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: 1020168
Sex: M
Age: 66
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Face and chest flushed for about 12 hours. Heartbeat elevated about 10+ per minute

Other Meds: Requip, Flomax, meloxicam, multi vitamin

Current Illness: None

ID: 1020169
Sex: F
Age: 56
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: nausea and fatigue

Other Meds:

Current Illness:

ID: 1020170
Sex: F
Age: 57
State: NJ

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data: Blood tests, EKG, Echo, stress test

Allergies: None

Symptoms: On Dec 31, 2020 I began having pressure in chest, neck and headache and rapid heart rate. Normal B/P was now 150's/ diastolic 100's for 7 days. Saw PCP, referred to Cardiologist. Had Echo, EKG and stress test. EKG changes noted, "probably normal" stress test. B/P normalized by January 7 2021, tachycardia improved January 9. Missed several days of work due to symptoms.

Other Meds: Levothyroxin, Hyzaar

Current Illness: None

ID: 1020171
Sex: U
Age: 36
State: ID

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

Lab Data:

Allergies:

Symptoms: It?s had been two weeks and I noticed that a very large hive was present at the site of the vac

Other Meds: Synthroid

Current Illness:

ID: 1020172
Sex: F
Age: 76
State: WA

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

Lab Data:

Allergies: None

Symptoms: Injection site: very firm, itchy, red raised rash.

Other Meds: Metformin; Simvastatin; Lisinopril; Levothroxyin

Current Illness:

ID: 1020173
Sex: M
Age: 42
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills and fever

Other Meds:

Current Illness:

ID: 1020174
Sex: F
Age: 66
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: CHILLS.....SORE ARMS-LEGS...LOW GRADE FEVER 100.2

Other Meds:

Current Illness: NONE

ID: 1020175
Sex: F
Age: 42
State: IN

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I started feeling off within a few hours of receiving the vaccine, but not bad enough to keep me in bed. This lasted the first couple days, along with being more tired, a sore throat, and injection site soreness. But I have continued to have a headache and felt lethargic since. Again, I am functioning, just not feeling good.

Other Meds: Citalopram

Current Illness:

ID: 1020176
Sex: F
Age: 29
State: NC

Vax Date: 01/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Covid PCR testing: 12/11/20 Neg, 12/28/20 Neg and 2/9/21 Positive

Allergies: Amoxicillin and Zithromax

Symptoms: Case rec'd first covid vaccination on 12/20/2020, Second Vaccination on 1/8/2021. Tested positive for Covid-19 by PCR on 2/9/21 No symptoms.

Other Meds: none

Current Illness: none

ID: 1020177
Sex: M
Age: 23
State: LA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Blood work performed but results unknown.

Allergies: None

Symptoms: On 2/7/2021 at 3:00 am he started with fever of 99 then went up to 102.9. He reports he had chills, weakness, body aches, and an elevated blood pressure. He went to MC. Blood was performed but results unknown. He was diagnosed with a vaccine reaction. He was given Tylenol while in the ER. He was told to continue taking antipyretics. HE was discharged from the hospital and will have to follow up with PCP concerning elevated blood pressure.

Other Meds: None

Current Illness: None 2/6/2021 he punctured his finger with a metal bristle. No signs or symptoms of infection was noted ever. He went to the ER on 2/7/2021 and was diagnosed with vaccine reaction.

ID: 1020178
Sex: F
Age: 54
State: RI

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Latex, pollen

Symptoms: Headaches, muscle aches, fatigue that began the night of vaccine administration. Ongoing since then. No other symptoms

Other Meds: Amlodipine, atorvastatin, cetirizine, fexofenadine, melatonin, metformin, montelukast, Wixela

Current Illness:

ID: 1020179
Sex: F
Age: 77
State: PA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: February 7, 2021 CAT scan blood panel cursory stroke exam

Allergies: sulfa drugs, gel used for echo cardiogram

Symptoms: Large area of swelling, hot to the touch, redness in a patch about 6 inches long and two inches wide on the arm below the vaccination site. Numbness in the right side of the lips three days after the vaccination. The numbness frightened me as I feared a TIA or return of Bell's palsy. Went to ER on Feb .7 when the numbness happened. Was examined by ER physicians, Blood work was completed, CAT scan done, cursory stroke exam completed by a PA and resident. No diagnosis was made except for adverse reaction to the Moderna vaccine. I had had COVID symptoms beginning on or about November 30, 2020. Was not treated by a doctor at that time. Just seemed like having a common cold. Have never before had any adverse reaction to any vaccination.

Other Meds: lisinopril, atorvastatin 81 mg aspirin, krill oil, multi-vitamin, calcium citrate osteoporosis bi-flex

Current Illness: fainting event one week prior. no none cause. Visited the ER after this fainting episode.

ID: 1020180
Sex: F
Age: 69
State: GA

Vax Date: 01/22/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I am not sure if this is related to vaccine or not. On Feb 5 one side of my face was drawn up for about a minute, like a muscle spasm. Since that time that side of my face twitches when I smile. It is on my right side between my lip and my eye.

Other Meds: Lanus 18units daily, Novolin 70/30 15 units daily, Labetalol hcl 100 twice daily, Lisinopril 20 twice daily, montelukast 1 daily, omeprazol 20 1 daily, Glyburide-Metformin 5-500 4 daily, Zyrtec 1 daily, Amlodipine 2.5 in am and 5 in pm,

Current Illness: none

ID: 1020181
Sex: F
Age: 50
State: MI

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None.

Allergies: Amoxicillin.

Symptoms: Got her shot, then waited for 15 minutes, and was able to leave. She went immediately to dialysis around 1:00 PM. She got in the chair for that and fell asleep for a few hours. When she woke up her leg felt weird. She lifted her leg to look at it and the dialysis tech said that he had noticed the leg rash. The reaction is on the left leg, it is about the size of a softball. The rash color is a dark red. Then the rash is directly above the ankle and spread to just below the calf around the leg. The doctor at dialysis looked at it, and he prescribed Keflex for her. Put her feet up, told her to keep it elevated. She has had cellulitis before in 2017 in both legs. She said that this is a mild reaction. The last time it went all the way up her calf.

Other Meds: Calcium acetate, Bisacodyl EC, Glipizide, aspirin 81 mg, Zoloft, renal cap, Zanaflex, Norco, Lyrica, Dulcolax, germifibels, Vasceta, vitamin D, folic acid.

Current Illness: None.

ID: 1020182
Sex: M
Age: 72
State: PA

Vax Date: 02/03/2020
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: Labs were notable for Hgb 11.5 (no baseline), WBC 7.6, Cr 1.34 (no baseline), BG 459, lipase 26, normal LFTs. COVID positive, flu negative. CT A/P showed gallbladder with mural stranding with extrahepatic ductal dilation concerning for acute cholecystitis. In addition, there was a mild lingular consolidation consistent with bacterial PNA and thickening of the hepatic flexure that may represent inflammatory changes. LFTs peaked at the following values on 2/8: alk phos 179, AST 122 and ALT 131, bilirubin remained within normal limits Bile culture - no growth to date Blood cultures prior to antibiotic initiation - no growth to date

Allergies: Aspirin

Symptoms: Patient presented with sharp right lower quadrant abdominal pain with associated nausea and emesis beginning the day he received the COVID vaccine, after vaccine injection. He had decreased appetite and pain was made worse by eating. He presented to the hospital 3 days (2/6/21) after receiving the vaccine/symptom onset. His vital signs were T 101.5, HR 78, BP 156/67, RR 20, SpO2 94 on RA. As discussed below, imaging showed acalculous cholecysitis. The day after presentation, pain was more localized to RUQ. He was treated with IV ceftriaxone and flagyl. He underwent percutaneous cholecystomy tube place on 2/7/21 with plan for delayed cholecystectomy following drain placement x 6 weeks. Bile fluid culture has been no growth. We are attempting to test bile fluid for COVID-19 via PCR. He tested positive for COVID-19 via nasal swab RT-PCR and developed a 3L oxygen requirement and mild dyspnea. He was treated with remdesivir and dexamathasone 2/6-2/10 with resolution of hypoxia and dyspnea.

Other Meds: atorvaSTATin 20 MG tablet Take 20 mg by mouth daily. enalapril 5 MG tablet Take 4 tablets by mouth every 12 hours. glipiZIDE 10 MG tablet Take 20 mg by mouth daily. metFORMIN 500 mg tablet Take 1 tablet by mouth 2 times a day with meals.

Current Illness: None

Date Died: 02/07/2021

ID: 1020183
Sex: F
Age: 66
State: FL

Vax Date: 02/02/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Death Certificate.

Allergies: Unknown

Symptoms: Death. I actually not sure which Covid Vaccine she took. I just know the date and time she took it at her local school where she worked. Died in her sleep after complaining of a headache. I talked to her around 5pm on sunday through a videochat and she seemed happy and well. But a local friend commented that she had complained of a headache late in the afternoon.

Other Meds: Unknown

Current Illness: Unknown

ID: 1020184
Sex: F
Age: 44
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Latex, black pepper, sulfides, ibuprofen

Symptoms: Started to feel dizzy, sick to stomach 2100 on 2/9/21. 2200 felt flush, checked temp. 99.4. Took 2 Tylenol 500mg. Went to be. Woke up about 1 am drenched in sweat hallucinating, seeing black shadows, red hands. Still dizzy and off balance. Went back to bed. Woke up this am 0800, no temp. feeling fine.

Other Meds: Metformin 850 mg twice daily, fish oil 1200 mg twice daily, Vision health multivitamin twice daily.

Current Illness: none

ID: 1020185
Sex: M
Age: 72
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: seasonal

Symptoms: pt states that on 2/2/2021 his left arm was itchy and tender. Later that day the arm was itching, red and the skin was hot and a little swollen around the injection site.

Other Meds: Albuterol in-haler PRN, Symbicort 160-4.5 mg x 2 puffs in the AM and 2 puffs in the PM, Qvar 40 mcg 1 puff in am and 1 puff pm, Benazepril 15 mg once in am and once in pm, buspirone 5.6 mg once am and once pm

Current Illness: no

ID: 1020186
Sex: M
Age: 70
State: IN

Vax Date: 01/29/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: NONE

Symptoms: Headache and dry nasal passages 9 days after vaccination.. Muscle aches starting day 11 to current.

Other Meds: Lisinopril; L-THYROXINE/THYRONIN

Current Illness: NONE

ID: 1020187
Sex: F
Age: 45
State: FL

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Itraconazole

Symptoms: Next day felt a bit winded when talking; heart rate high and shortness of breath with minimal exercise about 24 hours after injection, and joint pain started. Within a couple of hours, had chills, myalgias, severe abdominal pain, and spine pain. Fever 99.4, then 100.4 for about 12 hours. Went to sleep and woke up with mild headache. Was completely better by 10AM the next day Note: I had COVID-19 10/28/20 (date of positive test); my antibody tests at 8 and 12 weeks have been negative

Other Meds: Synthroid 50mcg, MVI, Quercetin/Bromelain, Vitamin C, Vitamin D3, Curcumin, NAC, Probiotic, Omega 3 Fish Oil

Current Illness: None

ID: 1020188
Sex: F
Age: 70
State: FL

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe Headache for 24 hours Flu-like symptoms for 24 hours Achy Joints for 24 hours Mild fever for 24 hours Sore arm with reddened skin around injection site Took 1 Tylenol 3 times in 24 hours

Other Meds:

Current Illness:

ID: 1020189
Sex: F
Age: 55
State: GA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Any Cillin - (Pennicillin, Ampicilm, etc.)

Symptoms: 7 days after injection, the area around the site became very red and kind of hard - I googled it and it looked just like what is being called Covid Arm

Other Meds: Estradiol 1mg - 1 a day Azathioprine 50mg -1 a day Trazodone 100mg - 1 a day

Current Illness: None

ID: 1020190
Sex: F
Age: 53
State: TX

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: body aches, chills, fatigue

Other Meds:

Current Illness:

ID: 1020191
Sex: F
Age: 88
State: MA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Adhesive tape, Duoneb

Symptoms: Vomiting episodes 2/6/21

Other Meds: Amlodipine, Aspirin, Buspirone, Duloxetine HCL, Isosorbide, Levemir, Levothyroxine, Oxycontin, Novolog, Polyethylene Glycol, Simvastatin, Senna Plus, Tradjenta, Trazodone, Vitamin D3

Current Illness: none

ID: 1020192
Sex: F
Age: 37
State: KY

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

Lab Data:

Allergies: Carrots, sweet potatoes, bananas and dogs

Symptoms: Shot sight was red and knotted after day one. Day 5 it had disappeared only to come back on day 10 worse then after shot. Have fever headaches and chills.

Other Meds: None

Current Illness:

ID: 1020193
Sex: F
Age: 76
State: FL

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: No.

Allergies: penicillin doxycyclin clyndomicin zithromax english Ivy arbiviti pines

Symptoms: So one day I noticed that my arm was itchy at the injection site which it had not been before. I noticed later that it was getting red and hot, so I drew a circle around it, to make sure it didn't spread more. The next day it was bigger so I went to the clinic. The doctor saw it and said it was cellulitis and because of my history of allergies to anti-biotics she put me on bactrim.

Other Meds: prednisone (on a tapering dose, about 5mg at the time of injection) tylenol (before the shot) trandolpril (blood pressure) 4 mg daily symbstatin 20 mg daily MIB once daily aspirin 81 mg levothyroxin 25 mcg daily and two on Sundays

Current Illness: was being treated for skin disease (Grover's disease)

ID: 1020194
Sex: F
Age: 68
State: VA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: I have not sought medical help because there are no other symptoms. I am reporting this for your information only since I thought it might be helpful if after effects of the vaccine are being compiled.

Allergies: Allergic to penicillin, quinine, sulfa drugs

Symptoms: I had the first COVID vaccine on 1/30/21. The shot itself was painful, and afterward the site of the shot was painful and I could not move my arm without pain. The pain was intense to the point that I could not sleep well that night. Could not lie on my left side because of the pain caused by pressure on the arm. The pain gradually went away within 48 hours of the shot. Today, 2/10/21, 11 days after the shot, the area around the injection site, over 2 inches in diameter, is still red and inflamed. There is no pain.

Other Meds: Atenolol, valsartan-HCTZ, rosuvastatin, Synthroid, esomeprazole magnesium, Vit. E and Vit. D

Current Illness: none

Date Died: 01/23/2021

ID: 1020195
Sex: M
Age: 81
State: OH

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Per hospital record which is currently unavailable

Allergies: None

Symptoms: Received Moderna #1 on 1/12/2021. 1/15/2021 developed worsening shortness of breath. Went to hospital and diagnosed with anemia, 4 negative fecal tests, neg EGD and colonoscopy. Discharged and readmitted (circumstances unknown for this episode) then readmitted a third time 1/20/2021 for shortness of breath. Diagnosed covid + at third hospitalization and continued to get worse. He died 1/23/2021.

Other Meds: Allopurinol, amlodipine, Atorvastatin, carvedilol, ipratropium, asa

Current Illness: None

ID: 1020196
Sex: F
Age: 0
State: CA

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Diarrhea, loose stool q2h, starting 4 days after the vaccine, now on day 3 of diarrhea. Has diaper rash. No dehydration. No vomiting. No blood

Other Meds: None

Current Illness: None

ID: 1020197
Sex: F
Age: 37
State: VT

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: None, Codiene makes me have nausea

Symptoms: My left arm was sore pretty shortly after my injection. When I went to bed at 9pm, little sore shoulder, back and arm. The next morning, very achy, my arm hurt a lot, very sore to move. My body had all over aches. Then it seemed to get better, but by 3:30- I just had a lot of fatigue. Then today, Wednesday, I woke up and my arm is swollen. Not hugely, but it's a little swollen and very sore. No redness. No fever. Just very achy.

Other Meds: None

Current Illness: None

ID: 1020198
Sex: M
Age: 54
State: NY

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Bee

Symptoms: COVID Arm

Other Meds:

Current Illness:

ID: 1020199
Sex: M
Age: 33
State: VA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None yet - am considering visiting a doctor.

Allergies: None

Symptoms: On 2/6/2021, beginning at around 6 p.m., I started experiencing a very severe headache. The headache became progressively worse between 6 p.m. and around 2 a.m. that night. It was one of the worst headaches I have ever experienced. The headache felt like "pressure" around my head - it was not concentrated in a single spot. It seemed to be slightly worse when lying down. I was alarmed at the strength of the headache, and how long the headache lasted. I considered going to the hospital but decided not to. I took two Advil, which did not resolve the headache, but did make it slightly less terrible. I was able to get some sleep, and when I woke up the next morning, I still had a headache (albeit not quite as bad). As of today, 2/10/2021, I still have a slight headache--I have had a headache every single day since 2/6/2021. My current headache is not nearly as bad as the headache on 2/6/2021, but it's still a headache. I experienced the other vaccine symptoms that others have reported (fever, chills, sweating, significant pain at the injection site, etc.), but I was surprised to experience one of the worst and longest-lasting headaches of my life. I am concerned about taking the next dose in a few weeks.

Other Meds: Esomeprazole

Current Illness: None

ID: 1020200
Sex: F
Age: 43
State: OR

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

Lab Data: Not yet. It is the next morning, 2/10/21 and I have just alerted my primary physician.

Allergies: Codeine (creates facial numbness)

Symptoms: I was vaccinated by vaccinator (don't have his name) at the Center on 2/9/21. My appointment time was 1:45 pm, I was injected at 1:25 pm into the Left shoulder (instead of intramuscular of the arm). The location of the injection was placed too high and into the shoulder joint. At 4:25 pm a sudden onset of acute pain began in the Left Shoulder, limited range of motion, limited to no ability to lift the arm without intense pain.

Other Meds: Vit D3, Vit C, Iron, Immunity Support (Yu Ping Feng San), Wellbutrin 18.75mg, Lexapro 5mg

Current Illness: None

ID: 1020201
Sex: F
Age: 57
State: TX

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: body aches

Other Meds:

Current Illness:

ID: 1020202
Sex: F
Age: 25
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient in observation, reported feeling left arm numbness, tingling. Patient state feeling left hand and forearm red and splotchy, no hives. Vital at 1430- BP 122/80, HR 122 (patient is anxious), RR 24, O2 100. Patient denies any SOB, swelling of face or tongue, no trouble swallowing, chest pain or hives. Patient calling provider, as patient is waiting for provider to reach back vital were assessed again at 1442, BP 118/74, 02 100, HR 95, RR 20. Provider called back, nurse reports provider would like for the patient to stay at site for additional site hour and monitor. Provider any severe symptoms to see ED. Provider okay to for patient to take Benadryl. Patient refused Benadryl at this time wants to take it at home do to concern of drowsiness. Patient denies any new symptoms. V/S check at 1512- 114/80, 02 99%, HR 93, RR 20, Temp 98.5. No changes. V/S check- 1548 BP 112/78, 02 99%, HR 91, RR 16, patient no worsening or new symptoms. After hour, patient reports feeling fine and safe to drive home. Called patient in the evening, patient reports feeling fine and took some Benadryl.

Other Meds:

Current Illness:

ID: 1020203
Sex: F
Age: 38
State: TN

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Covid test - negative

Allergies: No

Symptoms: With the second dose my symptoms started late evening on 01/13/2021. I started feeling bad, but finished my shift. Felt drained, headache to start. By next morning (01/14) I had fever (101.5F) and the whose body aches, nausea, diarrhea, horrible horrible headache, like a migraine, severe congestion, runny nose and some days later I started having an earache on my right ear. I would like to mention I also had a vaginal discharge with an unpleasant odor that started with the first dose and had not resolved by the time I received the second dose and this time the odor is much stronger, it is awful, I already made an appt with my GYN. The odor got much stronger about a week after the second dose. I kept self medicating at home with Tylenol, Ibuprofen, but the fever would return as soon as the dose was weaning off. The 101.5F fever lasted for about 9 days. I also experienced shortness of breath from 01/14 until the 22nd and I never had to use my rescue inhaler before. I had to use it and had to even call for a second one. I am very athletic and active and never need it even after my runs and workout activities. I consulted with my PCP on the 19th and again she gave me a covid test. Negative. She diagnosed me with inner ear infection (right ear). Prescribed me Levaquin and in 2 days I was much better. On the 22nd I finally started seeing the symptoms subside and started feeling better. Also, I wanted to tell that I had a gas pain episode that almost sent me to the ER. My chest, my left shoulder hurt really really bad. I called a friend who is a physician and he told me to take some gasex first and if that did not work to go to the ER. Fortunately it worked. But the pain was excruciating.

Other Meds: Adderall 20 mg. Albutren 300mg, Ambien, Valium 10m mg, Glucofenac Sodium, Allegra D 24 hrs. metoprolol 25mg, sultrex 500 mg, albuterol 90mcg

Current Illness: No

ID: 1020204
Sex: M
Age: 39
State: GA

Vax Date: 01/27/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I developed severe body wide urticaria. It is unclear whether or not this is a delayed reaction to the vaccine or secondary to a new onset food allergy. It was responsive to cetirizine and lasted for about six to eight hours with severe pruritus but no airway symptoms.

Other Meds: Baby aspirin, multivitamin

Current Illness: None

ID: 1020205
Sex: F
Age: 39
State: WA

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

Lab Data: Blood work -Jan 8 Pregnancy test- Jan 8 Pelvic ultrasound on Sunday - only thing they found was that I may have been ovulating but no issues - January 10

Allergies: no but have had anaphylaxis after fire ant bite

Symptoms: Arm pain was pretty severe - reminded me like what you get from a tetanus shot and a little burn-y. It did clear up with Advil. Arm pain was gone by the 7th. On Wednesday, the 6th, I was tired and didn't have an appetite. Regular foods that I would like to eat didn't sound good. Would feel hunger pains but didn't know what to eat. I had abdominal pain - on lower right of abdomin. On Friday, I went to urgent care - when Dr pressed one area he said it was my ovary. My mom passed away from Ovarian cancer so dr ordered Pelvic ultrasound. Loss of appetite was starting to get better on Sunday. On Tuesday or Wednesday it was back to normal (appetite).

Other Meds: Sertraline 150 mg daily; Pantoprazole 40 mg daily; Marina IUD; Flonase - nasal

Current Illness: no

ID: 1020206
Sex: F
Age: 49
State: CO

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: none

Symptoms: Client presented for second COVID vaccine on 2/10/21 and reported nausea and vomiting which occured 5 minutes post-vaccination from the first COVID dose on 1/13/21. The client did not report this to staff during the observation period on 1/13/21. Client referred to a hospital setting for assessment and possible administration of the second dose.

Other Meds: unknown

Current Illness: none

ID: 1020207
Sex: F
Age: 34
State:

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Tongue feels tingly and swollen. Felt hot then it went away. No shortness of breath, respirations even and unlabored. Skin pink warm and dry. b/p 146/108 pulse 88 10:17 pulse 89 ps02 98% 10:35 reports no tingling and feels like there is no swelling of tongue. b/p150/110. Informed her blood pressure was high. She stated she was ready to go home. informed to seek medical attention for any further problems and to have her blood pressure monitored.

Other Meds:

Current Illness:

ID: 1020208
Sex: F
Age: 78
State: OR

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: No

Allergies: Codeine,

Symptoms: Flashes of lights in my eyes, burning pain in my legs, my ankles were on fire. Totally fatigued, could hardly walk and had to walk with a cane and hold onto wall. Just plain pain all over, I felt nauseated but never threw up. I took anti-nausea pills and pain pills.

Other Meds: Levothyroxine, Vitamin D supplement, Probiotic, Amlodipien, Apixaban once a day, daily baby aspirin, Gabapentin

Current Illness: No

ID: 1020209
Sex: F
Age: 49
State: MI

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: I talked to my doctor by phone who recommended I go to the ER. I did not because I was out of state and the ER would have been out of network. I used benadryl q4hrs, tylenol, ibuprofen for 5 days.

Allergies: Sulfa, mold, smuts, grasses, trees, dogs, laundry soaps, lotions, fabric softeners, bee stings, bug bites

Symptoms: I had issues for 7 days including, rapid heartbeat, high blood pressure (146/96), facial swelling, random bruising and swelling on my left arm (not by the injection site), rash on face and body (small red dots), dizziness, weakness, nauseous, fatigue, vomiting, injection site pain/tenderness, night sweats.

Other Meds: Fluoxetine, Trazodone, synthroid, atorvastatin, baby aspirin, Multivitamin, Vit B complex, Vit C, Vit D, probiotic, Biotin

Current Illness: None

ID: 1020210
Sex: F
Age: 41
State: FL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Ibuprofen

Symptoms: Around 11 hours after 2nd shot I woke up with chills, full body tingling, nausea, and couldn't get comfortable. About 5.5 hours later I had spiked a fever (101.1 temporal) and bad headache. The fever and headache continued all day. Around 7pm on 2/3 I took 1 extra strength Tylenol. The fever broke by Thursday morning and I was feeling better though I still had a headache. I did take 1 extra strength Tylenol around the clock Thurs into Friday. The headache continued to improve Thursday and finally went away by Saturday evening.

Other Meds: Juice Plus fruit, vegetable, berry, and omega blend. Had taken Meloxicam and Flexeril up until the day before vaccination.

Current Illness: None

ID: 1020211
Sex: M
Age: 74
State: FL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The day after I received the vaccine, I felt weak, sweating, chills, and low grade fever. I was so weak that I had to have help walking and moving around all day Sunday. I needed help being fed. I felt dizzy. Monday I was started to feel better. I spoke with my primary care team and they told me to call VAERS and make a report.

Other Meds: Lisinopril 12.5 MG daily, Finasteride 5MG daily, Tamsulosin 0.4 MG twice a day, Latanoprost eye drops daily,

Current Illness:

ID: 1020212
Sex: F
Age: 58
State: OH

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: CT of chest on on my first ER Visit , and on my 2nd visit blood work done 2/9

Allergies: azithromycin, ceftin

Symptoms: started on the 15th at 7pm had a red itchy burning rash on my breast and then it spread to my other breast it is very painful . Went to the express care on the 16th and was told i had shingles and the rash got worse so went to the ER. Dr said I was misdiagnosed it was not shingles. But that the vaccine had flared up my auto immune disease, have me IV dexamethasone and 40 mg prednisone and it did not help. Went to the ER yesterday with the same rash but Had terrible chest pains and pain in my back and lightheaded and felt jittery. Was told i have inflammation in my chest and skin.

Other Meds:

Current Illness:

ID: 1020213
Sex: F
Age: 24
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: soreness around the injection site (started around 2pm) Muscle aches (around 4pm) Headache (around 5pm) fever 100.3 F (around 5pm) Extreme fatigue (around 5pm)

Other Meds: Prozac- 20mg

Current Illness: none

ID: 1020214
Sex: M
Age: 51
State: TX

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient's wife reported shaking for a few seconds and passed out. Patient reports lightheadedness. EMS performed EKG, HR = 40s to 60s; blood pressure = 99/58. Refused transport to ambulance

Other Meds:

Current Illness:

ID: 1020215
Sex: F
Age: 36
State: CA

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

Lab Data: N/A

Allergies: Coconut Fatty Acids Anaphylaxis Includes coconut water/milk (avoid all coconut products for pt safety) ? Fentanyl Unspecified PATCHES CAUSE Hallucinations ? Nortriptyline Dry mouth and nightmare ? Seroquel [Quetiapine Fumarate] Anaphylaxis ? Amoxicillin Vomiting ? Erythromycin Vomiting ? Grapefruit Extract Headache ? Latex Rash . ? Nsaids history of ulcerative colitis

Symptoms: female presenting with dizziness, nausea, vomiting, shortness of breath after receiving her second Covid vaccination, Pfizer. She had no adverse reactions with the first vaccination. She reports that approximately 10 minutes after the vaccination, she started to feel dizzy and "drunk". She felt that the room was spinning. She then became very nauseated and started dry heaving. No emesis but she arrives dry heaving. She reports that she started having shortness of breath after the nausea and dry heaving but feels like it is more because she is feeling very panicked. No cough. No wheezing. She has some throat soreness. No syncope or fall. She does have several allergies and carries an EpiPen for coconut allergy

Other Meds: ALPRAZolam (XANAX) 1 MG Tab amitriptyline (ELAVIL) 25 MG Tab BLISOVI FE 1/20 1-20 MG-MCG per tablet busPIRone (BUSPAR) 10 MG Tab Calcium Citrate-Vitamin D (CALCIUM + D PO) dicyclomine (BENTYL) 20 MG Tab EPINEPHrine (EPIPEN)

Current Illness: Irritable Bowel Syndrome Hypothyroidism Anxiety

ID: 1020216
Sex: F
Age: 47
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: body aches and pains with overall feeling of getting the flu without any fever

Other Meds:

Current Illness:

ID: 1020217
Sex: F
Age: 68
State: NC

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: levaquin

Symptoms: vaccine of Feb 1; started amoxicillin and metronidazole on evening of Feb 2; early morning hours of Feb 8th had intense itching and rash. Called pharmacist who told me i was probably allergic to one of the antibx, even tho i had been taking them >5 days and to stop one of the antibx. Also told her i had had covid vaccine on 2/1. I stopped metronidazole but itching/rash continued whole day. Next day stopped amoxicillin and restarted Metronidazole. This is also day i had root canal surgery. Again itching and rash continued. Today, 2/10, I have stopped both antibiotics and itching/rash is still present but seems to be lessening. Resesarched online; called CDC, etc- no one knows about antibx and covid reactions occurring

Other Meds: lipitor; krill oil, 81mg aspirin; melatonin, vit d, vit c, calcium On Feb 2, approx 5 pm, started amoxicillin and metronidazole for tooth abscess.

Current Illness: toothache, had seen dentist but not identified as infection, etc at time of vaccination

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm