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: 1016677
Sex: F
Age: 66
State: IL

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Sulfa PCN

Symptoms: Severe chills Fever 100.6 Headache Nausea

Other Meds: Levothyroxine Sodium Crestor

Current Illness: None

ID: 1016678
Sex: F
Age: 26
State: KY

Vax Date: 01/21/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Zoloft

Symptoms: 1st dose vaccine 1/21/21; developed nausea, weakness, vomiting, diarrhea, and chills on 2/4/21; seen at ICC 2/5/21.

Other Meds:

Current Illness:

ID: 1016679
Sex: F
Age: 22
State: KS

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

Lab Data: n/a

Allergies: Diflucan

Symptoms: Moderna COVID-19 Vaccine EUA Rash on legs one hour after injection. Application of anti itch cream and took benedryll. Rash was gone the next day.

Other Meds: Adderall, wellbutrin, trazadone

Current Illness: Hives one week prior

ID: 1016680
Sex: F
Age: 44
State: WI

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2:50 pm EE increase heart rate per EE. Has HX of anxiety, felt better within 15 minutes.

Other Meds:

Current Illness:

ID: 1016681
Sex: M
Age: 27
State: CA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I had that "pre-sick" feeling for about a day

Other Meds:

Current Illness:

ID: 1016682
Sex: F
Age: 62
State: WA

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

Lab Data: n/a

Allergies: mangos, codeine

Symptoms: headache, body aches, sore throat, tired, sensitive skin

Other Meds: gabapentin, glucosamine hci, biotin, fiber, vitamin d3, b,

Current Illness: n/a

ID: 1016683
Sex: F
Age: 64
State:

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

Lab Data:

Allergies:

Symptoms: No adverse effect noted.

Other Meds:

Current Illness:

ID: 1016684
Sex: F
Age: 44
State: TX

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: n/a

Allergies: penicillin

Symptoms: 7-8 days after receiving the vaccine my arm had an adverse reaction where it became very warm, and a red mark the size of a half dollar appeared, and it was swollen and tender. If you push you can feel a large lump. Upon the initial shot, my arm hurt for three days and then all symptoms went away. This just resurfaced again, but now with a red mark that is solid in color- not ring like. And sensitive to the touch but nowhere near how it was after the original shot. The mark is still here almost a week later and has not gotten better or gotten worse.

Other Meds: emergen-C

Current Illness: none

ID: 1016686
Sex: F
Age: 41
State: CT

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

Lab Data: All blood work came back within normal ranges at the ER.

Allergies: Allergies to trazadone.

Symptoms: As I was leaving the clinic, roughly 20 minutes after receiving the vaccine, I because very nauseous and returned to tell the nurse I didn't feel well. I then had an episode of syncope and was unconscious for around 40 seconds. I was transported to the hospital via ambulance. In the ambulance I had a second syncopal episode while the EKG monitored that my HR dropped to 30 bpm. I was unconscious the 2nd time for around 1 minute. Upon arrival to the ER I vomited uncontrollably for a few minutes. For the last 3 weeks following the vaccine I've had a fever of 99.8, headaches, mild diarrhea and nausea. For 10 days following the vaccine I had trouble with thinking clearly and "brain fog". Beginning 2 days post-vaccination my left supraclavicular lymph nodes became very swollen and hard and have remained that way since.

Other Meds: Lamictal 100mg/day

Current Illness:

ID: 1016687
Sex: F
Age: 77
State: FL

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

Lab Data: none reported

Allergies: reported none

Symptoms: Client reports having a headache over left eye about 1 1/2 hours after injection. Client woke up on 2/9/2021 to a swollen face. Swelling to both eyes and "bruising" under both eyes. Client is experiencing light sensitivity. Continues to have a headache and discomfort over left eye. Denies respiratory distress and reports no rash. Recommended follow up with PCP.

Other Meds: Vit D3, B12, calcium, MVI, 81 mg ASA, Lisinopril 20 mg, Colchicine .06 mg x 2 tabs, Pramitexole 1 mg at bedtime and 1 mg in the middle of night, Sertaline 100 mg.

Current Illness: Client was being treated for Gout.

ID: 1016688
Sex: M
Age: 74
State: CA

Vax Date: 01/31/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Minor soreness in left arm and hard lump in injection area continues after 8 days. Red rash, circular area about 3-4 inch circle and is itchy. Rash developed 9 days after injection.

Other Meds:

Current Illness: none

ID: 1016689
Sex: F
Age: 49
State: MD

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

Lab Data: 125/87,84-90 HR, 24, 98%

Allergies: PCN, Amoxicillin, Erythromycin, Cefdinir, Sulfa, Wheat

Symptoms: Patient was walking to car after her 15 minutes of observation. Patient felt heart racing, shaky and "strange" feeling in throat. Patient came back in. Patient given bottle of water. Vitals checked. Patient rested until she stated she felt "better". Shaking stopped and her heart rate felt normal again. Patient denied any chest pain. No rash noted, no swelling. Patient encouraged to get ride home but stated she was fine to drive.

Other Meds: Steroid Pack

Current Illness:

ID: 1016690
Sex: F
Age: 90
State: OK

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

Lab Data: none

Allergies: Yes but I can't remember what

Symptoms: Approx 10-15 minutes after receiving the vaccine, client reports dizziness and lightheadedness. Vitals monitored. Client had removed her Clonidine patch the day before due to vaccine, and was instructed this was not necessary. Vitals stable, released to her son that was with her. Now c/o Headache and dizziness, but she thinks it may be related to her ear problems.

Other Meds: Hydralazine, carzednl oil, spironolactione, clonidine patch

Current Illness: none

ID: 1016691
Sex: F
Age: 24
State: PA

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

Lab Data: None

Allergies: NKA

Symptoms: Headache, fever (max 101.8), generalized aches, discomfort and redness at injection site

Other Meds: Bisoprolol, atorvastatin

Current Illness: None

ID: 1016692
Sex: F
Age: 29
State: NE

Vax Date: 01/28/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID arm - large red, raised rash around injection sight appearing 11 days later

Other Meds: Zyrtec Folate Vitamin C

Current Illness:

ID: 1016693
Sex: M
Age: 81
State: MS

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

Lab Data:

Allergies:

Symptoms: Near syncope Patient states he "felt dizzy and equilibrium was off"

Other Meds:

Current Illness:

ID: 1016694
Sex: F
Age: 31
State: WA

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Lorabid, Pertussis vaccine

Symptoms: Red, warm, slightly itchy "rash" encircling left axilla. Also sore left arm and some fatigue. Started 01/18/2021 & resolved 01/22/2021

Other Meds: Camrese-Lo birth control pills, loratadine, multi-vitamin, magnesium supplement, zinc supplement, glucosamine supplement, probiotic.

Current Illness: None

ID: 1016695
Sex: M
Age: 37
State: MA

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

Lab Data:

Allergies: N/A

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1016696
Sex: F
Age: 30
State: IN

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

Lab Data:

Allergies:

Symptoms: Moderate joint pain with feelings of "arthritis" and tingling as if my arms were asleep. The joint pain was in my neck, arms and hands. 25 days later, my left arm is still tingling.

Other Meds:

Current Illness:

ID: 1016697
Sex: F
Age: 25
State: TX

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

Lab Data: none

Allergies: amoxacillin - no reaction reported

Symptoms: immediately after receiving Moderna Covid vaccine 1st dose - pt became anxious, and said her throat was closing up. We gave her benadryl oral liquid 25mg and sent to the ED. In the ED she received care consisting of loratadine and prednisone. She was discharged from the ED.

Other Meds: medrol dosepak loratadine etonogestrol tizanidine lidocaine topical diclofenac amlodipine montelukast fluticasone

Current Illness: none

ID: 1016698
Sex: F
Age: 61
State: GA

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

Lab Data:

Allergies: Bactrim, Dexilant

Symptoms: Chills, fever up to 101.2 F, body aches, and nausea, lasting 40 hours.

Other Meds: Tamoxifen, Atenolol, Gabapentin, Lansoprazole, Bentyl, Probiotic

Current Illness:

ID: 1016699
Sex: F
Age: 82
State: IA

Vax Date: 01/29/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: BMP 2/9/21 to determine renal function prior to medication administration

Allergies: None

Symptoms: Suspected cellulitis at the site of injection, developed this 9 days post vaccination- redness, warmth, mild induration. No pain, no itching

Other Meds: amlodipine 2.5 mg, ezetimibe 10 mg, levothyroxine75 mcg

Current Illness: None

ID: 1016700
Sex: F
Age: 58
State: TX

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

Lab Data: I visited my primary physician 02/08/2021 to check and discuss this rash.

Allergies: None

Symptoms: a rash began developing the day after my vaccination was administered. (a little over 24 hours later). The rash is on my chest, arms, back primarily. I have been taking Benadryl to ease the itching. Now on Day 5, the rash is subsiding. NO rash at site of injection. NO other symptoms.

Other Meds: Synthroid- daily, Boniva-monthly, Rosuvastatin Calcium-daily, Calcium supplements- daily

Current Illness: None

ID: 1016701
Sex: F
Age: 60
State: IL

Vax Date: 01/10/2021
Onset Date: 01/24/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: NONE

Allergies: none

Symptoms: HIVES ALL OVER

Other Meds: HCTZ/spironolactone 25 mg daily

Current Illness: none

ID: 1016702
Sex: F
Age: 75
State: CA

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

Lab Data: none

Allergies: sulfa, clindamycin, morphine

Symptoms: "COVID Arm" with raised, itchy red blotch (approx. 4"x3") at/near injection site appearing at day 8 following injection. Treating with antihistamine (Zyrtec) and gradually fading but still red (visible) on day 11 following injection.

Other Meds: Atorvastatin (20mg), Losartan (25mg), Anastrozole (1mg), multivitamin, calcium + D3 (1200mg), aspirin (80mg), Glucosamine + Chondroitin ("Move Free Advanced Plus MSM & Vitamin D3")

Current Illness: none

ID: 1016703
Sex: F
Age: 87
State: VA

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1016704
Sex: F
Age: 29
State: OH

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

Lab Data:

Allergies: Azithromycin

Symptoms: c/o chest pain/pressure today after vaccination yesterday, along with fever, chills, SOB, body aches. She was instructed to call her cardiologist immediately to report.

Other Meds:

Current Illness:

ID: 1016705
Sex: F
Age: 48
State: NY

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

Lab Data: nl ekg and nl cbc, cmp at ER

Allergies: no

Symptoms: pt developed extreme lightheadedness while driving home 2 hours after vaccine, felt like she was going to pass out. had to pull over and call EMS. symptoms lasted for 2 hours before resolving.

Other Meds: no

Current Illness: no

ID: 1016706
Sex: M
Age: 82
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Covid Arm reaction 5 days after the second Moderna dose -- an angry dark red blotch 6 in by 4 inches that persisted for 4 days before fading in color. It was warm to the touch and itched.

Other Meds: Acyclovir, metropolo, Levothyroxin, finesteride, lamosulin, eliquis, Lotemax, symbrinza, latanoprost

Current Illness: Leukemia (CLL), AFIB, rt. diaphragm paresis, squamous skin cancers, cornea transplants

ID: 1016707
Sex: M
Age: 80
State: TX

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

Lab Data: NONE SO FAR.

Allergies: SULFA ANTIBIOTICS, CIPROFLOXACIN, CONTRAST SOLUTIONS

Symptoms: ABOUT FEBRUARY 6 A RATHER LARGE, OBLONG PINK AREA APPEARED ON MY LEFT ARM AROUND THE VACCINATION SITE. THE AREA APPEARS TO SLOWLY GROW, SINCE I NOTICED IT ON FEBRUARY 6. THERE HAS BEEN SOME ITCHING AND SLIGHT DISCOMFORT.

Other Meds: ATORAVASTATIN, B-12, D3, DESONIDE OINTMENT, DIPHENHYDRAMINE, ELIQUIS, LISINOPRIL-HCTZ, SERTRALINE, XAMPZA

Current Illness: NONE

ID: 1016708
Sex: F
Age: 40
State: TX

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

Lab Data:

Allergies: Seasonal allergies, environmental allergies, some nut seed oil, ibuprofen, aleve,

Symptoms: Still have a large red circle around the injection site 13 days in

Other Meds: Gabapentin, Wellbutrin, candesartan, klor-con (potassium), biotin, super b complex, vitamin D3, Allegra, Zoloft, cyclobenzaprine, montelukast, Celebrex

Current Illness:

Date Died: 02/09/2021

ID: 1016709
Sex: M
Age: 93
State: MN

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

Lab Data:

Allergies: PENICILLIN

Symptoms: ON 02/08/2021 AROUND 0600 RESIDENTCOMPLAINED OF MOUTH PAIN AND RECEIVED OXYCODONE. DURING THE COURSE OF THE MORNING, RESIDENT EXHIBITED A FEW EPISODES OF LABORED/SHALLOW BREATHING AND SOB AT RESTING. 0XYGEN SATURATION RATE WAS 93-98% ON ROOM AIR, LUNG SOUNDS CLEAR IN ALL LOBES AND PULSE AND TEMPERATURE WITHIN NORMAL RANGE. AS THE DAY PROGRESSED, VITAL SIGNS REMAINED STABLE BUT RESIDENT CONTINUED TO HAVE PERIODS OF SOB/LABORED BREATHING.FAMILY AND NURSE PRACTIONER UPDATED AND THE ORDER WAS RECEIVED TO SEND PATIENT TO MEDICAL CENTER ER FOR EVALUATION PER AMBULANCE. RESIDENT TRANSPORTED AT 1425. RESIDENT RETURNED FROM THE ER AT 1830 ON HOSPICE CARE WITH THE DIAGNOSIS OF: ACURE RESPIRATORY FAILURE WITH HYPOXIA AND END OF LIFE DECISION MAKING. RESIDENT WAS MADE COMFORTABLE AND MONITORED DURING THE NIGHT AND EXPIRED AT 0630 ON 02/09/2021.

Other Meds: OXYCONE, LASIX, FLOMAS, CEPHALEXIN,EFFEXOR, EXELON, SEROQUEL, OMEPRAZOLE

Current Illness: ACUTE RESPIRATORY FAILURE, PALLATIVE CARE

ID: 1016710
Sex: F
Age: 82
State: WI

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

Lab Data: NONE

Allergies: ADVIL (SGIRTBESS IF BREATH), SULFUR (RASH), TILADE(UPSET STOMACH)

Symptoms: chills started about 4:00 pm ABOUT HOUR LATER EXTREME BODY ACHES MUCH MORE THAN NORMAL, TIRED AND SLEPT A LOT. ARM WAS SORE FROM THE TIME OF THE SHOT AND KEPT GETTING WORST AS TIME, DAYS WENT ON MY ARM WAS BRUISED WHERE THE SHOT WAS GIVEN AND JUST BELOW THAT IT WAS SWOLLEN - RED - SORE. THE REDNESS WAS ABOUT THE SIZE OF A SMALL SAUCER, EXTENDING ALMOST TO MY ELBOW AREA. COULD NOT LAY ON MY RIGHT SIDE WHEN SLEEPING AND IF I DID IN MY SLEEP IT WOULD AWAKE ME RIGHT AWAY ON SATURDAY MY ARM ITCHED IN THE RED AREA UP TILL ABOUT MONDAY - MY ARM HURT EVERY TIME I MOVED IT OR USED IT - BUT EACH DAY IT WAS LESS TODAY 2-9-21 MY ARM IS NOT SWOLLEN OR RED ANYMORE BUT SLIGHTLY SORE TO THE TOUCH

Other Meds: FUROSEMIDE, OMEPRAZOLE, LISINOPRIL, METFORMIN, LOVASTATIN, METOPROLOL, IPRATROPIUM ALBUTEROL SULFATE DUO MEB 4X DAY, PULMICORT 2X DAY, SPIRITVA RESPIMAT INHALER, SILVER CENTRUM, FISH OIL, TUMERIC, D3 VITIAMIN,ADVANCED INSTAFLEX, MILALAX,

Current Illness: TESTED POSITIVE 11-13-20 FOR COVID-19

ID: 1016711
Sex: F
Age: 39
State: MO

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

Lab Data:

Allergies: Amoxicillin, Penicillin, Azythromiacin, Clindamiacn, Ciprofloxacin

Symptoms: headache, elevated temperature, chills, body aches, extreme fatigue

Other Meds: Protonix, Singulair, Viibryd, Cetirizine HCL, Mirena, Benadryl

Current Illness:

ID: 1016712
Sex: F
Age: 83
State: TX

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

Lab Data: none

Allergies: Penicillin,sulfa

Symptoms: Aching, listless,couldn't sleep, not hungry, but NO temperature. Lasted about 30 hours, then feeling o.k.Required no treatment.

Other Meds: Levoxyl,ToprolXL,Simvastain/Plavix,Montelukast,calcium,multi vitamin

Current Illness:

ID: 1016713
Sex: F
Age: 44
State: KY

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

Lab Data: n/a

Allergies: Allergies - n/a ; Irritated by Naproxin

Symptoms: Sore arm the day following the vaccination - nothing unusual. 4 days following the vaccine, patient experienced an onset of moderate diarrhea, which lasted for 5 days. In addition mild swelling and redness appeared at the site of the vaccination, also lasting for 5 days. Mild nausea accompanied the diarrhea intermittently.

Other Meds: Claritin, Levothyroxine, Citalpram, Lessina

Current Illness: n/a

ID: 1016714
Sex: F
Age: 65
State: FL

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

Lab Data: One to date

Allergies: Penicillin

Symptoms: Heart pounding, dizziness, exhaustion, tight chest, flushed (no fever), out of breath

Other Meds: Sertraline, levothyroxine, hydrochlorothiazide, bupropion HCI, atorvastatin

Current Illness: None

ID: 1016715
Sex: F
Age: 72
State: NE

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: On Saturday I started noticing itching and blisters and I had shingles. On my upper chest, and one about the size of quarter with four or five blisters, and about ten other smaller ones around my right arm. I went into the urgent care. They gave me hydrocortisone cream for the shingles

Other Meds: levothyroxin avestatin hydochlorthyzide dyclovenec aspirin 81 mg daily super vitamin B complex fish oil with omega 3 glucosamine calcium + D3

Current Illness: No

ID: 1016716
Sex: F
Age: 47
State: SC

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

Lab Data:

Allergies:

Symptoms: Systemic: Nausea

Other Meds:

Current Illness:

ID: 1016717
Sex: F
Age: 49
State: KY

Vax Date: 01/28/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: All types of nuts, latex

Symptoms: 1st dose vaccine 1/7/21; 2nd dose vaccine 1/28/21; developed low back pain radiating to left leg worse with movements no injuries onset 2/8/21; was seen in same day 2/8/21.

Other Meds:

Current Illness:

ID: 1016718
Sex: M
Age: 43
State: NH

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

Lab Data:

Allergies:

Symptoms: Within 30 minutes after vaccine administration, patient become sweaty, felt like his heart rate and BP were elevated. He was brought to Urgent Care where he was monitored Rested and remained stable for 20 minutes.

Other Meds:

Current Illness:

ID: 1016719
Sex: F
Age: 53
State: CO

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

Lab Data: Influenza A/B, RSV and SARS-CoV-2 by PCR

Allergies:

Symptoms: Medical Complaint: Employee. I got my 2nd COVID vaccine on 01/29/2021. Feeling warm, low grade fever, congestion, runny nose, cough-clearing my throat. Had chills, not over 100.0 for my fever. What should I do? Got tested for COVID on 01/08/2021

Other Meds: Unknown

Current Illness:

ID: 1016720
Sex: F
Age: 52
State: TX

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

Lab Data:

Allergies: None

Symptoms: erythema and pruritus to right side of neck.

Other Meds: Metformin

Current Illness: None

ID: 1016721
Sex: M
Age: 69
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Low grade fever, child?s, body aches

Other Meds: Trazadone 100mg, Isradipine 2.5mg, Levothyroxine 150mcg, Finasteride 5mg, Urinozinc

Current Illness: None

ID: 1016722
Sex: F
Age: 76
State: NV

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

Lab Data: none

Allergies: none

Symptoms: Chills, fever, muscle aches, weakness, fatigue, nausea lasted 24 hours, then fatigued for another 12 hours. Recovered completely within 36 hours. Arm red, sore and swollen for 36 hours

Other Meds: none

Current Illness: none

ID: 1016723
Sex: F
Age: 65
State: IL

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

Lab Data:

Allergies: erythromiasin

Symptoms: red marble size blood stain surrounding another red blood ring and black and blue of about 3 inches. It is like and imprint.

Other Meds:

Current Illness:

ID: 1016724
Sex: F
Age: 59
State: FL

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

Lab Data: none

Allergies: meds: hydromorphone (rash), Celebrex, Mobic, codeine(all G-I upset) I do have some sensitivities to chemicals but unsure exactly which...

Symptoms: After only 1-2 minutes , I felt "head rush" and was quite light headed. I also felt tingling in my left lower leg and left side of my face and was somewhat dizzy. I have experienced the tingling before related to the migraine variant but not in a long time. I live across the street from the store and went home to sleep instead of back to work. The tingling subsided after resting, but still feeling a bit dizzy/off a day later.

Other Meds: clonazepam, escitalopram, calcium, D3, B complex, C, Mg, omega 3, probiotic

Current Illness: none

ID: 1016725
Sex: M
Age: 83
State: PA

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

Lab Data:

Allergies: Lisinopril

Symptoms: 83 year old male was here at our clinic to receive his first COVID vaccine. After leaving the building he was getting into his car, fell and hit his head on the adjacent car. His wife came into the office asking for help, he could not get up himself . Clinician and three providers went out to the parking lot to assist and evaluate the patient. Patient was alert and talking. He was complaining of pain in his r ankle. He was assisted on to the wheelchair, brought back into the office and the ambulance was called. While he was waiting for the ambulance he had a loss of consciousness for 90 sec. Heart rate and pulse ok. EMS arrived and patient was taken to hospital for further evaluation. Pt required ORIF of the right ankle.

Other Meds: amiodarone HCl 200 mg oral 2 times daily apixaban 2.5 mg oral 2 times daily aspirin 81 mg oral Every morning blood sugar diagnostic 1 strip Daily calcitriol 0.25 mcg oral Daily calcium acetate 667 mg 1 tablet oral 2 times dai

Current Illness: ? NSTEMI (non-ST elevated myocardial infarction 12/4/2020

ID: 1016726
Sex: M
Age: 78
State: CA

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

Lab Data: none

Allergies: None

Symptoms: fatigue, muscle and joint aches

Other Meds: Lisinopril, Atorvastatin, Hydrochlororothiazide, Amlodipine

Current Illness: None

ID: 1016727
Sex: F
Age: 30
State: AL

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

Lab Data:

Allergies: NKDA

Symptoms: Pt. describes severe pain in her left arm within 12 hours of administration. She also reports a feeling of "paralysis" and severe "sluggishness." She has mental foginess. Her symptoms lasted 4-5hrs. This occurred again about 24hrs after administration.

Other Meds: Yaz birth control

Current Illness: unknown

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm