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: 1018222
Sex: F
Age: 28
State: IN

Vax Date: 12/30/2020
Onset Date: 01/25/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: I had lab work done prior to having a D&C procedure on Feb. 4th. The "remains" were sent to pathology at Hospital.

Allergies: None

Symptoms: I found out I was pregnant the day after receiving the first dose of the COVID-19 vaccine. My last period was on December 8th and I received the vaccine on Dec 30th. I developed a fever and muscle aches after the first dose, but was managed with Tylenol. I received the second dose on January 22nd and again developed a fever that was managed by Tylenol. I began having vaginal bleeding on 24th. I had an ultrasound revealing a heartbeat on the 25th. After continually bleeding, another ultrasound a week later on Feb. 2nd confirmed a miscarriage. I've had two healthy pregnancies prior to this one.

Other Meds: Prenatal vitamin, Escitalopram

Current Illness: None

ID: 1018223
Sex: M
Age: 39
State: NY

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

Lab Data:

Allergies: NONE

Symptoms: I received the vaccine on Friday 2-5-2021 and today is 2-9-2021 and currently still have a swollen lump in my under pit in the arm where I received the shot. I would say its a Swollen Lymph node.

Other Meds: NONE

Current Illness: NONE

ID: 1018224
Sex: F
Age: 77
State: CO

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

Lab Data: none

Allergies: Sulpha

Symptoms: Extreme headache on left side, numbness and swelling of face, neck and jaw pain on left side and soreness of whole left side of body. Body aches and tiredness

Other Meds: Clonazepam and Sertraline

Current Illness: none

ID: 1018226
Sex: M
Age: 82
State: PA

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

Lab Data: ABG pH 7.19, pCO2 67, pHCO3 26 Leukocytosis 23 Lactic acid 3.3

Allergies: None that I am aware of. Would need to discuss further with staff.

Symptoms: Given vaccine in AM, had adverse reaction around 1430 when he was found unresponsive and in respiratory distress

Other Meds: None that I am aware of. Would need to discuss further with staff

Current Illness: None that I am aware of. Would need to discuss further with staff.

ID: 1018227
Sex: F
Age: 23
State: MA

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

Lab Data: TRYPTASE

Allergies: ? Tree Nuts - Anaphylaxis ? Adhesive - Erythema (Tele lead stickers leaving marked erythema on skin prefers coban) ? Bactrim - [Sulfamethoxazole-Trimethoprim] Rash

Symptoms: The symptoms began less than 1 minute after administration of the vaccine. The symptoms were: throat tightness and panic, diaphoresis. They couldn't get a BP, HR 137, 100% O2 but put her on a non re-breather temp normal. No rash but was red felt like she was suffocating, grabbing at throat, nausea, difficulty verbalizing. No audible wheezing and no auscultation of her lungs. Gave epi and rapid response called. The treatment of the reaction was: o Antihistamines: zyrtec o Epinephrine: x1 o transfer to the ED

Other Meds: ? betamethasone valerate 0.1 % cream, Apply topically 2 (two) times a day as needed (skin irritation)., Disp: 15 g, Rfl: 0, Last Dispense: Unknown (outside pharmacy) ? dextroamphetamine-amphetamine (ADDERALL) 10 mg Tab tablet, Take 2 tab

Current Illness: unknown

ID: 1018228
Sex: F
Age: 74
State: CA

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

Lab Data: Unknown

Allergies: N/A

Symptoms: At 3pm resident was taken by EMS to local hospital. She had complained of respiratory distress (hx of COPD). Property manager reported that paramedic said she was "in cardiac arrest". We do not have more information at this time.

Other Meds: Blood thinners - others unknown

Current Illness: COPD, Heart condition, ? weaken immune system Felt dizzy over the weekend (2-3 days prior to vaccine)

ID: 1018229
Sex: F
Age: 31
State: TN

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

Lab Data: Unknown but was admitted to medical center on 2/4/21 and discharged 2/5/21.

Allergies: Vistaril, IV dye

Symptoms: Approximately 15 minutes after patient received Pfizer vaccine #1 she began to experience shortness of breath, tachypnea, tachycardia, diaphoresis, and hives to upper extremities.

Other Meds: Unknown

Current Illness: none

ID: 1018230
Sex: F
Age: 64
State: KS

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

Lab Data: None

Allergies: Penicillin Arithromycin Sulfur

Symptoms: Fever 101.1 bad headache body aches sharp pain lower bad sinus pressure rash to throat and chest lymp node around collar bone swollen vomited twice nausea for about 48 hrs. Got another headache that next evening

Other Meds: Atenolol

Current Illness: None

ID: 1018231
Sex: F
Age: 58
State: AZ

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

Lab Data:

Allergies: Sulfa drug sensitivity, Lactose intolerant

Symptoms: Face became flushed and puffy about 2 hours after vaccine. Eight hours later, I had nausea, headache, wooziness and still flushed and puffy face. Injection site pain began. Woke from sleep throughout the night with racing heart. Next day, still nauseous, headache and extremely fatigued. Face remained puffy but redness gone. Frequent and urgent urination and bms. Next two days symptoms faded, but lips and hands were on and off numb and tingly. R ankle became swollen. Symptoms gone by the 7th, 5 days after vaccination.

Other Meds: Armour Thyroid

Current Illness: Stomach virus 1/6/21, Negative flu and covid tests

ID: 1018232
Sex: F
Age: 40
State: CA

Vax Date: 12/01/2020
Onset Date: 12/18/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data: 12/23 ED initial visit 1/21 Neurology visit , job care visits, MRI head. 2/5 follow up Neurologist visit.

Allergies: Cherries, apple, soy, almonds,

Symptoms: 5 minutes after vaccine injection reported bilateral arm tingling. Then proceeded to only left arm and leg numbness and tingling. Subsequently, left facial numbness with left side body weakness and numbness.

Other Meds: Januvia

Current Illness: None

ID: 1018233
Sex: F
Age: 75
State: MA

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

Lab Data:

Allergies: None

Symptoms: 7 days after shot arm upper arm became swollen, red splotch, and very itchy

Other Meds: Lisinopril 5 mg Statin 2.5 mg

Current Illness: None

ID: 1018234
Sex: F
Age: 18
State: MA

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

Lab Data: tryptase

Allergies: NICKEL - RASH

Symptoms: The symptoms began 10 minutes after administration of the vaccine. The symptoms were: dizzy, lightheaded but BP elevated to 140s systolic, chest tightness, globus sensation with some difficulty swallowing but able to swallow zyrtec then head pain / headache that radiates down to neck. Given zyrtec. Not SOB and not wheezing, no rash or objective swelling of the face or oropharynx. The nurse reports that she cannot move her tongue very well. The treatment of the reaction was: o Antihistamines: zyrtec 10mg o Sent patient to ED

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1018235
Sex: F
Age: 26
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient received first dose Moderna and second dose Pfizer. No adverse reactions noted.

Other Meds:

Current Illness:

ID: 1018236
Sex: F
Age: 49
State: NJ

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

Lab Data:

Allergies: none reported

Symptoms: Reports feeling dizzy w/associated tingling to tongue, throat and hands; medical monitoring x 30 min w/ symptoms subsiding Vitals assessed: BP 125/82 HR 68 O2 sat 99% RA Released from facility w/family member, plan f/up PMD as needed

Other Meds:

Current Illness:

ID: 1018237
Sex: F
Age: 41
State: NJ

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

Lab Data: N/a

Allergies: N/a

Symptoms: 24 hours after injection: pain at injection site; full body aches; extreme lethargy

Other Meds: Lexapro, Singulair, vitamin d, collagen

Current Illness: N/a

ID: 1018238
Sex: F
Age: 83
State: OH

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

Lab Data: none

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA I woke up sat. 01/30 with severe Vertigo. This lasted till early mon. morning. The dizziness left but I was so weak, I was in bed for one more day. By tues. I felt better, but it took till thurs. to feel normal again. I'm wondering if this was a reaction since it took three days to start. I did notify my dr. Dr. to see if he thought it might be covid rather than a reaction, but he opted to wait 24 hours & check back with me for a Covid test. Since I was feeling better every day, we let it go. My question is should I receive the second shot?

Other Meds: toprol, cardizen, lisinipril, eliquis, lipitor, prilosec, furosamide,

Current Illness: none

ID: 1018239
Sex: M
Age: 55
State: IN

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

Lab Data:

Allergies: penicillin, Aleve

Symptoms: 99.7 low grade fever, extreme body aches including aches and pains in feet which made it painful to walk, hand ached which made it hard to make a fist, all joints hurts especially hips and low back. Extremely low on energy causing me to have to sleep longer during the night and nap twice the next day.

Other Meds: whey protein, milk thistles, beta glucan, multi vitamin, vitamin D3, zinc, Prostate Formula

Current Illness: na

ID: 1018240
Sex: F
Age: 53
State: WA

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

Lab Data: None, even though the CDC website says that most symptoms subside by 24 hours, I was told by the nurse that the symptoms I am having are normal and last 4 to 5 days and only if I get worse should I call back. I only had a slight fever and some muscle soreness when I received my first COVID-19 vaccine on 1/15 and even though I realized that in some instances the 2nd vaccine may be different or worse, I was not under the impression that many days would go by with fever, fatigue, and worsening arm pain.

Allergies: Zofran

Symptoms: After receiving my vaccine, I had the normal arm soreness and low grade fever but the following day my fever went up to 102 even after taking Advil every 6 hours. On the 3rd day my arm continued to be sore and my fever continued but was between 100.7 and 101.4. On day 4 my fever started going down to 99 for the day but my arm continued to be sore where the injection was and my armpit was sore as well like something was swollen. Day 5, today, my fever finally broke but my arm has a red circle and knot where the injection was given, its still very sore and also itches and warm to the touch. Every time I raise it up, I get shooting needles in the area of the shot. I have severe fatigue and sweats when I get up to walk anywhere and I feel exhausted. I called and spoke to the nurse who spoke to my Dr. listed on this form. She told me all of my symptoms were normal and said that if I started throwing up or my arm got worse to call back. I was not asked to come in to have anyone look at my arm or see if there is something else going on with the symptoms I am having.

Other Meds: Prilosec, citracal, vitamin D, flaxseed oil, B12, Centrum vitamins

Current Illness: None

ID: 1018241
Sex: F
Age: 66
State: HI

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

Lab Data: Clinical diagnosis of cellulitis of left shoulder made in urgent care on 2/08/21 and 2/09/21

Allergies: Penicillin (unknown reaction)

Symptoms: Mild left arm soreness first two days from 1/30/21 to 1/31/21. Painful swelling of left deltoid, redness, subjective fever, fatigue, body aches from 2/05/21 to 2/09/21

Other Meds: Finasteride 5 mg PO one daily, Pimecrolimus1%cream once daily

Current Illness:

ID: 1018242
Sex: M
Age: 51
State: PA

Vax Date: 06/26/2019
Onset Date: 06/26/2019
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I got the Zoster Vaccine for shingles prevention. In both cases, I began with fatigue, then extreme body aches, and high fever. Both nights after the vaccine. I wondered if I was going to actually make it through the night. My body shook uncontrollably all night long. I felt I might need to be rushed to the hospital but I battled it out and hope for the best.. This only happened the first night for BOTH vaccines. The next two days on both occasions, I was highly fatigued and had a headache. I was in real fear that I would live through those two nights. These horrible nights were on 04/02/2019 with the first dose and on 06/26/2019 with the second dose.

Other Meds: high blood pressure arthritis medicine

Current Illness: none

ID: 1018243
Sex: M
Age: 34
State: MD

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

Lab Data:

Allergies:

Symptoms: Pain in the right arm, cascading up the neck and down to the elbow from the injection site. Worst post vaccination pain I have ever had, and I have received rabies, anthrax, and yellow fever vaccinations. Generalized fatigue and malaise from mid day of the injection through the following day.

Other Meds: Claritin (10mg) and Flonase

Current Illness:

ID: 1018244
Sex: F
Age: 34
State: OH

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

Lab Data: None

Allergies: None

Symptoms: 2/8/2021 5:00pm sore left arm and swelling at injection site 2/9/2021 1:00pm body aches 2/9/2021 4:00pm 101 fever

Other Meds: 88 mcg Synthroid 100 mg Sertraline Multi vitamin 1000 IU vitamin D

Current Illness: None

ID: 1018245
Sex: F
Age: 41
State: IL

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

Lab Data: None

Allergies: None

Symptoms: Swelling similar to an allergic reaction to a spider bite or bee sting, raised, red, hot, bumpy, extremely painful. Even a light shirt or sweatshirt was extremely uncomfortable. Bouts of itchiness

Other Meds: None

Current Illness: None

ID: 1018246
Sex: F
Age: 35
State: TN

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

Lab Data: NONE

Allergies: Keppra, Vimpat, omnisporin, red dye

Symptoms: 9 days after receiving the vaccination, patient had what is knows as 'Covid Arm'. 2" x 3" red spot appeared at injection site. It is not raised or swollen. Just a large red spot. Due to her condition, it is not known if it itches. It does not appear to be 'hot' to the touch.

Other Meds: Onfi, clorazepate, Zonegran, Lamictal, lansoprazol, cbd oil

Current Illness: none

ID: 1018247
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies:

Symptoms: Covid arm (large itchy swollen circle) so far just today. Not sure how long it will last

Other Meds: Prenatal vitamins, vitamin D, fish oil, vitamin B complex, fenugreek

Current Illness:

ID: 1018248
Sex: M
Age: 29
State: OK

Vax Date: 12/21/2020
Onset Date: 12/29/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data: Labs drawn on 12/29/20 showed platelets low at 41k and were otherwise normal (other CBC cell lines, CMP, lipids, TSH, hep C). Labs drawn on 1/18/21 showed platelets low but improved at 97k. Rest of CBC within normal limits. LDH, haptoglobin, B12 all within normal limits.

Allergies: None known.

Symptoms: Gum bleeding and thrombocytopenia (platelets 41k) found on lab drawn one week after first dose of vaccine.

Other Meds: None.

Current Illness: None known.

ID: 1018249
Sex: F
Age: 39
State: CA

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

Lab Data: None

Allergies: Sulfa drugs

Symptoms: Around 6am on Sunday, the day after I received the vaccine, I woke up with the following symptoms: injection site pain, fatigue, headache, chills, fever, nausea, swelling in my under arm and loss of taste. I was out for the entire day. On Monday, I woke up with the same symptoms but they were milder than the day before. I called to schedule an appointment with my doctor today, Tuesday, to go over my reaction to the vaccine. I still have swelling under my arm and loss of taste and fatigue.

Other Meds: Juice Plus veggie capsules and smoothies.

Current Illness: none

ID: 1018250
Sex: U
Age:
State: GA

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

Lab Data: None

Allergies:

Symptoms: Lymphadenopathy, back pain, fatigue

Other Meds:

Current Illness:

ID: 1018251
Sex: F
Age: 48
State: KY

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

Lab Data:

Allergies: Na

Symptoms: High fever, chills, headache, dehydration, joint pain, muscle pain, pain in injection site that spread to my shoulder into my neck and head. Extreme exhaustion. All symptoms are on going.

Other Meds: Cymbalta, Buspirone

Current Illness: NA

ID: 1018252
Sex: F
Age: 65
State: FL

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

Lab Data: none.

Allergies:

Symptoms: Diffuse muscle pain and tenderness, fatigue, hypersomnia, altered mental status, hallucinations.

Other Meds:

Current Illness:

ID: 1018253
Sex: F
Age: 70
State: CA

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

Lab Data:

Allergies: Egg Ampicillin Gluten

Symptoms: On day 8 post vax red rash on arm On day 9 post vax red rash on arm spread by about 30% No treatment

Other Meds: Lipitor Amlodipine

Current Illness:

ID: 1018254
Sex: F
Age: 54
State: OH

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

Lab Data:

Allergies: none

Symptoms: After approx 12hrs from 2nd dose Moderna vaccination at 12:15pm on 07Feb21, woke up around 1am on 08Feb21 with 101 fever and chills. Took ibuprofen and had hard time sleeping. Went to work at 7am but was tired. Took ibuprofen again around 9am. Started having chills and felt warm at work around 2pm. When I returned home at 4pm had 100.8 fever and chills. Took ibuprofen. Had fever through the night and next day on 09Feb21. Took ibuprofen and fever finally subsided. However have a headache all day - like a hangover. Not a pleasant experience!

Other Meds: none

Current Illness: none

ID: 1018255
Sex: F
Age: 60
State: MA

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

Lab Data: try-taste

Allergies: Aspirin, Bee venom protein (honey bee), Hazelnut, House dust, Mold extracts, Nsaids (non-steroidal anti-inflammatory drug), Shellfish derived, Sulfa (sulfonamide antibiotics), Sulfites, Tree nut, Fentanyl, and Midazolam

Symptoms: The symptoms began 10 minutes after administration of the vaccine. The symptoms were: anxiety and globus sensation pale and tremulous. Nurse noted that she had a 4mm hive above her lip. The treatment of the reaction was: o Epinephrine: x1 Transferred to ED

Other Meds: ACETAMINOPHEN (TYLENOL ORAL) ALBUTEROL (PROVENTIL HFA;VENTOLIN HFA) 90 MCG/ACTUATION INHALER CHOLECALCIFEROL, VITAMIN D3, (VITAMIN D3 ORAL) EPINEPHRINE (EPIPEN INJ) FERROUS SULFATE 325 MG (65 MG ELEM IRON) TABLET FEXOFENADIN

Current Illness: unknown

ID: 1018256
Sex: F
Age: 44
State: IN

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

Lab Data: None done.

Allergies: No known food allergies. Sever nausea and vomiting with codeine.

Symptoms: Severe 9/10 scale symptoms Migraine like headache, photophobia . Muscle aches, Most severe for first 18 hrs. 36 hrs duration. Skin was hypersensitive to touch,painful. 24 hrs duration Fever 101.5 - 103.2 . Didnt take any meds to reduce fever or above symptoms. Fatigue. No energy for anything other than getting up to the bathroom. Slept off and on for 36 hrs.. Brain fog!! Still have it after 4 days,and moderate fatigue.

Other Meds: Synthroid .100mcg Omeprazole 20mg

Current Illness: None.

ID: 1018257
Sex: F
Age: 80
State: CA

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

Lab Data: ESR > 100. normal CPK. pt unable to even do ADLs and was not safe to be at home so admitted for observation and likely to go to SNF again for PT/OT, though level of pain precludes doing rehab well.

Allergies: amlodipine (edema), lisinopril (cough)

Symptoms: severe body aches starting evening of vaccine (dose #1), along with worsening weakness. Vaccine given 1/26/2021. Pt with ED visit for body aches 2/8/21 (high ESR > 100). Then admitted for observation 2/9/21

Other Meds: gabapentin, pradaxa, atorvastatin, advair, duloxetine, metoprolol, singulair, albuterol, norco, pepcid, lasix

Current Illness: was getting over covid pneumonia early January

ID: 1018258
Sex: F
Age: 38
State: CT

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

Lab Data: Many stool samples and blood tests during this time period. All normal except b12. Can provide more info later if needed.

Allergies: Amoxicillin, monistat

Symptoms: Developed diarrhea 2 days after vaccine for a period after of about 3 weeks. Got really bad after a week - 10-12 times a day and was out of work. Had to go to ER for dehydration, multiple doctors appts, primary, GI, many blood and stool tests all came back normal except for b12 level. Not known if covid vaccine impacted this or not or if something else.

Other Meds: Birth control, Zoloft, Hydroxyzine pamoate

Current Illness: None

ID: 1018259
Sex: F
Age: 26
State: AR

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

Lab Data:

Allergies: None

Symptoms: A week after I recieved the shot I started coughing and feeling terrible. That lasted for 1 day, however, my arm developed a large rash. It is now 2/09/2021 and the rash is still on my arm.

Other Meds: None; Depo provera

Current Illness: None

ID: 1018260
Sex: F
Age: 65
State: FL

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: corticosteroids, phenothiazines, Zofran, lactose

Symptoms: fatigue, muscle pains, hypersomnia

Other Meds: Diltiazem, Livalo, HCTZ, bupropion, Librium

Current Illness:

ID: 1018261
Sex: F
Age: 57
State: HI

Vax Date: 12/24/2020
Onset Date: 12/26/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data: Ultrasound of left supraclavicular node on Tuesday, January 26, 2021. High-resolution ultrasound of the left supraclavicular region performed. In the subcutaneous fat, there is a 6 x 18 x 18 mm lymph node with fatty hilum and borderline thickened cortex measuring 3 mm in thickness. This corresponds to the palpable lump. Recommend follow-up and repeat left supraclavicular ultrasound in 3-6 months or sooner if the mass clinically enlarges. Follow-up scheduled for May 3, 2021.

Allergies: NKA

Symptoms: Lymph node swelling in the left supraclavicular area with both injections. The swelling started the second day after injection and remained swollen for 2+ weeks. Confirmed with Ultrasound after 1st injection. Follow-up Ultrasound scheduled for May.

Other Meds: None

Current Illness: None

ID: 1018262
Sex: F
Age: 97
State: OH

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

Lab Data: Positive COVID19 test2/4/21, antibody treatment outpatient infusion 2-5-21.

Allergies: none

Symptoms: Patient's home healthcare worker tested positive for COVID19 and Filomena had some mild symptoms, so was tested 2/4/21. She had dry cough and tiredness. She received antibody treatment 2/5/21 outpatient. After infusion she had rash/ hives.

Other Meds: Unknown

Current Illness: unknown

ID: 1018263
Sex: F
Age: 36
State: OR

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

Lab Data: None

Allergies: None

Symptoms: 4 hours post administration: arm pain localized to upper deltoid 12-24 hr post: whole-body muscle/bone pain, chills, headache, fatigue 48-72hr post: mild diarrhea, upset stomach, sore throat, congestion (previous symptoms resolved)

Other Meds: Hydroxychloroquine 300 mg, Methotrexate 20 mg

Current Illness: None

ID: 1018264
Sex: F
Age: 32
State: AZ

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

Lab Data:

Allergies: vicodin

Symptoms: Headache, swollen lymph node on the left clavicle, all over body aches, fatigue

Other Meds: Birth control, Synthroid

Current Illness:

ID: 1018265
Sex: F
Age: 78
State: LA

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

Lab Data:

Allergies:

Symptoms: Rash and itching started on February 5th on her left arm down to her elbow. She also had some shortness of breath for a day or two. Patient no longer has shortness of breath. She still has the rash and itching.

Other Meds:

Current Illness:

ID: 1018266
Sex: F
Age: 50
State: PA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: 1. Multiple large swollen lymph nodes along collarbone, ribs and underarm on the left side (visible and painful with & without touch). They continued to grow notably larger for 2 weeks, started to decrease in size in the middle of 3rd week and are still swollen 3.5 weeks after the shot. 2. Toes became very swollen, some were black & blue, some red & inflamed. Blister-like bumps developed and toes have been very painful (felt like on fire, bruised, burning & deeply sore) and intermittently extremely itchy. Varying intensity and continue to have these symptoms 3. Chills without fever occurred approx. 24 hours after the shot and lasted approx. 30 hours. This occurred again a week later for approx the same length

Other Meds: vitamins

Current Illness: None

ID: 1018267
Sex: F
Age: 21
State: MA

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

Lab Data: try-taste

Allergies: none

Symptoms: The symptoms began immediately after administration of the vaccine. The symptoms were: tingling of her back / spine and then two hours later had itching swelling of the throat like she couldn't swallow felt lightheaded and dizzy and took benadryl with improvement. On day 2 felt feverish with sore arm and then on the 3rd day developed the same symptoms as the first day and went to the ED after taking benadryl x2 with no improvement in her symptoms. Objectively there is no wheezing, swelling, or rash but the provider does note that there were 3 small excoriated spots on her wrist one of which looked like a hive. The treatment of the reaction was: o Antihistamines: benadryl 50mg at home and ibuprofen o Steroids: IV solumedrol o Epinephrine: x1 o ED admission

Other Meds: none

Current Illness: none reported

ID: 1018268
Sex: F
Age: 61
State: CO

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient says that a couple of days after receiving her vaccine, her arm became red and swollen and hot to the touch on the upper part of her arm (elbow to shoulder) where she had received the injection. She went to see her doctor who told her that he also had 2 other patients come in who had received their COVID vaccines around the same time as the patient did who had the same symptoms (they received their vaccines from other clinics - not our pharmacy). Patient does not currently have any symptoms. Treatment is unknown.

Other Meds:

Current Illness:

ID: 1018269
Sex: F
Age: 35
State: PA

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

Lab Data: N/a

Allergies: Pennicillin , sulfa drugs

Symptoms: Days 1-4 - enlarged, red, hot welt at injection site size of palm, tender to touch. Complete recovery with no medications. Day 10 - started with itchy upper arm and ended the day with the welt at the injection site returning - itchy, hives, lump and hot to the touch. Photos available

Other Meds: Ashawaghanda Vitamin c Vitamin d Omega 3 Lysiebe Probiotics Melatonin Magenesium

Current Illness: None

ID: 1018270
Sex: F
Age: 46
State: ME

Vax Date: 01/20/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None as of today

Allergies: Sulfa antibiotics, amoxicillin

Symptoms: Starting at 15:00 on 2/8/2021, my right shoulder in the joint area started hurting. Throughout the night it got worse. Pain and numbness up into my neck and tingling in my fingers. Also developed a bad headache with this joint pain.

Other Meds: Prozac, lisinopril, bupropion, buspar

Current Illness: None

ID: 1018271
Sex: F
Age: 71
State: FL

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

Lab Data: None. I couldn't afford a doctor.

Allergies: Steroids, citrus, x-ray dye, Tramdol

Symptoms: At first, my left arm was incredibly sore. Then it became swollen, very red and hot. This area expanded to almost below my elbow for five days, then, I had diarrhea for seven days. It was extreme in that it was like having a colonoscopy prep every day. I am not prone to diarrhea, normally. This continued, even after multiple Immodium tablets each day. My feces was bright yellow, loose and had I a lot of gas. It is February 9th and I am still having some intestinal distress, but, it is not as bad. I have not been eating much, as everything I eat seems to bring it on. I have not sought treatment, as I don't have any money to do that. I sort of self-treated. I did not have a fever at any time.

Other Meds: Bupropion, Levothroxine, Simvastatin, Omaprazole, Ondansetron, Lisinopril, Allopurinol

Current Illness: I think that I had Covid in October, 2020. I did not get a test or require hospitalization. I had the throat sores, headache, loss of appetite, fatigue and a one-day fever. I had tested negative about two weeks prior to the second dose. I experienced nothing with the first dose except a sore arm.

ID: 1018272
Sex: M
Age: 50
State: CA

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: left hand swelling. entire hand and fingers. not arm or lymph nodes. just hand. painful and difficult to make a fist and bend fingers

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm