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: 1017921
Sex: F
Age: 71
State: IN

Vax Date: 01/27/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: No

Allergies: K-Flex and Latex or the glue on brandades

Symptoms: Red, hot or warm to touch, my arm felt sore and this is what made me look at it. It was a larger red mark and I drew a circle around it and its spread outside the circle.

Other Meds: Omeprazole, Famotidine, Verapamil, Nortotriptoline, Gabapentin, Simvastatin, Calcium, D3, Zinc, Biotin, B12, Fish Oil, Vit E, 1 A day, D3, Vit C, Fibercon

Current Illness: No

ID: 1017922
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: RN administered Pfizer (EL9261, exp 5/31/21) to employee. Patient should have received Moderna. Patient's first dose was Moderna (025L20A, exp 6/25/21) on 1/6/21.

Other Meds:

Current Illness:

ID: 1017923
Sex: F
Age: 58
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Started with a headache on 2/08/21. On 2/09/21 I woke in the middle of the night freezing, chills and body aches. I took Asa 162mg, Tylenol 325mg and Ibuprophen at approximately 11:30am. I took the same medication at 10:30am 2/09/21. At approximately 4:00pm on 2/09/21 I had a fever of 100.3, cold and body aches. At this time 5:59pm I'm feeling better. I called in ill to work do to this sickness.

Other Meds: Wellbutrin XL300mg, Celexa 40mg both in the AM.

Current Illness: None

ID: 1017924
Sex: F
Age: 45
State: WA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: No

Allergies: Penicillin; erythromycin; sulpha; amoxicillin

Symptoms: I had body aches; fever; chills; fatigue was Extreme - for 24 -48 hours Got really swollen, red and hot - at injection site; because of the information that Dr had give me before I went right in before it got bad again. Prednisone to treat it - four day course. I took all of it. That resolved the symptoms.

Other Meds: Ibuprofen; benadryl

Current Illness: adverse event of 1st dose of COVID vaccine

ID: 1017925
Sex: F
Age: 72
State: CA

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Shell fish, iodine

Symptoms: Bright red, itchy, 2-3 inch spot by injection site 8 days after injection. Slowly fading away.

Other Meds: Praluent, cymbalta

Current Illness: None

ID: 1017926
Sex: F
Age: 56
State: AK

Vax Date: 01/25/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data: data pending

Allergies: No known allergies

Symptoms: patient developed purpuric rash all over body consistent with vasculitis, and severe joint pain and swelling, nausea, vomiting, diarrhea, Fever

Other Meds: HCTZ 12.5mg Ferrous Sulfate 325mg Vitamin C 1000mg

Current Illness: None

ID: 1017927
Sex: F
Age: 61
State: TX

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

Lab Data: None

Allergies: Penicillin Bee stings

Symptoms: Itchy all over. 3 days later I am still itchy face and feet in particular.. Bumpy rash develops where ever I am itchy but then subsides.

Other Meds: Lexapro, premerin, prolia,

Current Illness:

ID: 1017928
Sex: F
Age: 49
State: AZ

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

Lab Data:

Allergies:

Symptoms: arm numbness

Other Meds:

Current Illness:

ID: 1017929
Sex: F
Age: 39
State: FL

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

Lab Data:

Allergies: N/A

Symptoms: Red and swollen at the injection site started one week after vaccination. Redness and swelling significantly subsided three days later.

Other Meds: Multi vitamin, biotin, zinc and D3

Current Illness: None

ID: 1017930
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies: Penicillin

Symptoms: @ 1413 patient reported feeling hot flashes and chills @1416 Vitals were stable with BP 128/62, Pain 0/10, O2 sat 98%, pt denied history of anaphylaxis, no current dizziness, no facial swelling. @1430 Pt. denies any s/s of reaction, reported that she feels much better. Pt stayed an additional 20 minutes to be monitored by medical staff. @1441 pt was discharged and ordered to go to ED if any sudden changes occur

Other Meds: Aspirin 81mg Plavix

Current Illness: n/a

ID: 1017931
Sex: M
Age: 76
State: IN

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

Lab Data:

Allergies: None

Symptoms: Slept all day on 2-5-2021 low grade fever. Very wobbly had to have help getting out of bed and to the bathroom. Was better on 2-6 but still wobbly but not as bad.

Other Meds: Metformin Atorvastatin Lisinopril Glimepiride Baby Aspirin Vitamin D3 Flaxseed Oil Omeprazole Vitamin C Tamsulosin Carvedilol Vitamin B12 Iron

Current Illness: Heart valve transplant Diabetes Type 2

ID: 1017932
Sex: F
Age: 57
State: MN

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

Lab Data:

Allergies: Nkne

Symptoms: Itching , swelling, redness and warm at site of injection

Other Meds: 750 mg vitamin c, hydrochlorothiazide 25mg Glucosamine 4000 Omeprazole otc Calcium 500mg Probiotic/prebiotic

Current Illness: None

ID: 1017933
Sex: M
Age: 33
State: MO

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

Lab Data: none

Allergies:

Symptoms: Vaccine Tempature excursion , no treatment and no s/s

Other Meds:

Current Illness:

ID: 1017934
Sex: F
Age: 74
State: AR

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

Lab Data: None

Allergies: Benadryl

Symptoms: Broke out in bullseye rash. Itches and burns at injection site. Rash is on side of body that injection was on. Sought treatment from her provider and they deemed it to be a drug reaction due to her recent Covid vaccine. She received Prednisone treatment.

Other Meds:

Current Illness: None

ID: 1017935
Sex: F
Age: 70
State: AZ

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

Lab Data:

Allergies:

Symptoms: Pt reported she received the first dose, two days later, she fell ill, tested positive for COVID-19 and received the antibody therapy. Pt will wait 3 months before she receives the second dose of the Pfizer vaccine.

Other Meds:

Current Illness:

ID: 1017936
Sex: M
Age: 49
State: MD

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

Lab Data:

Allergies: None

Symptoms: High fevers, rigors, severe headache, body aches, not able to go to work severe

Other Meds: None

Current Illness: None

ID: 1017937
Sex: F
Age: 69
State: OR

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

Lab Data: 2/9/21 Lactic acid 4.6 INR 1.4 Procalcitonin 6.54 PLT 88 WBC 1.5 Lymphocytes 6.2 elevated AST, ALT

Allergies:

Symptoms: Fever, confusion, sepsis, hospitalized

Other Meds:

Current Illness:

ID: 1017938
Sex: F
Age: 86
State: GA

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

Lab Data: none

Allergies: PCN,Sulfa,Keflex,Ceclor,Keftin,Demerol,Latex,Tetanus,Levoquinn, Mountain Dew and Sprite in the past 2 months

Symptoms: Vaccine was given on 01-29-2021 at 3 pm.On 02-05-21 patient stated she noticed her vision was blurry at night when she was reading in bed--this happened 3 nights in a row and on 02-08-2021 she said her vision was blurry driving home during daylight. Had Heart palpitations on 02-08-2021 and again on 02-09-2021. On 02-08-2021 she was in shower and noticed her left arm was itching where it had been sore from getting injection and when she looked in the mirror she noticed how swollen and red it was. Stated it was very warm to touch, red and very itchy. PC today on 02-09-2021 to Health Dept requesting advice on what she could do to help it.Had taken some Benadryl the night before.Had attempted ER visit on 02-08-2021 but was there x 3- 4 hrs and was never seen so she left.

Other Meds: Cymbalta,Lunesta,Iron pills,Probiotic,Xarelto, Flonase nasal spray,Pantoprazole for reflux

Current Illness: 12-31-20 to 01-01-2021 Hospitalized with low Hgb of 6.1 and was given 2 transfusions of blood.

ID: 1017939
Sex: F
Age: 95
State: UT

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

Lab Data:

Allergies: None

Symptoms: Dizziness and weakness resulting in a fall the evening of the vaccination. Paramedics were called, but patient was not transported to the hospital. Vital signs were okay. Extreme fatigue and continued dizziness for several days. Increased brain fog and confusion.

Other Meds: Synthroid

Current Illness: None. Had COVID-19 in October/November. Fully recovered at time of vaccination.

ID: 1017940
Sex: F
Age: 40
State: CA

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

Lab Data: none

Allergies: NKA

Symptoms: uncontrolled cough

Other Meds: Seroquel and Lopressor

Current Illness: Depression

ID: 1017941
Sex: F
Age: 27
State: NY

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

Lab Data:

Allergies: Morphine and oranges

Symptoms: Extreme muscular back pain 18 hours post injection to currently. Pain is associated with right shoulder, neck, and right side of spine which is opposite side from where injection was given.. Almost unbearable and debilitating. I took Tylenol every 4 hours which gave only mild relief

Other Meds: Bupropion and Prozac

Current Illness:

ID: 1017942
Sex: F
Age: 51
State: MT

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

Lab Data: none

Allergies: codeine

Symptoms: arm swelling into neck, chills without fever, muscle aches, sore throat, rash to back legs and feet. Symptoms lasted 5 days, rash continued on feet for 4 weeks - slowly resolving.

Other Meds: metformin

Current Illness: none

ID: 1017943
Sex: M
Age: 62
State: CA

Vax Date: 10/23/2020
Onset Date: 10/26/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PATIENT EXPERIENCED NUMBNESS IN RING FINGER AND LITTLE FINGER ON THE LEFT ARM 48 HOURS AFTER RECEIVING VACCINE. IT WENT AWAY EVENTUALLY, BUT NOT COMPLETELY. HAS AFFECTED HIS TYPING.

Other Meds:

Current Illness:

ID: 1017944
Sex: F
Age: 28
State: PR

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

Lab Data:

Allergies: NO

Symptoms: Fever, swelling at the injection site, edema and pain on the left axilla.

Other Meds: NONE

Current Illness: NONE

ID: 1017945
Sex: F
Age: 52
State: WI

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

Lab Data: None

Allergies: Sulfa

Symptoms: Trouble breathing, tightness in chest, headache

Other Meds: Probiotic, losartan, Nexium, hydrochlorothiazide, Flovent, magnesium, calcium, potassium, melatonin

Current Illness: None

ID: 1017946
Sex: M
Age: 83
State: AZ

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

Lab Data:

Allergies: Ciprofloxacin

Symptoms: Patient needed second dose Pfizer; patient received Moderna; patient stated he feels fine

Other Meds: Unknown

Current Illness: Unknown

ID: 1017947
Sex: M
Age: 23
State:

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

Lab Data: Troponin 14 on 2/7/21, range of 7.9 and 10.2 on 2/8/21, 11.5 on 2/9/21; NSR EKG.

Allergies:

Symptoms: Chest pain, started the same day as the vaccine. Seen in ER 4 days later since symptoms had not alleviated.

Other Meds:

Current Illness:

ID: 1017948
Sex: M
Age: 63
State: NY

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

Lab Data: N/A

Allergies: Cipro

Symptoms: Day 1: sore arm, fatigue, headache Day 2: headache, fatigue, chills, mild nausea, body aches, joint stiffness Day 3: sore arm, fatigue, lower back pain, chills at night Day 4: sore arm, a period of body aches, a phase of fatigue, sudden lower back, neck, and knee pain Day 5: sore arm, fever, chills, lower back pain, stiff joints, neck pain, headache

Other Meds: Morning: Lansoprazole DR - 30 mg Vitamin B Complex with Vitamin C Synergistic Eye Health - Lutein & Zeaxanthin Ultimate Resveratrol Complex ? 180 mg DHEA ? 25 mg Omega-3 Fish Oil Vitamin D ? 5000 IU PABA ? 500 mg Astaxanthin ? 4 mg Saffron

Current Illness: None

ID: 1017949
Sex: F
Age: 60
State: NY

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

Lab Data: None

Allergies: PCN/cipro/environmental

Symptoms: Received shot around 7 am by 6 pm chills aches fever fatigue throbbing headache. Took 400 mg of ibuprophen drank water slept. 2/6 woke thought felt better went to bathroom throbbing headache started chills body aches and with activity shortness of breath . In bed all day took 800 mg of ibuprophen every 6 hours drank water slept . Injection site tender no redness or swelling. Till Sunday 2/7 . On 2/7 slight headache no body aches or chills felt better but arm rash started slight tenderness to arm but increase swelling redness warmth. Monday 2/8 redness expanding on arm with increase swelling slight tenderness and warmth no body aches chills or headache. Tuesday 2/9 redness /swelling decreasing to arm no warmth. Intermittent headache took ibuprofen x1. As far as fever goes it fluctuated from like grade to 102.3 2/5 to 2/6.

Other Meds: No

Current Illness: None

ID: 1017950
Sex: F
Age: 67
State: WI

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

Lab Data: None

Allergies: Tetracycline

Symptoms: Fever, chills, headache, body ache

Other Meds: Multivitamin, calcium D3, Simvastatin, biotin, lysine, albuterol inhaler, ocuvite

Current Illness: None

ID: 1017951
Sex: M
Age: 56
State: IN

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

Lab Data: None. I was only going to go if I had breathing issues. I did not.

Allergies: none

Symptoms: I got the shot at 3pm. I started feeling "off" in stomach/chest around 7-8pm. By 3am, my stomach/chest did not feel good at all and I had trouble sleeping. It was definitely not heart related. By 8am I felt chills coming on. By 9am I was fully dressed, with two blankets on, and lying on couch shaking for 20-30 minutes. Later a fever started and it reached about 102.3 before subsiding late afternoon. By 8pm, I felt blah but fever was gone. During that entire time I felt achy overall (similar to what I felt like 2 hours after running a marathon). I didn't have headaches (and rarely do), but area around my eyes were heavy and tired. Weirdly, at times, the top 1/2 of both ears hurt. I experience about every symptom I had as when I had Covid and went to hospital for 26 days except for the breathing issues.

Other Meds: Metformin Atorvastatin

Current Illness: none

ID: 1017952
Sex: F
Age: 74
State: AZ

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

Lab Data: I visited my pharmacist who told me this was not uncommon and was just a delayed reaction which they have seen with the Moderna shot. I will keep an eye on it, and if it doesn't get better before my next shot is due, I will see my doctor.

Allergies: Zithromax Seasonal allergies

Symptoms: One week and one day after I received the shot my right arm got a red, warm, sort of rash. It was quite large and shaped like an arrowhead. I did have a slight reaction for 48 hours after the shot with a fever and aches but no red, warm, rash.

Other Meds: Daily vitamin, Vitamin K, Calcium Supplement

Current Illness: None

ID: 1017953
Sex: F
Age: 63
State: NJ

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

Lab Data: Sent to ED

Allergies: NKDA

Symptoms: Redness around mouth/face

Other Meds: None reported

Current Illness: None reported

ID: 1017954
Sex: F
Age: 39
State: FL

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Multiple labs drawn at dermatologist office

Allergies: Levaquin, Zosyn, Iodinated contrast, shellfish

Symptoms: 10 hrs after: palpitations, dizziness, rigors, fever, chills, headache 10 hrs after-5 days after: headache 9 days-18 days- extreme itching on palms of hands and soles of feet. 18 days after: red dots appearing on soles and palms 18 days after: saw dermatologist who suspects Serum sickness reaction and believes rash on hands is urticaria

Other Meds: Synthroid Cytomel Zoloft Lo-loestrin

Current Illness: None

ID: 1017955
Sex: F
Age: 74
State: TX

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

Lab Data: Patient reported chest tightness five minutes after 2 second dose of Moderna Vacination

Allergies: NKDA

Symptoms: Chest tightness, 5 minutes after getting Modena 2 dose

Other Meds: Bystolic, Clonidine, Jardine, Pravastatin, Omeprazole

Current Illness: Hypertension, Diabetes, High cholesterol, GERD

ID: 1017956
Sex: F
Age: 53
State: VA

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

Lab Data: none

Allergies: kiwi

Symptoms: More than 60 hours after vaccine, a warm, red and painful area appeared on my left arm approximately 15 cm below the injection site. Pain extends up are to shoulder and neck. But I experience no pain or redness at injection site.

Other Meds: serervent, alvesco, bentyl, ritalin, glatopa, multi-vitamin

Current Illness: none

ID: 1017957
Sex: F
Age: 25
State: AZ

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

Lab Data: None.

Allergies: None known

Symptoms: Swollen lymph node (or unknown lump) behind the left collarbone; painful on it's own and painful to touch. Lymph node swelled up to about the size of a cherry and has stayed that size. Began at about 11 AM on 2/8 and has continued through now (~4 PM 2/9). Intense muscle aches, worse two days after the vaccine, instead of just one day after. Aching of the muscles around the eyes (the ones you would use to squint and the top of the cheeks), the scalp, neck (the base of the skull and trapezius), biceps, aching around the wrist joints, hip flexors, quadriceps, and ankle joints. Found relief with 500 mg acetaminophen throughout the day.

Other Meds: Humira

Current Illness: None

ID: 1017958
Sex: F
Age: 51
State: IN

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA ? sore, hot, itchy arm ? sore at site and below, itchy and red just below (continuing through present) ? chills and achy body 3a - 3p 2/7 and 4a - 9a 2/8 ? dull headache off and on 2/7 & 2/8

Other Meds: Kariva 28 Multivitamin D3 Zinc

Current Illness:

ID: 1017959
Sex: F
Age: 67
State: NC

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

Lab Data:

Allergies: none

Symptoms: Nausea, a bit of headache immediately after receiving vaccine. The next day extreme fatigue, some periods of weakness, muscle ache, joint ache, a bit of nausea and headache; soreness, swelling, and redness at injection site; intermittent itching at injection site and upper body

Other Meds: synthroid .88 mcg lexapro 5 mg fish oil 1000 mg flax oil 1400 mg vitamin D 2000 mg

Current Illness: none

Date Died: 02/01/2021

ID: 1017960
Sex: F
Age: 89
State: MO

Vax Date: 01/06/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt was deceased when we came for second dose. COD unknown to pharmacy.

Other Meds:

Current Illness:

ID: 1017961
Sex: M
Age: 63
State: CA

Vax Date: 01/08/2021
Onset Date: 01/22/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: 1/22/2021 SARS-COV-2, NAA Detected

Allergies: Unknown

Symptoms: Member got the first vaccine and then tested positive for COVID-19. He was released from isolation and then was able to get his second shot.

Other Meds: Unknown

Current Illness: Unknown

ID: 1017962
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: local reaction of left deltoid, pain, redness, warmth and slight edema. Denies fever. Advised to go to a doctor. Notified today.

Other Meds:

Current Illness:

ID: 1017963
Sex: F
Age: 31
State: GA

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

Lab Data: No testing done. Saw primary care provider today, 2/9/2021.

Allergies: Penicillin Codeine Levaquin

Symptoms: On left side of head, on same side as injection site, experiencing head that is painful/sore to the touch. The tenderness is in specific areas but only on the left side of head. Symptoms began about 6 to 8 hours after injection and persist currently over 24 hours later.

Other Meds: Lansoprazole 30mg Balziva 28 Day Claritin Liqui-Gels, 10 mg Phillips Colon Health Probiotic One-A-Day Prenatal 1 Gelcap Stool Softener, 100mg

Current Illness: None

ID: 1017964
Sex: F
Age: 50
State: FL

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

Lab Data: Urine test negative Blood work within normal limit Brain MRI negative EKG normal rhythm Chest X-ray negative

Allergies: Penicillin

Symptoms: Besides brain fog, frontal headache and right arm pain, I felt lightheaded about 5 hours after the vaccine on Thursday 1/21. Went to work at hospice on the Covid unit for 12 hours on Friday 1/22. Felt really foggy and unable to concentrate at work. After work I was relaxing at home trying watching television but not able to focus when about 09:30 I started to not feel my big toes and started to have muscle twitching (no fever, no chills). By 11pm my all body was shaking like if I had Parkinson?s disease. My neighbors drove me to the ER. My blood pressure was 160/100 (my norm is 100/60), and Parkinsonian syndrome. I got scared as the heart is a muscle and I did not want my heart to go into irregular rhythm . Better to be safe than sorry.

Other Meds: Loratadine 10mg daily, Lipitor 10mg daily, baclofen 5mg daily, zinc and vitamin D3.

Current Illness: None

ID: 1017965
Sex: F
Age: 66
State: TX

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

Lab Data:

Allergies: Vancomycin Flu Vaccine (15 years ago) but no other vaccine allergy history Penicillin Flexeril Medrol pack Rythmol

Symptoms: After a half hour of receiving the vaccine, I experienced redness and swelling in the injection site, flushing on my forehead and nose, and itching all over my body. I took a 25mg dose of Benadryl and the hospital monitored my vital signs for about an hour afterwards. I had a fever on the second day (2/06/2021) but it only lasted about 5 hours. However, I have had constant systemic itching everyday. I take 25mg Benadryl but today, 2/09/21, it has been more intense. Please note that I had no reaction to the first dose besides a sore arm for three days. I am very concerned about the itching and it is making it difficulty for me to sleep and also to do my daily activities.

Other Meds: Lisinopril 20mg/daily Amlodipine 5mg/daily Pantoprazole 40mg/daily Levothyroxine 50mg/daily

Current Illness: None

ID: 1017966
Sex: M
Age: 70
State: CA

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

Lab Data: None

Allergies: None

Symptoms: 12:45 Patient states he felt "dizzy and tired" immediately after the vaccine - RN placed him in the recliner. Vitals at 12:47 150/72, HR 52, O2 99%. No other complaints. Dizziness subsided at 12:55.

Other Meds: None

Current Illness: None

ID: 1017967
Sex: F
Age: 70
State: OR

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

Lab Data:

Allergies: sulfa (maybe)

Symptoms: days 1 and 2 after vaccination =normal mild to moderate pain, which subsided. day 9 after vaccination = itching and redness at injection site, increasing from 3-4 inches diameter to today's 6 x 4 inches area.

Other Meds: levothyroxine 88 mcg echinacea dorzolamide/timolol opth. drops fish oil latanoprost opth. drops calcium citrate flourometholone opth. drops

Current Illness:

ID: 1017968
Sex: F
Age: 71
State: FL

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

Lab Data: no

Allergies: Dairy products

Symptoms: Had bad headaches, muscle pain, SOB, feels hot inside the body and then it goes away, had chest and arm pain

Other Meds: Tylenol

Current Illness: no

ID: 1017969
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Employyee c/o of itchy throat within 15 minutes of vaccine administration. Employee was observed a total of 45 minutes. After 45 minutes, states throat itchiness is gone. No other symptoms noted. Vital signs = BP 141/86, HR= 72, Puls Ox = 99%

Other Meds:

Current Illness:

ID: 1017970
Sex: F
Age: 0
State: TX

Vax Date: 03/20/1992
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: No symptoms for a week. 8 days after injection, injection site swelled and became red. Hot to the touch. Itched and stung. Continued to swell down arm to elbow (as of 14 days post-injection).

Other Meds: Mirena IUD

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm