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: 1020568
Sex: F
Age: 53
State:

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

Lab Data:

Allergies:

Symptoms: Patient had facial itching and tingling of the lips. Did not report any shortness of breath. Patient was given oral Benadryl.

Other Meds:

Current Illness:

ID: 1020569
Sex: F
Age: 77
State: CO

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

Lab Data: None reported

Allergies: penicillins, aspirin, atorvastatin, shellfish, sulfonamides

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: shortly after vaccination patient reported itching at injection site and in throat. Initial vital signs within normal ranges except pulse 100-110 beats per minute and blood pressure 180/90 mmHg. Patient administered diphenhydramine 25 mg orally and transported to the emergency department. On arrival and during physical exam patient noted to have red "splochyness" on chest wall but no hives. Patient awake, alert, oriented: no shortness of breath, stridor, or oral or pharyngeal swelling. Patient observed, symptoms improved, vital signs stable, and discharged to home.

Other Meds: albuterol, fluticasone-salmeterol, levothyroxine, cholecalciferol, calcium carbonate, magnesium, certrizine, zinc, meloxicam

Current Illness: none reported

ID: 1020570
Sex: M
Age: 71
State: CA

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

Lab Data: Full blood work up (pending outcome).

Allergies: None

Symptoms: Migraine, Reynauds, cold body starting 10 days after vaccine and continuing thru today

Other Meds: Synthroid, simvastatin, Trazodone , Valium , Zoloft , DHEA, Liothyronine, NAC, Tumeric, Vitamin C, Vitamin B, Multi Vitamin , Quercetin. With Bromalaine, Zinc, D3, Amino Acids, CoQ10, Emgality, Zembrace, Zomig nasal spray

Current Illness: None

ID: 1020571
Sex: F
Age: 23
State: KY

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

Lab Data:

Allergies: Penicillin

Symptoms: Moderna COVID-19 Vaccine EUA. Severe headache began around 6-7 hours after vaccination. I began to have chills shortly after. Approximately 13 hours after vaccination, I began to feel nauseous, dizzy, and shaky along with my earlier symptoms. I felt like I was going to faint with blurred vision and ringing in my ears even while lying down. I started sweating along with the chills. The dizziness and nausea subsided after approximately two hours. The headache lasted approximately 48 hours after the vaccination.

Other Meds: Venlafaxine ER 37.5 mg, Bupropion 75 mg

Current Illness: N/A

ID: 1020572
Sex: F
Age: 21
State: IL

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

Lab Data:

Allergies: None

Symptoms: Severe tiredness, headache, body ache

Other Meds: Prozac, cetirizine

Current Illness: None

ID: 1020573
Sex: M
Age: 29
State: OH

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

Lab Data: Na

Allergies: Na

Symptoms: Pain and swelling at injection site, pain traveled to joints in arm where vaccine was given.. mild headaches, gone now, low grade fever. Avg of 100 still present, pain in muscles subsiding, still sore

Other Meds: Zinc, magnesium, calcium

Current Illness: Na

ID: 1020574
Sex: F
Age: 54
State: IN

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

Lab Data:

Allergies:

Symptoms: Woke up with uncontrollable shaking in teeth chattering, lasted a couple of hours until I fell asleep. Terrible headache, body ache & fatigue all day. The next day I had a headache and fatigue.

Other Meds: I had been on a z pak but took the last one 41 hours before vaccination.

Current Illness: Slight bronchitis -type illness that I get occasionally.

ID: 1020575
Sex: F
Age: 35
State: CA

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

Lab Data: MD office ultrasound on 2/8/21 revealed intact pregnancy in the uterus (not ectopic) with a heart beat.

Allergies: None

Symptoms: Pregnancy at 6 weeks 1 day on date of vaccination. Approximately 9 hours after vaccine administration, I experienced sharp rhythmical abdominal cramps with equivalent intensity of full child labor with extreme pain, lasting approximately 5 minutes, followed by 2 hours of rhythmical abdominal cramps 2-3 minutes apart. A large amount of clear fluid that was blood tinged was found at 8:30pm. Then there was bright red blood visible in the toilet and when wiping until approximately 10pm. From there forward, discharge turned rust colored. Rust colored discharge was in decreasing amount, but still visible for the next 24 hours (10pm on 2/6/21). No further discharge on 2/7/21 forward.

Other Meds: None except women's prenatal vitamin daily.

Current Illness: None

ID: 1020576
Sex: F
Age: 41
State: TX

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

Lab Data:

Allergies: Sulfa allergy

Symptoms: Covid arm- red circle around injection site. Quarter sized at first and grew to about 5? across. Itched a little, but generally did not bother me.

Other Meds: Synthroid

Current Illness: None

ID: 1020577
Sex: F
Age: 81
State: AL

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

Lab Data: CBC, CMP, CATH UA WITH C/S OF URINE

Allergies: AMBIEN, ATIVAN, DEMEROL, REGLAN, SULFONAMIDES

Symptoms: PFIZER-BIONTECH COVID-19 VACCINE EUA. Vaccination occurred between 6:30am to 10am. Adverse event noted at 5:30pm included seizure activity followed by lethargy/unresponsiveness lasting a few minutes (approx 15 min unresponsive). VS 138/82, 76,16. Blood sugar 105. O2 sat 98% on room air. MD visited and ordered labs. Subsequently treated for UTI with Rocephin IM x 5days.

Other Meds: EFFEXOR XR, ELIQUIS, LASIX, MIRALAX, PROTONIX, VIT B12, VIT D3

Current Illness: 12/15/20- DENTAL PAIN- TREATED WITH CLINDAMYCIN 300MG Q8H X7D

ID: 1020578
Sex: F
Age: 35
State: TN

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

Lab Data: 2/10/2021 - 15 MINUTES AFTER SHOT: BP 145/100, HR: 81; 30 MINUTES AFTER SHOT: BP 125/86, HR: 76

Allergies: EGG

Symptoms: PATIENT DESCRIBED A "TINGLY FEELING", DIZZINESS, AND A "RACING HEART" ABOUT 15 MINUTES AFTER RECEIVING HER FIRST DOSE. SHE TOOK A DOSE OF 25MG DIPHENHYDRAMINE AND WAS MONITORED FOR ANOTHER 15 MINUTES. SHE THEN REPORTED FEELING BETTER AND FINISHED HER SCHEDULED WORK SHIFT WITH NO OTHER COMPLAINTS

Other Meds: NONE

Current Illness: NONE

ID: 1020579
Sex: F
Age: 25
State: TX

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

Lab Data:

Allergies: Amoxicillin

Symptoms: After 30 minutes of having first covid vaccine I had hives, nausea and migraine not sure if I need to gwt 2nd dose on Feb. 18th

Other Meds: Adderall, fluoxetine, Loratadine, birth control

Current Illness: N/A

ID: 1020580
Sex: F
Age: 17
State:

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

Lab Data: n/a

Allergies:

Symptoms: Patient was given vaccine at 17 years old - Nurse noticed age after vaccine given. (Name, DOB reviewed with patient, but nurse did not calculate age prior to vaccine).

Other Meds:

Current Illness:

ID: 1020581
Sex: F
Age: 71
State: WI

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

Lab Data: none

Allergies: bactrum, ciprofloxacin

Symptoms: pt stated that she noticed a red spot on her left arm around the injection site. She stated it kept growing. It went from the injection site to the elbow and was red, hard, swollen and warm to the touch. She went to see her PCP 2/9/2021 and was prescribed antibiotic cephalexin. Pt was told to come back if the antibiotic did not work that she would need to be put on a steroid. Pt stated her arm is not as red today and was instructed not to get the second dose.

Other Meds: metformin, atenolol, hydrochlorothiazide, Omeprazole, Lovastatin, lantus insulin, Victoza, Humalog insulin, levothyroxine,

Current Illness: no

ID: 1020582
Sex: M
Age: 83
State: IN

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

Lab Data: None

Allergies: penicillin, Levaquin

Symptoms: At 12:22 on Tuesday, February 9, the second day, I was awakened by violent shivering and shaking uncontrollably. This lasted for four hours, with concomitant loss of sleep throughout the night and, when up, walking like a drunken man. In the morning , no appetite (managed a cereal breakfast). Ibuprofen administered. A pronounced feeling of weakness and lassitude throughout the morning, with slow recovery until mid-evening. Now at February 10th, return to normal feeling and strength.

Other Meds: Amlodipine, 81mg aspirin, Tamsulosin, Tylenol

Current Illness: None

ID: 1020583
Sex: F
Age: 69
State: AZ

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: sulfa, cipro

Symptoms: While I did not lose my sense of taste or smell, my tongue felt like I burned it tasting hot liquid. I noticed a whitish coating and I started brushing my tongue with my toothbrush. After a week, the sensation seemed to lessen but hasn't completely gone away. My sense of taste has also been affected.

Other Meds: Levothyroxine - 75 mcg; bisoprolol 5mg; amlodipine - 2.5mg; estradiol - .075 patch Vit C; Super B complex; coQ-10; magnesium 400 mg; airborne - 2 gummies

Current Illness: none

ID: 1020584
Sex: F
Age: 69
State: IN

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

Lab Data: Just the #1 Vaccine

Allergies: Codeine, latex, Betadine

Symptoms: Dizziness,Swirly Headaches, temp 100.5, fatigue, body aches. Tylenol & rest.

Other Meds:

Current Illness: none

ID: 1020585
Sex: F
Age: 47
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Body aches, head ache, fever (103? F), chills, incontinence, and brain fog.

Other Meds: None

Current Illness: None

ID: 1020586
Sex: F
Age: 57
State: MD

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

Lab Data:

Allergies: None

Symptoms: Cervical lymph node enlargement of several nodes on the right (same side as the injection).

Other Meds: Effexor, HCTZ, synthroid, Cozaar, Allegra, Singulair, Progesterone.

Current Illness: None

ID: 1020587
Sex: F
Age: 63
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Vertigo, positional

Other Meds: None

Current Illness: None

ID: 1020588
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, body aches, headache, fatigue the following morning after receiving 2nd dose. Symptoms subsided approximately 8 hours later.

Other Meds:

Current Illness:

ID: 1020589
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies: tetracyline (rash)

Symptoms: 14:30h - pt noticed reddened area R thigh only (non-pruritic) after removing her pants for toileting 14:32h - BP 142/92, pulse 116, RR 17, O2 sat 98%, A&Ox4 14:56 - BP 138/88, pulse 108, RR 18, O2 sat 99%, responding appropriately, observation only of mild cutaneous reaction without Stevens Johnson reaction, respiratory distress/compromise or angioedema, no interventions/treatments required, pt released to home after 30 min observation by volunteer MD

Other Meds:

Current Illness:

ID: 1020590
Sex: F
Age: 71
State: NY

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: allergy to amoxicillin

Symptoms: On 2/3/21, day nine following the first dose of the Pfizer Covid vaccine, the vaccination site was itchy. The following day there was a red rash at the site. The rash is circular and about four inches long and two inches wide. It is not a raised rash. Today, 2/10, the redness and outline of the rash appears to be fading.

Other Meds: I take vitamin D3, vitamin C, B complex, and Calcium Magnesium with Zinc, but not on the days before or after the vaccination.

Current Illness: none

ID: 1020591
Sex: M
Age: 68
State: NY

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

Lab Data:

Allergies:

Symptoms: Fever and Malaise

Other Meds:

Current Illness:

ID: 1020592
Sex: F
Age: 31
State: CT

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

Lab Data:

Allergies: Pt denied allergies to anything

Symptoms: Pt received her first dose of the Moderna COVID-19 vaccine and within minutes c/o feeling dizzy. EMS was on site and evaluated the pt. Pt's HR was up to 137 though pt reported feeling better, just anxious. Pt denied headache, chest pain, shortness of breath. Pt signed a refusal for transport to the hospital with EMS. Pt waited an addition 15 minutes in clinic for a total of 30 minutes and by the time she left she reported feeling much better. Pt was advised by RN to call her PCP to discuss prior to her second vaccine. Pt verbalized understanding and agreed to the POC.

Other Meds: none per VAMS

Current Illness: Pt mentioned history of high BP but not on any medications for it

ID: 1020593
Sex: M
Age: 74
State: MD

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

Lab Data: None

Allergies: No

Symptoms: At 14.48pm, after given the vaccine patient came back complaining of tingling of both arms, redness and swelling. Hives to forehead, no itching nor fever. Vitals taken at this time, BP was 128/72. Patient was given 0.5ml of Benadryl left deltoid site. At 15.02pm second vitals taken, BP was 130/84, no redness, no swellings on both arms and no hives at this time. Patient was asked to sit back for 15 mins for further observation. At 3.15pm, patient was stabilized and asked to leave.

Other Meds: No

Current Illness: No

ID: 1020594
Sex: F
Age: 30
State: NY

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

Lab Data: CBC, CMP

Allergies: no

Symptoms: Elevated heart rate, anxiety, subjective "scratchy" throat and tongue swelling per patient within 20 minutes of vaccination. Patient seen in ED - offered treatment with benadryl and solumedrol, patient declined treatment as symptoms had resolved. Lab work obtained

Other Meds: no

Current Illness: no

ID: 1020595
Sex: F
Age: 37
State: AZ

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

Lab Data: None

Allergies: NKA

Symptoms: Hives to upper and lower extremities.

Other Meds: Coumadin, Zoloft, PNV

Current Illness: None

ID: 1020596
Sex: F
Age: 31
State: FL

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

Lab Data: NA

Allergies: NA

Symptoms: Day 8 after first moderna dose, I have redness at injection site. It is red and hot and hard. Some itchiness. I hadn?t had any site redness before this. My arm was sore for the few days after and my left axillary lymph nodes are swollen.

Other Meds: Multi vitamin, vitamin d, zinc, probiotic, omega 3

Current Illness: NA

ID: 1020597
Sex: F
Age: 60
State: AL

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Codeine, EES, tetracycline

Symptoms: bilateral hip and muscle pain starting 1/21/21. Limiting my movement. Pain level 7. 1/28/21 L arm with large red area (size of softball). Red area lasted 3 days. Erythema, inflamed, itching. Hip joint pain lasted 2 weeks, despite taking NSAIDS.

Other Meds: lisinopril, Cymbalta, vitamin D, vitamin C, zinc, calcium

Current Illness: none

ID: 1020598
Sex: F
Age: 41
State: NM

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: Latex

Symptoms: I noticed a small lump near my collar bone on Saturaday 2/6/21. I looked up the lymph nodes in that area, and then called my practitioners office on Monday. I was transfered to an Epidemelogy Nurse Answering service and received a call back shortly after from a Covid Vaccine Hotline nurse. By Monday, another smaller bump came out right next to the first one. I told her that I had swollen lymph nodes near my collar bone. She asked how big, I can feel all around the larger one with the tip of 2 fingers. She told me that it is normal to get swollen lymph nodes after any vaccine and I shouldn't worry about it. She told me to watch it and if it got larger or didn't go away, to call my practitioner again. Currently they lympth nodes haven't changed, but I have my booster in a week an a half, so I thought I should report this reaction, as it seems to be on the rare side of common side effects from the Pfizer vaccine from what I have read.

Other Meds: No

Current Illness: N/A

ID: 1020599
Sex: F
Age: 83
State: SD

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

Lab Data: Complete metabolic panel

Allergies: none

Symptoms: arm pain, fever, tachycardia, tachypnea

Other Meds: unknown

Current Illness: unknown

ID: 1020600
Sex: F
Age: 55
State: TX

Vax Date: 11/18/2020
Onset Date: 11/18/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data: DOPPLER UPPER EXT VENOUS LEFT

Allergies: seafood vicodin

Symptoms: Patient comes in for office visit on 2/9/21 for intermittent dull left upper arm pain since receiving flu shot November 18th. Patient can feel the pain when she touches over the area and feels that there is a "knot" in her upper arm over the area. The pain shoots downwards. Patient has limited range of motion in her left arm because she can feel the area tightening and catching. Patient states the pain is a 5/10. Patient has not been taking anything for the pain. Denies chest pain or shortness of breath. Denies trauma or injury to her arm. Patient has not been lifting any heavy objects.

Other Meds: Multivitamins Estradiol vaginal

Current Illness: none

ID: 1020601
Sex: F
Age: 31
State: CA

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

Lab Data: EKG, Blood glucose, "urine" test

Allergies:

Symptoms: Minutes after vaccine was given, tingling felt down left arm, then after 15 min. felt tingling down both legs and feet. 30 minutes after vaccine, tingling in limbs, hand numbness and brain fog. ED response was called. Monitored in ED, EKG, blood glucose, blood pressuue monitored, urine test. Oral dose Benadryl given. Discharged home in 2 hours.

Other Meds:

Current Illness:

ID: 1020602
Sex: F
Age: 58
State: PA

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

Lab Data: None.

Allergies: sulfa, simvastatin

Symptoms: new onset moderate cough lasting approximately 24 hours. Start time: 2/6/21 noon; End time: 2/7/21 noon.

Other Meds: Synthroid, Myrbetriq, vitamin D

Current Illness: None

ID: 1020603
Sex: F
Age: 43
State: AZ

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

Lab Data: None

Allergies: Aspirin, Sulfa, NSAIDS

Symptoms: appx 2 hours after administration a headache and fatigue started that lasted appx 24 hours. Then, appx 5 hours later, muscle aches and fever began (100.6) that lasted for about 24 hours. Also, immediate arm pain resulting in limited movement for appx 24-48 hours after vaccine administration.

Other Meds: None

Current Illness: None

ID: 1020604
Sex: F
Age: 73
State: CA

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

Lab Data: None

Allergies: None

Symptoms: None

Other Meds: Blood pressure medicine, vitamin D, multivitamin

Current Illness: None

ID: 1020605
Sex: F
Age: 40
State: TN

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

Lab Data: 02/10/2021 - BP:119/84, HR: 80

Allergies: NONE

Symptoms: PATIENT DESCRIBED FEELING DIZZY AND NAUSEA ABOUT 30 MINUTES AFTER RECEIVING VACCINE. SHE WAS MONITORED FOR AN ADDITIONAL 15 MINUTES AFTER WHICH SHE DESCRBIED FEELING BETTER AND RETURNED TO WORK WITH NO FURTHER COMPLAINTS.

Other Meds: NONE

Current Illness: NONE

ID: 1020606
Sex: F
Age: 39
State: NJ

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

Lab Data:

Allergies: Nsaids, unknown preservative, losartan, compazine

Symptoms: Extreme fatigue started 12 hours after the injection. Fatigue has increased since injection. Unable to work the last two days

Other Meds: Amlodipine,setraline,Buspar, cyclobenzaprine, vitamin d, vitamin b12, daily multivitamin, acv.

Current Illness: None

ID: 1020607
Sex: F
Age: 74
State: FL

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

Lab Data:

Allergies: None

Symptoms: Severe headache, chills, muscle aches, loss of appetite, fever

Other Meds:

Current Illness: None

ID: 1020608
Sex: F
Age: 66
State: GA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none so far

Allergies: Glue on bandaids or tape

Symptoms: Covid arm; Started 8 days after shot. Redness, swelling, itching and tenderness. Using a cortisone cream, taking Benadryl and applying ice

Other Meds: Levothyroxine, Bio-identical hormones. Magnesium Fish Oil CoQ10 Collagen Turmeric D3 Folate

Current Illness:

ID: 1020609
Sex: F
Age: 87
State: WI

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Sulpha and cephalosporins

Symptoms: Spontaneous 3 hours nose bleed.

Other Meds: Eliquis 5 mg 1 bid (started June, 2019) Verapamil ER tablets 240 mg, 1 p.o. daily Bumetanide 1 mg 1 p.o. daily Estazolam 2 mg 1 p.o. q.h.s. Lorazepam 1 mg 1 p.o. b.i.d Centrum Silver multivitamin 1 p.o. daily B-complex 1 p.o. daily

Current Illness: No illness at time of vaccine.

ID: 1020610
Sex: F
Age: 41
State: FL

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

Lab Data: Monday 2/8 COVID Test- Negative Labs and urine done 2/10 waiting on results

Allergies: NKDA

Symptoms: Received vaccine at 1500 on Wednesday 2/3. General body aches started at 2200. At 0000 on a Thursday 2/4 upper back pain like someone hit me with a baseball bat. By 0400 chills, flushed face, temperature 101.2. By 0900 chest pain for 30 minutes. The rest of Thursday and Friday chills, bone pain in pubic area and both legs and then fever would start 101 or higher took Tylenol for every fever. Saturday headaches began with nasa congestion, nasal dryness and nose bleeds. Sunday night diarrhea. Monday morning headaches continue took 1 Tylenol with hangover feeling along with nausea all day and NO I did not drink alcohol, COVID TEST DONE as per work requirement. Tuesday runny nose, headache, nausea, took temperature 99.8. Today Wednesday woke up with headache congestion and more nausea and headache, COVID Test results negative , went to primary physician and did lab work and urine test . I have missed 2 weeks of work. As per work still symptomatic after the vaccine and can not return to work after 10 days, today Wednesday is day #7

Other Meds: N/A

Current Illness: N/A

ID: 1020611
Sex: F
Age: 32
State: PA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Allergic to Bactrim, Azithromycin, and shellfish

Symptoms: I was 10 weeks pregnant at the time of my second dose, with an estimated date of delivery of 8/12/2021. I developed fevers, chills, and myalgias for the whole day after I received the second dose of the COVID vaccine (1/14). My max measured temp was 100.4F - my OB advised me to take Tylenol around the clock to ensure I didn't have higher fevers. I did not record any above 100.4F.

Other Meds: None

Current Illness: N/A

ID: 1020612
Sex: F
Age: 29
State: TX

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

Lab Data: Have not gone to doctor about this, just waiting it out.

Allergies: Shellfish, tetracycline

Symptoms: I took a nap from being tired from the shot, expected side effect, but then I woke up feeling super high. Like how you feel when a doctor gives you sedatives for a surgery and are still waking up from it. Everything around me looks so fast and it is difficult to move my body. The room keeps spinning . The feeling is ongoing though and it takes great effort to do anything , even typing this.

Other Meds: Pantoprazole, sucralfate, birth control- seasonique

Current Illness: Stomach ulcers

ID: 1020613
Sex: M
Age: 80
State: CA

Vax Date: 01/26/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Large Rash on arm near injection site. Started about 10 days after injection

Other Meds: Carbidopa-Levodopa 25-100 (5 times daily) Lovastatin (80 mg daily) Losartan Potassium (75 mg daily: 50 evening, 25 morning) Finasteride 5 mg daily (started May 15, 2020) Aspirin (81 mg daily)

Current Illness: Parkinson?s Disease

ID: 1020614
Sex: F
Age: 55
State: TX

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Sulfonamide, Lisinopril, Amoxicillin, Codeine

Symptoms: Right arm edema, pain, erythema, and excoriation at site of second vaccine. During the first vaccine of Moderna I experienced edema, erythema and pain five days post left arm vaccination. the second dose the reaction occurred within hours of vaccination.

Other Meds: Losartan, 100mg, Norvasc, 5mg, Estrogen 0.3mg

Current Illness: None

ID: 1020615
Sex: F
Age: 82
State: CA

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

Lab Data: None

Allergies: Penicillin, Celebrex

Symptoms: Redness, swelling and itching at the site of injection 1 week after she received the injection . She has been applying hydrocortisone for the past 2 days - no changes so far.

Other Meds: Simvastatin, metropolol, irbizartan, gabapentin, hydroxichloroquin, Nortriptilin, aspirin, trazodone, plaquinil, silver centrum multivitamin, coQ10, D-mannose, calcium with vitamin D, fish oil, colace,

Current Illness: Neuropathy, jhograns disease

ID: 1020616
Sex: F
Age: 66
State: VA

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: no

Allergies: Sulfa drugs

Symptoms: On the 5th, I couldn?t tell any difference, on the 6th I felt sluggish, 7th I had a lot of muscular pain, bone pain, blood pressure went up to 229/189 but this has happened before and I take Clonidine and it brought it down within an hour, the rest of the evening it was 94/46. My hands and feet were swelling and feet were in excorticating pain so I put them up and it went away. On the 8th it?s been the same thing, excorticating pain in hands and I must use a heat pad, my oxygen level dropped down and I was weak. Today I?m still the same and extremely fatigued. My doctor wanted to me call because I?ve had to used oxygen and have some confusion. The doctor?s office can tell that I?m not the same as before my shot.

Other Meds: Yes, Synthroid, Propanol, Clozapine, Cymbalta, Flexural, Xarelto, Reequip, Amotriptholine, Lisinopril, Diclofenac Sodium, Gabapentin, Elista, Hydrocodone, Anticoagulant long term use

Current Illness: CAD, Systematic Lupus, Dry Mouth Syndrome,

ID: 1020617
Sex: M
Age: 23
State: MD

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

Lab Data:

Allergies:

Symptoms: Within 5 minutes of the patient receiving his vaccine he c/o of feeling dizzy, lightheaded and thought was going to pass out. Patients vital signs were taken, given fluids, and ice pack, monitored for over 30 minutes. Patient remained conscious the entire event. Initial BP dropped to 50/30's with hear rate in the 50's. Symptoms resolved, vital signs returned to baseline, patient denied further medical care and left the clinic without any further incidnece

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm