago. Mild erythema, edema and warmth surround injection site. EKG: possible pericarditis with minimal ST elevations in leads II, III, AVF, V2 and V6. Labs: Elevated Trop 2.25-- >2.66; CKMB 9.7; Ddimer 1433; ESR 35; CRP 11.40. CT Chest: No PE or pericardial effusion. Of note per the CT tech the IV blew during the exam and was not sure if enough contrast had passed for a valid read. No comments of any issue from radiologist. Patient chest pain still present but not as severe as this morning and continued worsening with deep inspiration. COVID antigen negative COVID PCR negative Recommend patient have an ECHO to r/o pericarditis vs pericardial effusion or any other cardiac abnormality before discharging home with appropriate treatment. Blessing called for transfer 11am. Accepted to Med/Surg. Patient had been started on Heparin prior to CT. This was discontinued after CT results. Patient was administered Toradol 30mg IV and Colchicine 1.2mg.

Allergies: Unknown

Symptoms: Patient is a 19yo female presenting to the ED with chest pain. Patient received her second Moderna vaccine two days. Since then she has been having symptoms of chills and myalgias. This morning she had severe chest pain in the middle of her chest. It made it difficult to breathe. Patient had no side effects from 1st dose of vaccine and denies any symptoms prior to receiving 2nd dose.

Other Meds: Unknown

Current Illness: Unknown

ID: 1016149
Sex: F
Age: 61
State: AZ

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data: Blood pressure and pulse taken.

Allergies: sulfa/flagyl, lisinopril

Symptoms: Rapid heart beat, high blood pressure, sinuses blocked, and anxiety.

Other Meds: venlafaxine, levothyroxine, rosuvastatin, metoprolol, amlodipine, progesterone, mirtazapine, losartan, omeprazole, calcium, vitamin d3 and multi-vitamin.

Current Illness: none

ID: 1016150
Sex: F
Age: 33
State: MA

Vax Date: 01/15/2021
Onset Date: 01/20/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy, red, hot, raised welt appeared on arm surrounding the injection site. The site was swollen, hard, and painful. The pain extended down the arm through the fingers and upwards to the left ear. Ice, ibuprofen, and cortisone cream were used with minimal symptom relief. The symptoms of the reaction continued to increase for several days and the welt was approximately 7 cm by 8 cm in size 10 days after injection. On the 10th day following the injection, medical care was sought. Antibiotics, cephalexin 500 mg b.i.d. were prescribed. Hives occurred three days after starting antibiotics. The welt resolved approximately 14 days post-vaccine date.

Other Meds:

Current Illness:

ID: 1016151
Sex: F
Age: 36
State:

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Lab Work 2/4/21

Allergies: Tegaderm

Symptoms: Headaches and Heart Palpations

Other Meds: mvi, miralax, iron

Current Illness: None

ID: 1016152
Sex: M
Age: 72
State: OH

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Hives developed within 24 hours

Other Meds: Clonidine .3 mg Diltiazem 240mg Doxazosin 4mg Glimepiride 4mg Lisinopril 40mg Metformin 1000mg Pravastatin 40mg Januvia 100 mg

Current Illness: None

ID: 1016153
Sex: F
Age: 45
State: TX

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

Lab Data:

Allergies:

Symptoms: Vaccine was administered at 8:12am. At 8:15am, associate complained that throat was closing and that she was having difficulty breathing. Vital signs were obtained; Heart Rate 135, spO2 was 98% on room air; blood pressure was not able to be obtained; associate used own inhaler prescribed for asthma and the associate was administered Benedryl 25mg p.o. in the observation area. The associate was transfered to the Emergency Dept. Prior to transfer to the ED, heart rate was 8:19 was 118 and the associate reported to be feeling better.

Other Meds:

Current Illness:

ID: 1016154
Sex: F
Age: 76
State: WI

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

Lab Data: none

Allergies: PCN, prednisone, Avelox (antibiotic)

Symptoms: itchy first, then redness, swelling and warmth to site. 3 days later had a 3" x3" red mark at injection site. slight pain at site. Did not seek medical care or self medicate. improvement noted on day 2.

Other Meds: beta block, new medication in the last 30 days

Current Illness: HTN and tachycardia one month prior

Date Died: 02/07/2021

ID: 1016155
Sex: F
Age: 85
State: KS

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

Lab Data: None

Allergies: No Known Allergies

Symptoms: 2/7/2021 at 0630, resident found in recliner without pulse or respirations. Resident had not been found to have any adverse reactions to the vaccine between the time of the vaccine on 2/4 until found deceased on 2/7.

Other Meds: Align Capsule 1 capsule QD Aspirin 81 mg QD Cholecalciferol 125 mcg QD Donepezil HCl 10 mg QHS Ensure Max Protein BID Furosemide 20 mg QD Potassium Chloride ER 10 MEQ BID Proventil HFA TID

Current Illness: Acute Exacerbation CHF Cellulitis of intergluteal fold due to decubitus ulcer

ID: 1016156
Sex: F
Age: 55
State: NJ

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

Lab Data: none

Allergies: allergic to some fruits such as strawberries, apple

Symptoms: dizziness, BP 8/40; itching and swelling of left arm; rashes on left arm and left side of neck (day after vaccination)

Other Meds: ASA

Current Illness: none

ID: 1016157
Sex: M
Age: 81
State: WI

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

Lab Data:

Allergies:

Symptoms: 1/20 i was tired for about 2 hrs. 1/21 I had a little different bowel movements . about 8 days later. started to get a little wobbly getting out of chair. 3 days later i had to use a cane to get around. and then the next morning i was fine.

Other Meds:

Current Illness:

ID: 1016158
Sex: F
Age: 74
State: CA

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

Lab Data: Blood pressure and oxygen levels.

Allergies: Shellfish

Symptoms: Face got red about 15 minutes after shot. EMT came. Blood pressure elevated but went down and was declared stable. About 15 minutes took a Benadryl. About 15 redness began to recede and in a half an hour it was gone.

Other Meds: Multivitamin, D, Calcium

Current Illness: Nothing in last month. Five months (5) had an injectable filler. Face got read. At about 12:30 PM took a Benadryl and redness disappeared.

ID: 1016159
Sex: M
Age: 61
State: TX

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Has his own pulse OX-machine running 91-92% his normal 96% Checked his blood suger-110-125-his normal ---he was 158

Allergies: none

Symptoms: 31 Jan 2021-Sunday-Very weak, diarrhea, migraines,-no diagnosis-pt states nights sweats 1Feb 2021-Monday-Same as above 2 Feb-Tuesday-feeling a little better 3 Feb-WED-more fatigued 4th Feb-TH-home from work-later that day 5th Feb-Fri-no work-at home 6th FEB-Sat-feeling up & up-has a migraine-takes aleve 7th Feb-Sun-still diarrhea-stayed in bed 8th Feb-Monday-**diarrhea-taking Immodium AD

Other Meds: Janumet, Jardiance, Crestor, ASA-81mg, Zoloft, b/p medication

Current Illness: none

ID: 1016160
Sex: F
Age: 62
State: OH

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

Lab Data: n/a

Allergies: morphine, codeine, penicillan, percocet, mustard; carries epi pen

Symptoms: 1/4 vaccination. Discomfort in arm couple hours later. By evening time, started to feel 'flu like symptoms'. Achiness, not feeling well, fever?; ibuprofren. Symptoms lasted 24 hours. Unable to eat. Diarrhea but unsure if related to IBS. *COVID + November 27, 2020 *I have not had a lot of energy since having COVID + and voice coarseness.

Other Meds: wellbutrin, lasix, norvasc, atrovastanie, potassium, metformin, tricore, zovair, corveg, multivitamins, joint meds (over the counter)

Current Illness: COVID + Nov 2020

ID: 1016161
Sex: M
Age: 83
State:

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

Lab Data:

Allergies:

Symptoms: Resident had an emesis, complaints of cough, congestion, and headache, increased respiratory rate, tachycardia, and fever.

Other Meds:

Current Illness:

ID: 1016162
Sex: F
Age: 18
State: MO

Vax Date: 12/23/2020
Onset Date: 01/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Penicillin, pineapple

Symptoms: Swelling, pain and redness for the first few days. Then led to an anaphylactic reaction and had to get IM steroids and Benadryl.

Other Meds:

Current Illness:

ID: 1016163
Sex: M
Age: 1
State: PA

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

Lab Data:

Allergies: Penicillin,peanut, fresh egg

Symptoms: Fever, congestion, cough 12 hours after immunization

Other Meds: Iron

Current Illness:

ID: 1016164
Sex: F
Age: 59
State:

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

Lab Data:

Allergies:

Symptoms: The patient went to the emergency room due to the following: high blood pressure, dizziness, bilateral leg numbness and throat swelling. She was given steroids and Benadryl and was released after a few hours. She received a prescription for steroids and was off work for one week.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm