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: 1017771
Sex: M
Age: 35
State: PR

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

Lab Data: they did a CBC

Allergies: allergy to seafood

Symptoms: Everything started on the second day with pain in the arm where the vaccine was administered, that lasted two days and exactly one week later from receiving the vaccine started an allergic reaction with hives, that measured approximately 10inches wide. It was on the opposite arm to where the vaccine was given.

Other Meds: Metformin, Losartan potassium and simvastatin

Current Illness:

ID: 1017772
Sex: F
Age: 65
State: MO

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

Lab Data:

Allergies: NKA

Symptoms: Presented to PCP on 2/8/2021 with Cellulitis at injection site

Other Meds:

Current Illness:

ID: 1017773
Sex: M
Age: 41
State: IL

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

Lab Data:

Allergies: Gadolinium, Penicillin, Shrimp

Symptoms: Within 5 minutes of vaccination, patient developed throat tightness. Patients vital signs and symptoms monitored, diphenhydramine 25mg po x 1, diphenydramine 37.5mg IM x1 and subsequently Epi-pen was administered (no progression of symptoms but incomplete resolution of throat discomfort led to decision to administer Epi. ) Monitored x 5 hours total in office;patient discharged home stable with epi-pen and plan of care.

Other Meds: Metoprolol ER 50mg po qd, Atorvastatin 40mg PO qd, Lisinopril-

Current Illness: None

ID: 1017774
Sex: F
Age: 26
State: AZ

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

Lab Data:

Allergies:

Symptoms: tongue swelling

Other Meds:

Current Illness:

ID: 1017775
Sex: F
Age: 64
State: MT

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

Lab Data: None

Allergies: Sulpha drugs, and quite possibly shrimp

Symptoms: Actually fewer side effects (no headache, no fatigue) than with dose 1 for first 30 hours. Allergeric reaction including hives 30 hours after vaccine. I had eaten shrimp about 7p on 2/5 (day after vaccine), became itching, then broke out in hives on face, chest, neck and back. Took 50 mg Benadryl and went to ER as I had Covid vaccine the previous day. Monitored in ER, given 60 mg Prednisone in ER, observed for 3 hours, then released with rx of 40 mg prednisone daily for 4 days. I have had 2 other severe allergeric reactions including hives, and once anaphyaxis over the past 30 years, with the common denominator of having eaten shrimp. I feel it may be possible that the Covid vaccine had my immune system on high alert and even a slight intolerance to shrimp caused the allergeric reaction. I regularly eat shrimp with no adverse effects. I felt it important to report this reaction although it may not be a direct side effect of the Covid vaccine. Again, first dose side effects were mild with a low grade headache and fatigue.

Other Meds: None

Current Illness: None

ID: 1017776
Sex: F
Age: 79
State: AR

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

Lab Data: none

Allergies: sulfa

Symptoms: pt states that later the day of the vax that her left eye lid was dropping and she had a blood blister develop a couple of inches below injection site. The next day she had sore left arm with some fatigue. Pt states all symptoms have subsided but still has a droopy eyelid and has an apt w/ an eye doctor today. She states she has had cataract eye surgery on 1/13/2021 and on 1/26/2021 had Botox injection on brow. Pt has appt w/ PCP on 2/18/2021.

Other Meds: J Defender Chinese herb, Imprimis

Current Illness: no

ID: 1017777
Sex: M
Age: 39
State: TN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt. states that the next day his left shoulder begin to hurt and is still hurting when he moves it like putting on a shirt or something. States the discomfort gets to about a 6 at times. {Plans to see md. But elected to take the second dose, Can't remember doing anything to his shoulder

Other Meds:

Current Illness:

ID: 1017778
Sex: F
Age: 60
State: PA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: See above. MRI with contrast was on 2-5-2021 and regular MRI 1-29-2021

Allergies: none known

Symptoms: I received first Moderna Covid vaccine 1-29-21 On 1-30-2021 I got an MRI which was ordered by orthopedist due to longstanding neck disc issues. The radiologist who reviewed that MRI noted, " Multiple enlarged level II cervical lymph nodes, for which further evaluation with dedicated CT or MRI of the neck with intravenous contrast is reccommended" These enlarged nodes did NOT present any pain for me or any other issue. That MRI which i got on 2-5-2021 with contrast was noted to be "Normal" I am reporting this as an adverse effect of Moderna vaccine since i have seen reports of this as a possible effect of the vaccine.

Other Meds: B-12 and multivitimin only

Current Illness: none

ID: 1017779
Sex: M
Age: 24
State: FL

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

Lab Data:

Allergies:

Symptoms: I have been running a fever, feeling achy, and tired starting a day after the shot. Also haviny chills that will not go away.

Other Meds:

Current Illness:

ID: 1017780
Sex: F
Age: 49
State: WA

Vax Date: 01/15/2020
Onset Date: 01/15/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: multiple food allergies and wool, bananas, strawberries, tomatoes, barley, wheat, spinach

Symptoms: headache, increased salivation, swollen mandibular gland, pain in neck radiating to ear

Other Meds: magnesium, MVI, probiotics, prebiotics

Current Illness: none

ID: 1017781
Sex: F
Age: 53
State: HI

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

Lab Data: None at this time.

Allergies:

Symptoms: The vaccine was administered way too high into my rotator cuff, not in the deltoid muscle belly. The injection hurt and felt like she hit a tendon or nerve and hasn?t stopped hurting.

Other Meds: Celebrex, Clonidine

Current Illness:

ID: 1017782
Sex: F
Age: 35
State: WA

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

Lab Data:

Allergies: skin allergies to certain (unspecified) chemicals, dust , artificial fragrances

Symptoms: Approx. 5 hours after vaccine administered, bad headache and fatigue. Injection site and all upper arm became very sore to the touch Approx. 6 hours after vaccine, face became very flushed, hot and inflamed. Lips began to slightly swell - both upper arms became red and hot, skin flushed - headache and fatigue persisted - fever of 99.9 Benadryl taken 8 hours after vaccine, which helped with hot feeling in face and hands, lip swelling went away

Other Meds: Concerta, Allegra, montelukast sodium, meloxicam, guanfacine, probiotics, Tylenol

Current Illness: n/a

ID: 1017783
Sex: F
Age: 99
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient was in bed B in this particular room which is closer to the window, and patient chart given to us had patient in bed A which is closer to the door. Patient already had her 2nd dose of the Pfizer vaccine on our previous visit 3 weeks ago. Pharmacist administered to patient in bed A and ended up being her 3rd dose. No adverse effects reported, patient was monitored for 2 hours and had no signs or symptoms.

Other Meds:

Current Illness:

ID: 1017784
Sex: F
Age: 60
State: KY

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

Lab Data:

Allergies:

Symptoms: left upper arm redness and swelling. She reports she got the second Pfizer COVID-19 vaccine on Monday 2/1. She reports the area is red right after the vaccine. She reports she has had increased swelling, redness, warmth. She reports she did have reaction to her first vaccine with redness and swelling, but that occurred 10 days after. She reports she has had some fever and body aches that she associates with having the second vaccine. Constitutional: Negative for chills and fever. HENT: Negative for sore throat. Eyes: Negative for visual disturbance. Respiratory: Negative for cough and shortness of breath. Cardiovascular: Negative for chest pain. Gastrointestinal: Negative for abdominal pain, nausea and vomiting. Genitourinary: Negative for dysuria. Musculoskeletal: Positive for joint swelling and arthralgias. Negative for back pain. Skin: Positive for color change. Negative for rash. Neurological: Negative for weakness and numbness.

Other Meds:

Current Illness:

ID: 1017785
Sex: F
Age: 80
State: AL

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

Lab Data:

Allergies:

Symptoms: hx hypertension; dizzy bp up; 184/79 74 99%: observed extra 10 minutes

Other Meds:

Current Illness:

ID: 1017786
Sex: F
Age: 30
State: VA

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

Lab Data: None

Allergies: None

Symptoms: Fever, back pain, nausea

Other Meds: Emergen-C

Current Illness: None

ID: 1017787
Sex: F
Age: 61
State: NV

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data: No

Allergies: I am allergic to sulpha and phosamax.

Symptoms: At first there was a 3 inch by 3 inch red patch that was itchy. Then I woke to my entire bicep being inflamed at the injection site. Almost my entire arm. I went to see the doctor that said it was a strong localized reaction.

Other Meds: Prefer not to disclose

Current Illness: No

ID: 1017788
Sex: F
Age: 95
State: GA

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

Lab Data: None

Allergies: No known drug allergies

Symptoms: Pt was administer Moderna vaccine at an off site event. Pt was adamant that she had not had this vaccine in the past and that this was her first dose. When paper work was brought back to Health Department to be scanned and entered into VHN/ GRITS it was found that patient had received her first vaccine on 02/01/2021, eight days prior. Pt sat in waiting area x 15 min and was feeling fine when patient left to go back to her room, no side effects noted. Daughter (POA) was notified of this event and that her mother (pt who was vaccinated) does not need any more vaccination as the time.

Other Meds: Unknown

Current Illness: None

ID: 1017789
Sex: F
Age: 66
State: IL

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

Lab Data: Ordered HYDROcodone-acetaminophen (NORCO) 10-325 MG per tablet 1 tablet EVERY 6 HOURS PRN, Status: Discontinued Note to Pharmacy: OP SIG:Take 1 tablet by mouth ... 01/28/21 1532 Remove IV/Saline Lock ONE TIME, Status: Canceled 02/02/21 0751 Follow Up Appointment Schedule Appointment in: 1 Week; Reason for Follow Up Appointment? hospital f/u; Specialty: Family Medicine; Physician Name: PRIOR TO DISCHARGE, Status: Canceled 02/02/21 0751 DISCHARGE PATIENTon Discharge Date: 2/2/2021 ONE TIME 02/02/21 0751 amoxicillin-clavulanate (AUGMENTIN) 875-125 MG per tablet EVERY 12 HOURS SCHEDULED 02/02/21 0751 dexamethasone (DECADRON) 2 MG tablet 02/02/21 0751 Comprehensive metabolic panel 02/02/21 0751 CBC w Auto Diff 02/02/21 0751 Diet 02/02/21 0751 dexamethasone (DECADRON) tablet 6 mg Daily, Status: Discontinued 02/01/21 0818 amoxicillin-clavulanate (AUGMENTIN) 875-125 MG per tablet 1 tablet 2 times per day, Status: Discontinued 02/01/21 0819 azithromycin (ZITHROMAX) tablet 250 mg DAILY, Status: Discontinued 02/01/21 0819 Inpatient Consult to Case Management ONE TIME, Status: Canceled Provider: (Not yet assigned) Comments: Discharge planning of tomorrow 02/01/21 0819 Basic metabolic panel DAILY AT 0500, Status: Canceled 01/31/21 2121 CBC with Auto Diff DAILY AT 0500, Status: Canceled 01/31/21 2121 CBC W AUTO DIFF EVERY 3 DAYS, Status: Canceled Comments: Low molecular weight heparin o... 01/28/21 1645 Oxygen Therapy Maintain O2 Sat at or Greater: 92%; Device: Nasal Cannula Continuous, Status: Canceled 01/30/21 1328 INCENTIVE SPIROMETER Q2H While awake EVERY 2 HOURS WHILE AWAKE, Status: Canceled 01/30/21 1017 budesonide (PULMICORT) nebulizer suspension 500 mcg RT BID (RT ONLY), Status: Discontinued 01/30/21 0929 ipratropium-albuterol (DUO-NEB) 0.5-2.5 (3) MG/3ML nebulizer solution 3 mL EVERY 4 HOURS WHILE AWAKE, Status: Discontinued Note to Pharmacy: OP SIG:USE 1 AMPULE IN NEBULIZ... 01/30/21 0929 alcohol (NOZIN) nasal sanitizer 2 TIMES DAILY, Status: Discontinued 01/29/21 2231 melatonin tablet 5 mg AT BEDTIME, Status: Discontinued 01/29/21 0905 azithromycin (ZITHROMAX) 250 mg in sodium chloride 0.9 % 250 mL IVPB EVERY 24 HOURS, Status: Discontinued 01/28/21 1855 remdesivir 100 mg in sodium chloride 0.9 % 100 mL infusion EVERY 24 HOURS, Status: Discontinued "Followed by" Linked Group Details 01/28/21 1645 cyclobenzaprine (FLEXERIL) tablet 10 mg 2 TIMES DAILY PRN, Status: Discontinued Note to Pharmacy: OP SIG:TAKE 1 TABLET BY MOUTH ... 01/29/21 1513 linagliptin (TRADJENTA) tablet 5 mg DAILY, Status: Discontinued Note to Pharmacy: OP SIG:Take 1 tablet (5 mg) by... 01/29/21 1130 vitamin C (ASCORBIC ACID) tablet 1,000 mg DAILY, Status: Discontinued 01/29/21 0905 Vitamin D (Ergocalciferol) capsule 50,000 Units EVERY 7 DAYS, Status: Discontinued 01/29/21 0905 zinc sulfate (ZINCATE) capsule 220 mg DAILY, Status: Discontinued 01/29/21 0905 insulin lispro (HumaLOG, AdmeLOG) vial 2-10 Un

Allergies: Gabapentin Latex Nsaids Topamax Valium

Symptoms: Patient is a 66 y.o. female presents with increasing shortness of breath and fatigue the last few days. The patient presented to the ER just a few days after being discharged from Hospital. The patient was treated as an inpatient at Hospital little under a week ago for a COPD exacerbation. She showed dramatic improvement during this time, but over the last few days has started showing increasing signs of shortness of breath and severe fatigue. She has no known coronavirus (COVID-19) contact, but states that anything is possible. Her rapid coronavirus (COVID-19) test in the ER was negative. However, her chest CT seem to suggest a severe viral pneumonia. Because of this, the patient is going to be admitted to the hospital as she has failed outpatient therapy and is significantly hypoxic.

Other Meds:

Current Illness:

ID: 1017790
Sex: F
Age: 76
State: NC

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: gluten soy Benadryl

Symptoms: Constant nausea and belching. Pepsi and OTC painkillers had no effect. Gone after 2 1/2 days.

Other Meds: synthroid pumpkin seed oil

Current Illness:

ID: 1017791
Sex: M
Age: 43
State: TX

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

Lab Data: None

Allergies: Shellfish, Haldol, PCN, Lisinopril

Symptoms: Pain, swelling, and redness at injection site x 4 days, General fatigue x 48 hours, nausea without vomiting x 48 hours, diarrhea x 24 hours, body aches x 48 hours, joint pain x 48 hours, lightheadedness/dizziness x 48 hours, fever >101.8F x 24 hours. Conservative treatment at home, returned to baseline at 2 days post vaccine.

Other Meds: Metoprolol succinate 100mg BID, Lantus 25 units BID, Lispro Insulin

Current Illness: COVID-19

ID: 1017792
Sex: F
Age: 42
State: NY

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

Lab Data:

Allergies:

Symptoms: Administration error - 0.1mL administered. Patient was recalled and additional 0.4mL was administered on the same day.

Other Meds:

Current Illness:

ID: 1017793
Sex: F
Age: 84
State: GA

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

Lab Data: 02 SATS 88-91 FROM 2/4/21-2/7/21, REBOUNDED TO 96 2/8/21

Allergies: CODEINE, DEMEROL, NOVOCAIN, PCN, SCOPOLAMINE, SULFA

Symptoms: CONFUSED, HEADACHE, PRONOUNCED WEAKNESS--UNABLE TO STAND OR SIT PROPPED UP FOR 5 DAYS, LOW O2 SATURATION, HIGH BLOOD PRESSURE

Other Meds: DIVALPROEX, FLONASE, MULTAQ, PERPHENAZINE, POTASSIUM, XARELTO, SERTRALINE, FLINSTONE VITAMIN, FERROUS SULFATE, LEVOCETIRIZINE, VITAMIN D2, PANTOPRAZOLE, FAMOTIDINE, METOPROLOL SUCCINATE, ATORVASTATIN, ALENDORANTE SODIUM, DOCUSATE SODIUM,

Current Illness: NONE

ID: 1017794
Sex: F
Age: 77
State: CA

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

Lab Data:

Allergies:

Symptoms: While the nurse was pushing down on syringe plunger, fluid started to exit out of hub. Nurse immediately retracted needle from patient's arm. Fluid was noted on patient's arm, clothing and 0.2 ml was noted left in syringe. Pt's arm had no redness, bleeding or swelling. Patient was aware of the incident.

Other Meds:

Current Illness:

ID: 1017795
Sex: M
Age: 72
State: TX

Vax Date: 01/31/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchy rash with swelling behind knees and around ankles ~4-5 days after vaccine. No other symptoms, remained at home and instructed to come to EC if condition worsened. Evaluated in person at outside EC and prescribed corticosteroids per notes.

Other Meds: Nifedipine, Olmesartan-hydrochlorothiazide, cyanocobalamin, omega-3 fish oil, acetaminophen, glucosamine/chondr.

Current Illness:

ID: 1017796
Sex: F
Age: 55
State: TX

Vax Date: 12/29/2020
Onset Date: 01/19/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Demerol

Symptoms: Bells Palsy symptoms

Other Meds: Temazepam Klonpin Combi patch

Current Illness: None

ID: 1017797
Sex: F
Age: 97
State: NY

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

Lab Data:

Allergies:

Symptoms: Administration error - 0.1mL administered. Patient was recalled and was administered 0.4mL on the same day.

Other Meds:

Current Illness:

ID: 1017798
Sex: F
Age: 81
State:

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

Lab Data:

Allergies:

Symptoms: the patient complained of dizziness 25 minutes after receiving the Moderna vaccine. She had no other symptoms. Her vital signs were recorded and stable. The doctor was informed and he asked that we continue monitoring the patient. After an additional 20 minutes of observation, the patient stated she was still experiencing dizziness. This was discussed with the doctor who asked to have the patient scheduled with him for further evaluation. The patient was discharged home after her doctor's visit.

Other Meds:

Current Illness:

ID: 1017799
Sex: F
Age: 42
State: ID

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

Lab Data: NONE

Allergies:

Symptoms: VERTIGO, VERY DIZZY. STARTED 3 DAYS AFTER THE VACCINE. SHE CALLED HER DR AND HE HAD HER TAKE SOME ANTIHISTAMINES, IT IS NOT COMPLETELY RESOLVED YET BUT SHE SAID IT SEEMS TO BE BETTER (1-9-21)

Other Meds:

Current Illness:

ID: 1017800
Sex: M
Age: 77
State: VA

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

Lab Data: NONE

Allergies: none

Symptoms: HEADACHES, ACHY BODY AND JOINTS, UNCONTROLABLE CHILLS AND SHAKING, ELEVATED BODY TEMPERATURES. SIDE EFFECTS HAVE PERSISTED FOR 6 DAYS

Other Meds: 75mm Levothyroxine

Current Illness: none

ID: 1017801
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: The day after vaccine administration, pt experienced an injection site that was raised, red, itchy and warm. She contacted per PCP and he said the rxn was secondary to the vaccine administration. He recommended she receive the 2nd dose of the vaccine in the opposite arm. 1 week later she still had a knot at her injection site but it was getting smaller daily.

Other Meds:

Current Illness:

ID: 1017802
Sex: F
Age: 76
State: TN

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

Lab Data:

Allergies: Sulfa, Erythromycin, Latex Band Aids

Symptoms: same day of vaccination red spot at vaccination site-lasted two days then went away; 2/7/21 red spot came back and was hard/warm to the touch

Other Meds: Calcium +D3 one a day 600 mg, Januvia 100 mg once daily, Ursidiol 4 capsules a day 300 mg each, Levothyroxine 112 micrograms, Pecid twice daily 20 mg each

Current Illness:

ID: 1017803
Sex: M
Age: 76
State: WA

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

Lab Data: Pt arrived to ED in no acute distress. Cardiac markers, chemistry and CBC unremarkable except for blood glucose of 238. Chest x-ray unremarkable. No life threatening process identified and pt discharged home.

Allergies: NSAIDs Sulfa

Symptoms: 76 YO M WHO HAD JUST RECIEVED HIS FIRST COVID VACCINATION WAS IN THE OBSERVATION AREA POST-SHOT WHEN HE BEAG TO C/O OF CHEST DISCOMFORT THAT WAS DESCRIBED AS A BURNING PAIN FROM THE TOP OF THE STERNAL NOTCH TO THE XIPHOID PROCESS IN A STRIP. PT ALSO HAS RADIATION TO NECK AND IS SOB, AND SLIGHTLY SWEATY. PX DESCRIBED AS 4-5/10 AND HAD THIS PAIN FOR APPROXIMATELY 20 MINUTES BEFORE REQUESTING ASSISTANCE. NOTHING MAKES PAIN BETTER OR WORSE. PT SITTING A/O X4 IN NO OBV DISTRESS. HEENT - PERRL, NO JVD, SPEAKS IN FULL SENTENCES. CX - LS =/CLEAR, EKG ST WITHOUT ECTOPY. M-6 PERFORMED 12 LEAD AFTER PT TRANSFERRED TO THEM FOR TRANSPORT. EXTREM - PWD, GOOD PMS X4 Pt transported to ED

Other Meds: albuterol 90 mcg/puff inhaler atorvaSTATin (LIPITOR) 80 MG tablet clindamycin (CLEOCIN T) 1% external solution clopidogrel (PLAVIX) 75 mg tablet donepezil (ARICEPT ODT) 10 MG disintegrating tablet EPINEPHrine auto-injector 0.3 mg/0.3 mL inj

Current Illness:

ID: 1017804
Sex: F
Age: 21
State: TX

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

Lab Data:

Allergies: none

Symptoms: decreased sensation to lower extremities. Shortness of breath, tingling in legs, dizzy

Other Meds: oral contraceptive

Current Illness: COVID-19

ID: 1017805
Sex: M
Age: 41
State: WA

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

Lab Data: NA

Allergies: allergy to "statins"- muscle pain

Symptoms: muscle aches that have moved into neck muscles and continues to cause pain in neck that limits movement

Other Meds: high cholesterol medication that starts with a Z and a multi vitamin, Krill Oil and Vitamin D

Current Illness: none

ID: 1017806
Sex: F
Age: 48
State: MA

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

Lab Data: none

Allergies: Sulfamethoxazole

Symptoms: Local bruising and bleeding with injection followed about 12-15 hrs later with moderate severe left arm stiffness which localized to left lateral epicondilitis sxs.

Other Meds: Vitamin B12, Cranberry capsule, Levonorgestrel- Eth Estradiol 0.15/0.03/0.01, Alprazolam, Nortriptyline, Fluoxetine, Turmeric, Celecoxib, Gabapentin

Current Illness: None

ID: 1017807
Sex: F
Age: 65
State: WA

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

Lab Data:

Allergies: Almond and cabbage

Symptoms: Itchy hot red rash over both wrists, right worse than left. Swelling wrist so severe caused compression of ulnar and radial nurse. Electric shock pain into both hands and fingers with numbness. Treated with topical steroid cream and oral prednisone. Lasted over one week still with some weakness and numbness in fingers. No swelling at injection site.

Other Meds: fosamax, Vt. D, Calcium, Mg, fish oil, melatonin, lipitor, levothyroid, CoQ10, focus factor, hair skin and nails, fiber gummies

Current Illness: None

ID: 1017808
Sex: F
Age: 67
State: CA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: urine ct scan

Allergies: laytex

Symptoms: 1/18/21Moderna injection on 1/18/21 1/21/21ER- right flank pain/kidney: Blood in urine?prescribed Naprosyn 1/27/21 Dr /for pain right kidney/ Blood in urine/ prescribed Ciproflaxin 500 mg/2 times daily for 7 days and Phenazophridine 200 mg tab every 8 hrs as needed 2/7/2021 clinic /red eyes and urine pain/ antibiotic eye drops

Other Meds: Hydrochlorothiazide Amlodipine Atorvastatin Vitamin C Vitafusion Womens Vitamins Vitamin B12

Current Illness: headaches eye soreness

ID: 1017809
Sex: F
Age: 86
State: TX

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

Lab Data: N/A

Allergies: Penicillin Codeine Tetatus-Arm swelling

Symptoms: Patient complained of face tingling and tongue burning. Sent to ER for Eval.

Other Meds: Lisinopril. Clopidogrel & Aspirin. Omeprazole. Simvastatin. Meclizine HCl. Allegra(Fexofenadine HCl). Citracal/Vitamin D(Calcium Citrate-Vitamin D).

Current Illness: None

ID: 1017810
Sex: F
Age: 25
State:

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Nil

Allergies: Nil

Symptoms: Immediate: Flushing (transient), bleeding down my own arm and vaccinator (lasting about 2 min) 1 hour to 3 weeks post vaccination (inclusive) - ongoing pins and needles sensations in both hands and both feet. 10 hours to 72 hours post vaccination: - high fever (39.5 Celsius), causing temporary auditory and visual hallucinations (no history of psychiatric illness) - uncontrollable chills (pronounced) - transient tachycardia (3-4 episodes lasting 30 seconds to 2 minutes each time) - headache - myalgias - transient metallic taste on tongue once, lasting one minute - insomnia for two consecutive nights - anxiety - mild arm soreness at the site of injection

Other Meds: Nil

Current Illness: Nil

ID: 1017811
Sex: F
Age: 59
State: OH

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

Lab Data: none--just a doctor appointment for assessment

Allergies: Levaquin, vicodin, minocycline

Symptoms: Initiated with extreme itching, redness that progressed to a raised rash--started on my L shoulder extended into my mid chest and down my arm to the area above the AC. My arm looked like it was excoriated--and covered my bicep area---when the rash faded it left a tan/brown shading when it faded--my arm and chest looked like I had a tan.

Other Meds: protonix, spironolactone, doxycycline, lysine, ca+/mg+ supplement, hormone replacement

Current Illness: none

ID: 1017812
Sex: F
Age: 60
State: PA

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

Lab Data:

Allergies: Suprex and ceclor

Symptoms: Received shot on Jan 30th. On Feb 7th I had severe itching and larger than silver dollar red circle that was warm to touch

Other Meds: Cymbalta Ativan Mobic Lisinopril Creator Centrum silver

Current Illness: None

ID: 1017813
Sex: F
Age: 27
State: FL

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

Lab Data: EKG and CT scans (02/04-05/2021)

Allergies: Chocolate and nuts

Symptoms: After the vaccine I was in the waiting room, then I had seizure-like tremors full body and complete energy loss, was taken to the triage for CBC and EKG testing. Full body tremors subsided after 1 hrs and was left with extreme arm tremors. Given Ativan for tremors stopped momentarily but after 20 minutes tremors in arms began. Moved to the Health ER where was given a CT scan and Benadryl. Calmed the tremors. Left hospital at 1:30AM and the following day (02/05/2021) ran a fever of 101 for almost 16hrs, treated with fever reducers.

Other Meds: 600mg ibuprofen

Current Illness: None

ID: 1017814
Sex: F
Age: 59
State: FL

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: COVID 1-6-2021 - positive

Allergies: none

Symptoms: Morning of 1/5/2021 - I woke up with an extreme headache and nausea and extreme coughing. That went on all day. On the 6th, went to the Dr office for cough medicine as I thought my normal chronic cough was that much worse. Urgent Care Had COVID test - positive. From that point on - very severe coughing, headaches; extreme fatigue. My oxygen saturation level went down to 91 from normal 98% and I was at that for about four days. Z-Pack for seven days and then they gave me a second rounds for another 7 days plus antibiotic - Doxycycline (for second round of antibiotics - Azithromycin first round of antibiotic) Promethazine ; and nasal drop - Azelastine ; Benzonatate cough drops. Initially I had seven day of Prednisone steroids plus 5 more days after steriods I had extreme coughing and fatigue.

Other Meds: Hydrochlorothiazide

Current Illness: no

ID: 1017815
Sex: F
Age: 65
State:

Vax Date: 01/31/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None to date. Waiting to hear from doctor.

Allergies: None

Symptoms: Covid arm redness, swelling some itching at injection site.

Other Meds: None

Current Illness: None

ID: 1017816
Sex: F
Age: 35
State: MI

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

Lab Data:

Allergies: latex, doxycycline, Phenergan

Symptoms: 20 minutes after receiving the vaccine I started to feel swelling in my throat and a hot, tingling feeling on the inside surfaces of my mouth and tongue, my arm was also very itchy and had a lump approximately the size of half a golf ball at the injection site. I developed a severe headache as well. 23 minutes after the vaccine, I took 25 mg of Benedryl PO, 38 minutes after the vaccine, I took an additional 25 mg of Benedryl PO and 10 mg Zyrtec PO because my symptoms had not yet resolved. Approximately 1.5 hours after the vaccine administration my symptoms resolved, except for the headache and the lump on my arm.

Other Meds: Pristiq 50 mg, Pamelor 25 mg, magnesium, multivitamin, Folate, Omega 3, probiotic

Current Illness: none

ID: 1017817
Sex: M
Age: 59
State: CA

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

Lab Data:

Allergies:

Symptoms: fever chills body and joint paint, soreness fatigue

Other Meds:

Current Illness:

ID: 1017818
Sex: M
Age: 95
State: IN

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

Lab Data: n/a

Allergies:

Symptoms: On 2/2/21, the patient started to show redness and swelling at the injection site and most of the upper arm. The redness occurred from the deltoid muscle to the elbow. The nursing staff at the LTCF applied ice and monitored the patients condition. By 2/4/21 , the reaction was improving and resolved by 2/8/21. No additional medical attention was necessary.

Other Meds:

Current Illness:

ID: 1017819
Sex: F
Age: 54
State: IA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Chiropractor x3 X-Ray

Allergies: Prednisone Amoxicillin

Symptoms: Severe lower back pain

Other Meds: Metoprolol Diclofenac Flecanide Omeprozol Women?s one a day vitamin

Current Illness:

ID: 1017820
Sex: F
Age: 71
State: CO

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

Lab Data: None

Allergies: Penicillin, niacin, toradol

Symptoms: Nausea. Mild on 2/7/2021 and 2/8/2021. More intense nausea on 2/9/2021. No vomiting or fever. Some chills.

Other Meds: Synthroid Estradiol

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm