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: 1021274
Sex: F
Age: 48
State: AR

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Epinephrine

Symptoms: Extreme fatigue and leg aches

Other Meds: Benicar, prilosec, Zoloft, Flonase, Allegra, water pill

Current Illness: No

ID: 1021275
Sex: F
Age: 67
State: CA

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

Lab Data:

Allergies: sulpha, Amoxicillin and Bee Stings

Symptoms: vertigo intermittent 3 episode in under 48 hours so far

Other Meds: Prescription Drugs Arimidex/Anastrozole 1 mg 1 tablet am Doxycyline hyclate perio 20 mg tab 1 tablet am and pm for my gums Armour Thyroid 1 gr 60mg tablet 1 tablet in am Butalbital-ASA-Caffeine Caplt migraine as needed Formula 3 from p

Current Illness: none

ID: 1021276
Sex: F
Age: 61
State: PA

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

Lab Data: None

Allergies: Sulfa drugs, sulfates, aspirin,Motrin,

Symptoms: Itchy mouth and throat, red blotchy face, tight chest and bright red cheeks

Other Meds: Zoloft, Zertec, Advair

Current Illness: None

ID: 1021277
Sex: F
Age: 52
State: AZ

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Negative covid test

Allergies: Penicillin

Symptoms: Pain, weakness, fatigue, abnormal mentation, tongue throbbing, cough, hoarse voice

Other Meds: Humalog insulin, similyn, Levothyroxine, trazadone, lisinipr

Current Illness: Type one disbetic

ID: 1021278
Sex: F
Age: 45
State: VA

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

Lab Data:

Allergies: NKA

Symptoms: itching around area of injection site and knot along with swelling--I will consult with my primary care physician's office on 2/11/21

Other Meds: hydrochlorothiazide, nifedipine ER, vitamin C, B complex, Vitamin D, multivitamin

Current Illness: N/A

ID: 1021279
Sex: F
Age: 53
State: CA

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

Lab Data: N/A

Allergies: mineral oil and lanolin on skin

Symptoms: low temperature (97) , pain and swelling of facial skin, eyes and sinuses, body aches and fatigue.

Other Meds: Ibuprofen, decongestant, Synthroid, Estradiol, Progesterone, Flouxitine, Atorvastatin..

Current Illness: Lupus Panniculitis

ID: 1021280
Sex: F
Age: 73
State: VA

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

Lab Data: None

Allergies: Amoxicillin Propanolol seasonal allergies

Symptoms: Describe Safety Event (factual and objective) Client received her first dose of the Pfizer vaccine and at the end of her 15 minute post-vaccination wait period in her car, she took off her mask and her husband noticed that her face appeared flushed. Client has a history of allergy to amoxicillin and propranolol as well as seasonal allergies. Vital signs were as follows: BP=155/88, Pulse=111. Client stated that that she did not feel itchy. She denied shortness of breath, difficulty breathing and a rash. Client verbalized that she felt fine, and would take an antihistamine once she arrived home. She was asked to call 911 if she experienced any symptoms such as trouble breathing or she noticed any rash. She voiced understanding and left with her husband.

Other Meds: Unknown

Current Illness: unknown

ID: 1021281
Sex: F
Age: 21
State: MA

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

Lab Data: N/A

Allergies: Gluten (celiac?s disease)

Symptoms: Formation of medium-sized, raised, warm, red patch at site of injection . Noticed it on 02/10, not sure how long it has been present for. I have had a headache today as well (02/10). Not sure if it has anything to do with the rxn

Other Meds: Larin Fe (birth control, been taking for 5+ yrs)

Current Illness: None

ID: 1021282
Sex: F
Age: 44
State: UT

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

Lab Data:

Allergies: none

Symptoms: Fever, deep aches, swollen left bicept, redness at injection site going from the bicept and wrapping around the arm almost to the elbow.

Other Meds: hydrochlorothiazide Levothyroxine Vitamin D Potassium Citrate

Current Illness: none

ID: 1021283
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: Itching, redness and slight pain at the injection site 8 days after the first shot. My arm is warm/hot in the area and feels more stiff than my other arm in the same spot.

Other Meds:

Current Illness:

ID: 1021284
Sex: F
Age: 16
State: CO

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

Lab Data:

Allergies:

Symptoms: PATIENT IS 16 YEARS OLD AND RECEIVED A VACCINE APPROVED FOR 18+ YEARS OLD

Other Meds:

Current Illness:

ID: 1021285
Sex: F
Age: 80
State: UT

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: lst and 2nd day: sore arm 3rd day: shortness of breath, fatigue, body aches, headache one week later: arm itching , red and blotchey and warm Time Course: symptoms lasted 4-5 days

Other Meds: Metoprolol, Myrbetriq, Vit D, Triazolam, Simvastatin, B12, Citracal, fiber supplement

Current Illness: flu symptoms one month prior

ID: 1021286
Sex: M
Age: 74
State: FL

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

Lab Data:

Allergies: Sulfa, Corticosteroids

Symptoms: Covid Arm - red, swelling, itching - started second day - worse third say, lasted for 5 days

Other Meds: CarbiDopa/LevaDopa, Terizosin, Metformin, CoQ10, Lutein, Zeaxanthin, FlaxSeed Oil, VitaminD3, Tadalafil, Metamucil,Claratin, Tumeric, TripleFlex

Current Illness:

ID: 1021287
Sex: U
Age:
State: UT

Vax Date: 01/26/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fine after vaccination on Jan. 26. On Feb. 5 woke up with quite severe neck pain and lethargy. Limited range of motion. Difficultly in standing and moving. No fever. Lost appetite. Taste okay, but slightly nauseous. Pain and symptoms have persisted. Today, Feb. 8, woke with extreme headache and even less mobility. Blood pressure is 122/91 and pulse was 110 in morning. Later this evening developed a fever at 99.7 (normal is 96.6) Pain and stiffness has expanded from neck region to lower back. Mobility is even less, despite efforts at walking and stretching. If possible, please contact us as to whether other people have had a delayed reaction like this. We can't find documentation. Okay to have 2nd shot Feb. 22?

Other Meds: None

Current Illness:

ID: 1021288
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies: Morphine

Symptoms: rapid heartbeat, temp of 100.6 so far, headache, mild rash, achy. I have taken Benadryl for the rash

Other Meds: Zocor, Vistiril

Current Illness: None

ID: 1021289
Sex: F
Age: 74
State: TX

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

Lab Data:

Allergies:

Symptoms: 8 days after vaccine administered, the vaccination site became red, raised, inflamed, and itchy. 2" long by 2" wide raised area. Used cold compresses and within four days it was back to normal. Really strange.

Other Meds:

Current Illness:

ID: 1021290
Sex: F
Age: 50
State: CA

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

Lab Data: none

Allergies: NKA

Symptoms: This was mostly already done. Had a hard time sleeping last night, shift in schedule anyway but awoke with arm pain, chills, and a headache. After one hour awake, mustered up energy to get up, take an extra 1/2 dose of my nightly 100 mg trazodone & 2 extra strength Tylenol, & get a second comforter and other bedding to help chills. Today at work (working from home) I felt much more sluggish than usual, had a headache, mild muscle aches, didn't have energy to hop in the shower or even think to go get more Tylenol. Just tried to manage to get through the day, do the minimum, while wanting to go back to sleep. Chills reduced from this morning, got better over course of day but not fully subsided yet. Along w/ chills, felt somewhat milder "something" - "not quite" jumpy, trembly, twitchy or tingly...hard to describe, body today just felt a little "off," "unsettled," too vague or subtle to describe better; it's also improved I think over course of day some.

Other Meds: Adderall XR, Synthroid, trazodone; Skin, Hair, & Nails formula (w/ collagen, biotin)

Current Illness: None relevant (mild foot injury, wrist pain from overuse and old poorly healed fracture)

ID: 1021291
Sex: F
Age: 44
State: MD

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

Lab Data: none

Allergies: none

Symptoms: Severe myalgias started during sleep the night of the vaccine administration. Next day myalgias persisted & worsened and brain fog started (difficulty/inability to perform ADLs, memory lapse, difficulty thinking, concentrating, forming sentences, functioning very slow, etc). Throughout the day severe headache set in, myalgias persisted and brain fog worsened. By 8-9pm symptoms were extreme, took about 1000mg of expired Children's Tylenol. By 11pm myalgias improved. Slept through night. Next morning all symptoms had resolved.

Other Meds: none

Current Illness: none

ID: 1021292
Sex: F
Age: 60
State: KS

Vax Date: 01/25/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Erythromycin, Cephalexin, Sulfa, mold Serious sensitivity to antihistamines

Symptoms: On the evening of day 8 (February 5) I developed one large hive at and proceeding below the vaccination site on my left arm. It was hot, red, raised, and for the first 12-16 hours, hard to the touch. It has diminished slightly but is still present this evening, day 13. Ihave treated it with NSAIDs for the inflammation and sime OTC hydrocortisone cream. I understand this is known as ?COVID arm? and is not serious, but felt you should have the data. I participated in vsafe but that ended before this symptom started.

Other Meds: Levothyroxine (100mcg), multivitamin, iron, D3, fish oil

Current Illness: None

ID: 1021293
Sex: F
Age: 65
State:

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: My mom is 65 years old and received the first dose of Moderna's vaccine last Saturday, 2/6. On Tuesday, 2/9 (three days after the vaccination), she saw red and purple bruises across her left arm - the arm where the vaccine was injected. Nothing occurred to cause the bruises across her left arm. There was also one large bruise on her left leg but that was caused by bumping her leg into an object. My mom went to her PCP today for bloodwork. We hope to get results from Quest tomorrow. My mom has received various vaccinations throughout life and this reaction is unprecedented. The day after she received the COVID-19 vaccine, she had a fever, dizziness, low blood pressure and slow heartbeat. All these side effects disappeared by Tuesday (three days after vaccination) but the bruises appeared.

Other Meds:

Current Illness:

ID: 1021294
Sex: M
Age: 70
State: NC

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Sulfa Penicillin

Symptoms: Covid Arm developed 10 days after shot ?swelling , redness where the shit was given ? mild headache - tired

Other Meds: Losartan -25mg Zetia - 10mg Prevasatin - 25mg

Current Illness:

ID: 1021295
Sex: F
Age: 50
State: OR

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

Lab Data:

Allergies: Zithromax

Symptoms: Extreme body aches. Horrible! Extreme fatigue. Started about 12 hours after shot and lasted about 24 hours.

Other Meds: Levothyroxine Vascepa

Current Illness: None

ID: 1021296
Sex: F
Age: 50
State: TX

Vax Date: 02/04/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Undiagnosed Shellfish allergy

Symptoms: Received first vaccine on Thurs, Feb 4. Had a bruise at injection site that appeared later in the day. Applied arnica gel daily, with no results. Woke up morning of Tues, Feb 9 with soreness below injection site with redness and inflammation. On Wed, Feb 10, the area was larger and began itching. Have not noticed rash-like bumps, but the skin in the area is warmer to the touch than the rest of the arm

Other Meds: Flonase NP Thanks Miloxicam 1x/wk Emergen-C daily

Current Illness: None

ID: 1021297
Sex: F
Age: 64
State: VA

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

Lab Data: None

Allergies: Unknown

Symptoms: Client received her first dose of the Pfizer vaccine. At the end of her 15 minute post-vaccination wait period she developed a tingling at the tip of her left index finger. She was assessed by Nurse. The tingling remained at that anatomical location and did not spread. Client denied any itching, rash, tightness in her throat or difficulty swallowing. She could move and bend her left index finger without any difficulties. Examination of her skin did not reveal any rash. Her vital signs were as follows: BP=139/83; Pulse=74bpm; Respirations=18per minute. She was observed for 30 minutes, during which time she stated that she felt fine.

Other Meds: unknown

Current Illness: Unknown

ID: 1021298
Sex: F
Age: 32
State: MD

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

Lab Data:

Allergies: Coedine

Symptoms: Pain at and around injection site in arm, body aches, fever, headache, sinus pressure

Other Meds: Dietary supplements: vitamin D, C, Zinc, Calcium, Magnesium, Biotin, Digestive Enzyme complex, additional multi-vitamin

Current Illness: None

ID: 1021299
Sex: M
Age: 51
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache, swelling, fever 100.8F

Other Meds:

Current Illness:

ID: 1021300
Sex: F
Age: 38
State: AZ

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: lower back/pelvis pain, fever 103 with Tylenol and ibrophen, rigors, fatigue, nausea

Other Meds: tysabri

Current Illness: none

ID: 1021301
Sex: F
Age: 71
State: NJ

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

Lab Data: none

Allergies: no

Symptoms: none

Other Meds: Vitamins B,D,C, Tylenol

Current Illness: Low back

ID: 1021302
Sex: F
Age: 30
State: UT

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

Lab Data:

Allergies: penicillin and rats

Symptoms: Only my Right side got sore muscles and the right side of my face went numb.

Other Meds: Birth control

Current Illness: none

ID: 1021303
Sex: F
Age: 56
State: OH

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

Lab Data: none

Allergies: statins

Symptoms: sore arm, around injection site, red and firm circular area. increased from date of vaccine to today. itchy. tender. no treatment except over the counter tylenol and motrin.

Other Meds: synthroid, fish-oil, vitamin D, claritin, singular, colace, probiotic, cholesterol med., ativan, adipex

Current Illness: none

ID: 1021304
Sex: M
Age: 80
State: CA

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

Lab Data:

Allergies: unknown

Symptoms: Patient was given Pfizer vaccine on 1/19/2021, returned to clinic today on 2/10/2021 and was given Moderna vaccine as 2nd dose. patient was monitored for any reaction to medication, patient did not have any issues after vaccination.

Other Meds: unknown

Current Illness: unknown

ID: 1021305
Sex: F
Age: 66
State: NC

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

Lab Data: Dr ordered extensive blood work, drawn on 2/8/21, to test for Diabetes, Thyroid Function, Anemia, and Potassium Levels; most blood work was normal; the abnormal was: * Sed Rate: 32 mm/hr (normal is less than 30 mm/hr) * C- reactive Protein (CRP), inflammatory: 2.16 mg/dl (normal, standard range is less than 0.60) On 2/9/21, the Doctor send a note, saying this indicated inflammation and that it was related to the vaccine On 2/10/21, I called and cancelled tomorrow's 2nd vaccine with pharmacist, who agreed good idea and left message for dr to call me. Pending call and advice.

Allergies: Allergy to Morphine Sulfate; caused itching and hives postoperatively in 1970's; some mild seasonal/ environmental allergies, which I take xyzal for, rarely, as needed.

Symptoms: Within @ 8 minutes of getting vaccine, had mild tingling of nose, forehead; within @ an hour, had tingling around mouth, both hands, all fingers & both forearms; later in day, had some tingling in upper arms and thighs; subsided after 24 hrs; by 1/30, same symptoms returned, at bedtime, with some tingling feet, sides and back; on 2/3, same symptoms extended to daytime and all day; on 2/5, made appt with medical provider; saw Dr on Mon, 2./8, with same continuing symptoms; no motor symptoms; he did extensive blood work and shared results on 2/9 (see below); recommended to consider as an option to later get a non Messenger RNA type vaccine; on 2/3, left message, not yet answered, with Dr to discuss recommendations and follow-up; spoke with Pharmacist, who agreed I should cancel appt on 2/11, for 2nd COVID Shot.

Other Meds: None at exact time of vaccination; later in day, took usual daily Fish Oi, Vits Cl & D (OTC) and Losartan 50 mg tablet (BP Med)

Current Illness: None

ID: 1021306
Sex: F
Age: 51
State: CA

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

Lab Data: None

Allergies: Sulfa meds and Demerol

Symptoms: Fever of 101 for 24 hours accompanied by chest pressure, body ache/pain, kidney pain and "brain fog"

Other Meds: None

Current Illness: None

ID: 1021307
Sex: F
Age: 21
State: PA

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

Lab Data:

Allergies:

Symptoms: Patient went down to floor shortly after receiving immunization and complained of dizziness, weakness, face numb and tingly. Patient monitored and when feeling better was sat in a chair. Started feeling anxious again and was laid back down. Patient was feeling better and sat back down in a chair. Reported numbness in face and tongue but was alert and conversating with friend. After 8 minutes, patient reported feeling better and denied any symptoms.

Other Meds:

Current Illness:

ID: 1021308
Sex: F
Age: 41
State: VA

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

Lab Data: None

Allergies: Clorox, alcohol

Symptoms: Client received her first dose of the Pfizer vaccine. She stated that she was allergic to alcohol and bleach. During her 30minute post-vaccination wait time, she complained of tightness in her chest and attributed it to the smell of alcohol (from the alcohol pads) in the cafeteria. She was evaluated by Nurses, the EMT Personnel working at the POD. She wanted to know if she could use her inhaler, since she was asthmatic. She used her inhaler, stated she felt fine and was observed for another 15 minutes, during which period she denied any symptoms.

Other Meds: None

Current Illness: None

ID: 1021309
Sex: F
Age: 26
State:

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

Lab Data:

Allergies: None

Symptoms: Monday afternoon - Wednesday morning fever and aches. Wednesday evening - large rash on injection site This is my second dose The first dose I had a delayed rash on arm - rash appeared 1 week after the vaccine

Other Meds: None

Current Illness: None

ID: 1021310
Sex: M
Age: 72
State: NJ

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

Lab Data: none

Allergies: no

Symptoms: none

Other Meds: Vitamins One for men, Vitamin C

Current Illness: High Sugar level

ID: 1021311
Sex: F
Age: 30
State: PA

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

Lab Data:

Allergies: Penicillin

Symptoms: ?Covid arm? red itchy swollen area hot to the touch. Paired with fatigue.

Other Meds: 20mg Lexapro 20mg AdderLl

Current Illness: No

ID: 1021312
Sex: F
Age: 63
State: TN

Vax Date: 02/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Quinine Paragoric

Symptoms: Covid Arm Extreme itching , redness and heat at injection site

Other Meds: Metoprolol Folic Acid Duloxetine B12 Ibuprofen Trazadone Vit D Methotrexate

Current Illness: Allergies seasonal

ID: 1021313
Sex: F
Age: 23
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: eye pressure/pain/floaters beginning day after second vaccine dose and lasted for three days. Lymph node in under arm of injection arm swelling starting day after second vaccine those on January 20 and still swollen and tender on February 10

Other Meds:

Current Illness:

ID: 1021314
Sex: F
Age: 32
State: OR

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

Lab Data:

Allergies:

Symptoms: Injection site: pain, swelling and lymph nodes swelling, extremely fatigue Moderna COVID-19 Vaccine EUA

Other Meds:

Current Illness:

ID: 1021315
Sex: F
Age: 39
State: IL

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

Lab Data: None

Allergies: None

Symptoms: Lump at injection site. Characteristics of lump: 2 inches in circumference, red, raised, hard, painful, itchy, warm to the touch.

Other Meds: Erythromycin (2% topical) on face for rosacea

Current Illness: None

ID: 1021316
Sex: F
Age: 24
State: IL

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

Lab Data:

Allergies: None

Symptoms: Headaches, chills, low grade fever, back pain, and swollen, red vaccine site... treating with Tylenol and Benadryl... Tylenol helping some.

Other Meds: Birth control, Claritin

Current Illness: Strep throat 3 weeks ago

ID: 1021317
Sex: F
Age: 37
State: CA

Vax Date: 01/28/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe left upper quadrant pain that lasted 5-6 hrs. Next day Lipase level checked and was 1,749 (max norm 396). Next day increased fatigue, some chills and moderate headache. Wednesday, headache continued which was severe, worsened chills, continued fatigue and mild nausea. All labs returned to normal by Wednesday and no evidence of pancreatic inflammation/damage or gallbladder disease on CT or ultrasound.

Other Meds: Levothyroxine, adderall, macrobid

Current Illness: Treating a UTI at the time

ID: 1021318
Sex: F
Age: 69
State:

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

Lab Data:

Allergies: Penicillin, Sulfa, Kiwi

Symptoms: Day 2 was fatigue, low grade fever. Day 3 Body aches -neck, lower back, thighs. Symptoms subsided on Day 4. Day 8 itchy lump on arm at injection site.

Other Meds: Benazepril-HCTZ 20-25

Current Illness: None

ID: 1021319
Sex: M
Age: 33
State: IA

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

Lab Data: LP with encephalitis/meningitis panel.

Allergies: None

Symptoms: Patient received vaccine in AM, had seizure in PM at work with typical post-ictal picture. Has epilepsy but no seizure since 2014. Also has history EtOH misuse but history not consistent with withdrawal. Patient had some waxing and waning altered mental status, worsening slowly over next 2-3 days. Presented to ER with AMS. Initially thought to be EtOH withdrawal, but due to atypical clinical appearance, LP performed and HSV encephalopathy diagnosed.

Other Meds: Keppra Folic Acid/thiamine amlodipine

Current Illness: None known

ID: 1021444
Sex: F
Age: 29
State: RI

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

Lab Data:

Allergies: Bactrum (medication)

Symptoms: Covid arm. About 10 days after injection, red circle appeared around injection side with some raised parts. So far it is not painful or itchy

Other Meds: Pre-natal vitamin (Nature Made Multi plus DHA)

Current Illness: N/a

ID: 1021447
Sex: M
Age: 80
State: WA

Vax Date: 01/24/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: MRI brain 2/1: 1. There is a tiny acute periependymal lacunar infarct adjacent to the right lateral ventricle measuring 6 x 6 mm in AP and TV dimensions. 2. No other acute intracranial abnormality such as mass, midline shift, or hemorrhage. 3. Mild for age scattered white matter disease. ct cap 2/3 1. Cholelithiasis with gallbladder wall thickening and fat stranding in the porta hepatis, suspicious for acute cholecystitis. Small amount of ascites. 2. Diverticulosis. % Segmented Neutrophils % 34 % Lymphocytes % 12 % Monocytes % 4 % Eosinophils % 49 % Basophils % 1 % Immature Granulocytes 0.0 - 0.0 % TNP Absolute Segmented Neutrophils 1.40 - 7.00 th/mm3 7.65High Absolute Lymphocytes 0.70 - 3.10 th/mm3 2.70 Absolute Monocytes 0.10 - 0.90 th/mm3 0.90 Absolute Eosinophils 0.00 - 0.40 th/mm3 11.03High Absolute Basophils 0.00 - 0.20 th/mm3 0.22High

Allergies: levaquin

Symptoms: within 2 days of the vaccine he began to feel dizzy, this progressed. he was admitted to hospital 2/1 and was found to have lacunar infarct as well as chronic cholecystitis as well as hypereosinophilia with AEC 4500-11000. no rash or renal failure. he had transamintiis that resolved with treatment of cholecystitis (percutaneous cholecystectomy). eosinophilia work up not yet completed at the time of this report.

Other Meds: albuterol, aspirin, vit d3, Cymbalta, Flonase, Flovent, Advair, Neurontin, Claritin, vit e,

Current Illness: Sjogrens syndrome (HCC); S Anemia, unspecified; ; Esophageal reflux; Unspecified asthma(493.90); Unspecified sleep apnea; Depressive disorder,

ID: 1021451
Sex: M
Age: 29
State: PA

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

Lab Data: None taken yet - looking to schedule an independent 32 panel through lab since I don't have a referral yet

Allergies: None (seasonal only)

Symptoms: Have been dealing with significant nosebleeds since the day of the 2nd vaccination and the accompanied fever - reported via VSAFE and to PCP nursing team but no follow up opportunities given yet. Seems to occur 1-2x a day without any ostensible trigger.

Other Meds: Vitamin D3, Vitamin C

Current Illness: None

ID: 1021455
Sex: M
Age: 42
State: MI

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

Lab Data:

Allergies: Penicillin codeine

Symptoms: Itching

Other Meds: Vitamin d c and metformin 500mg simvastin enalprin magnesium

Current Illness: Diabetes type 2

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm