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: 1021458
Sex: F
Age: 34
State: NM

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

Lab Data: None

Allergies: Slight allergy to dog/cats, dust. No other allergies.

Symptoms: Large red welt appeared 8 days after 1st dose of vaccine. About 3 inches x 2 inches. Slight itch, no pain.

Other Meds: Symbicort, albuterol, adderall, escitalopram, vitamin D

Current Illness: None

ID: 1021462
Sex: F
Age: 69
State: AZ

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

Lab Data:

Allergies: Penicillin Cupronickel Clyndamicin

Symptoms: Awoke with hard red knot at injection site on day 9 - pain, and itching rash

Other Meds: Sim satin Zinc Vit d Magnesium

Current Illness: None

ID: 1021465
Sex: F
Age: 67
State: CO

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

Lab Data: None

Allergies: Sensitivities (not allergies) to doxyxycline, tertracycline, vicodin, ambien Seasonal allergies

Symptoms: Onset with 1 hour of severe chills and trembling to the point of being unable to hold a glass of water. Moderate to severe nausea lasting about 40 hours, onset about 10 am on 2/7/20. Extreme migraine headache starting about 2 pm on 2/7 and resolving around 9 am 2/10 intermittent but mostly present), vomiting onset around 2 pm 2/7 and continuing to 2/9 at 10 pm with dry heaves mostly, inability to keep down water 2/7 and 2/8, loss of appetite and no food from 2/6 at 6 pm to 2/ 9 at4 pm. Chills from 2/7 to 2/8 evening. Body pain from onset to throughout first day of symptoms. Extreme fatigue, significantly increased sleeping as possible. DIsorganized and intense dreaming for nights 2/8 and 2/9. Difficulty sleeping due to pain and nausea. Treatment: Zophran for nausea, mildly effective, didn't really stop nausea or vomiting. Tylenol for migraine, no effect. Outcome: Symptoms except for fatigue began to slowly resolve on 2/9 late morning. Better on 2/10, eating and drinking some but not back to normal. Fatigue moderate but better. Considered presenting to ER for IV fluids and medications, but consulted with physician and decided to wait to see if symptoms decrease by 2/10.

Other Meds: Naturthroid, Ezitimibe, Escatalopram, Vitamin D3, Vitamin B Comlex with B-12, Turmuric, niacin high dose PRN: Diclofunac, Sumatripin, Reglen, a little Benedryl (for Migraine)

Current Illness: Brief migraine 4 days prior, took migraine cocktail 1x

ID: 1021469
Sex: F
Age: 43
State: SC

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

Lab Data:

Allergies: None

Symptoms: Red lesion around injection site, hardness, warm to the touch and itchy. Started taking Benadryl 2/9 and it?s not as red but still very itchy around the injection site, even to my underarm and backside of my arm.

Other Meds: Wellbutrin, Effexor, lisinopril, crestor, estradiol, omeprazole. I took Benadryl starting Tuesday, February 9.

Current Illness: None

ID: 1021473
Sex: F
Age: 59
State: CA

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

Lab Data:

Allergies: unknown

Symptoms: dizzy- passed out while in chair. Blood sugar-92, Patient given fluids, feet elevated After 15 minutes patient able to sit safely. Monitored additional 30 minutes without issue

Other Meds: unknown

Current Illness: unknown

ID: 1021476
Sex: F
Age: 48
State: CA

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red Splotch on injection site Itchy skin Redness

Other Meds: Multivitamin Tums Glucosamine Chondroitin MSM

Current Illness: None

ID: 1021479
Sex: F
Age: 53
State: CA

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

Lab Data:

Allergies: Use an epi pen

Symptoms: Pt complained of a headache after injection, she was messaging her doctor then she asked for Benadryl. I have her 5 ml Benadryl.

Other Meds:

Current Illness:

ID: 1021483
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies: None

Symptoms: Hives on behind the right thigh, itchy and hot approximately 1 hour after the vaccination. Left upper arm soreness for 4 days. Extreme exhaustion that lasted for 3 days.

Other Meds: Sertraline HCL 50mg Tri- Lo -Estarylla

Current Illness: None

ID: 1021487
Sex: F
Age: 20
State: FL

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

Lab Data:

Allergies: Benzyol peroxide, Tree nuts, Tropical fruits

Symptoms: 9 Days after first injection, developed a 2 inch red circular, raised feverish lesion. site is itchy and feels like cellulitis. PT. took, benydryl and topical hyrdrocordzion cream. site has not cleared up, and it has been 36 hours since patient first noticed rednesd

Other Meds: Slynd Birth control

Current Illness:

ID: 1021490
Sex: F
Age: 66
State: MD

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

Lab Data: Dr office did both rapid covid Negative and reg Covid which was negative. 2/9. Tried to aspirate one blister with sterile needle

Allergies: Biaxin uset stomach Dust Mold Mildew

Symptoms: Received Vaccine on Friday Morning. 2/5/21. on Sat Morning 2/6/21 12N developed blisters on all tops of toes on both feet. Very painful. Soaked feet and elevated Sat & Sunday Called Monday morning saw Primary care Dr. on Tuesday they referred me to a Dermatologist. also under advise of my Son Dr. who I sent pictures to on SAt & Sunday/ Dr has spoke to the Dermatology Dept and has been checking on information about this. I was also advised to report this to you and Moderna. on 2/9/21 prescribed Prednisone, Doxecyline and 81mg Baby aspirin a day. Cultured blisters. Return to see her Monday Feb 15th

Other Meds: Atorvastatin 10mg Esomeprazole 20mg Fosamax every Monday Triamterene-hydrochlorothiazide 37.5-25 mg Tumeric Multivitamin Motrin 800mg

Current Illness: None

ID: 1021493
Sex: F
Age: 63
State: CA

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

Lab Data:

Allergies:

Symptoms: Flu symptoms 48 hours Nausea 6 days Aggravated atopic dermatitis

Other Meds:

Current Illness:

ID: 1021500
Sex: F
Age: 69
State: MS

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

Lab Data: None

Allergies: Mycin, Pork, Turkey, Deathly allergic to iodine, nickel, adhesive

Symptoms: 100.8 fever and then 96 fever with chills for about 4 hours, extreme fatigue the next day, and more than usual joint pain. Taken on a Monday at 12:10 PM and all better by Wednesday of the same week. Another person in my same group at Noon had the same problems.

Other Meds: Benadryl, Zyrtec, B-100, Calcium and D, Potassium, Omeprazole and Amberen

Current Illness: None

ID: 1021503
Sex: F
Age: 53
State: IA

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

Lab Data:

Allergies: Codeine

Symptoms: Itching redness hives at site of injection

Other Meds: Bariatric Advantage multivitamin with iron Cymbalta

Current Illness: Virus, not covid negative Covid test 02/04/21

ID: 1021505
Sex: M
Age: 77
State: CA

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

Lab Data: COVID TEST UP NOSTRILS- NEGATIVE. SLIGHT FEVER FOR BRIEF TIME , MONDAY, AFTER 2ND VACC-MODERNA. 9/8/21. WENT TO ER, TOO BUSY THERE, I LEFT, FELT BETTER LATER THAT EVENING. RIGHT NOW, 7/10/21, FEEL GOOD, DIZZINESS GOING AWAY VERY DRY MOUTH - FUROSIMIDE,

Allergies:

Symptoms: TODAY (7/10/2021 - VERY DIZZY FOR ALL DAYS AFTER SHOT, URINE BLOCKAGE, BEING SEEN ALSO BY DR , C FOR BLADDER CANCER, TREATMENT, CYTOLOGY, NURSE WEEKLY, CATHETER TREATMENT 9 WEEKS. TODAY 7/10/2021 AFTERNOON BECAME VERY DEPRESSED, SCARY, DRY MOUTH, SOME KIND OF 'HIGH SPEED HUMMING IN MY HEAD AFTER VACC, BALANCE PROBLEMS BUT A LITTLE UPLIFTED AFTER 2ND VACC, INSOMNIA, EVEN WITH OTC SLEEP AIDS, SUDDENLY, AROUND 7:00 PM PACIFIC, DEPRESSION 'FELL OFF' THANK GOD. VERY SELF-RELIANT, STRONG INDIVIDUA, NON-RELIGIOUS, EDUCATED, BA LITURATURE, AA COMPUTERS - PROFESSION NOW RETIRED

Other Meds: VITAMINS: B,C,D,E, POTASSIUM, OMEGA- FISH OIL BUPROPION, TAMSULOSIN,AMLODIPINE, HYDRALIZINE.OXYBUTIN, METFORMIN

Current Illness: URINE BLOCKAGE, BLADDER CANCER, LUNG CANCER, PROSTATE CANCER, HBP, DIABETES, HYDRALAZINE, PREVAGEN DEPRESSION, ANXIETY

ID: 1021507
Sex: M
Age: 41
State: AZ

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

Lab Data:

Allergies:

Symptoms: The Needle on the syringe used for administration was not completely attached. During administration vaccine leaked out between the needle and syringe connection leaking down the patient's and not injected. It was unknown how much vaccine was administered of the 0.3 mL dose. An additional dose was administered. No adverse event/reaction was noted after the second injection.

Other Meds:

Current Illness:

ID: 1021510
Sex: F
Age: 36
State: NY

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

Lab Data:

Allergies:

Symptoms: Rash on neck, back, stomach any groin. Itchy and hot to the touch

Other Meds:

Current Illness:

ID: 1021513
Sex: M
Age: 32
State: OR

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

Lab Data: None needed

Allergies: None

Symptoms: Sore arm

Other Meds: None

Current Illness: None

ID: 1021516
Sex: F
Age: 62
State: TX

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

Lab Data:

Allergies: none

Symptoms: Day after vaccine I had sore arm, swollen at the injection site, swollen ear lobes (lasted 24 hours), itching both arms, itching jaws, itching scalp, 2 days later still itching

Other Meds: pot chlor er, valsartan, felodipine er, metoprolo succinate er, metformin hcl, januvia , vitamin c, vitamin e , alpha lipoic acid,

Current Illness: .

ID: 1021519
Sex: M
Age: 23
State: NY

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

Lab Data:

Allergies:

Symptoms: Had some headache, fatigue, and fever within 12 hours of the vaccine, but that mostly stopped after 36 hours. Now experiencing mild discomfort when breathing in, feels like tightness in chest.

Other Meds: Welbutrin

Current Illness:

ID: 1021521
Sex: F
Age: 28
State: CA

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

Lab Data: None (as of yet)

Allergies: None that I?m aware of. I did have an allergic reaction to an antibiotic (hands and feet were swollen) however, since I was taking more than one antibiotic at the time, medical provider could not determine which antibiotic was the cause of the reaction.

Symptoms: Moderna COVID-19 Vaccine EUA I received my first COVID-19 vaccine (Moderna) on January 31st, 2021. About 2 hours later, I had moderate-extreme pain in my left arm (couldn't raise my arm). About 4-6 hours later, I had side effects such as a red, raised rash near the shot (about, 3-4 inches in diameter), fever (99 degrees), swollen painful lymph nodes under arm pit (left arm) and fatigue. On February 1st, 2021, I continued to have pain in my arm, rash and swollen lymph nodes for about 48 hours. After that, my rash was then no longer visible. No medication was taken for symptoms. On February 7th, I noticed in the morning that my rash near the shot came back (same location) with no other signs or symptoms. The rash was now red and flat (not raised). On February 8th, around the 4:00PM my head felt heavy (sort of like a head cold), fatigue, loss of appetite, stuffy nose, fever (100-101 degrees). I took an Advil that night at about 10:00PM (first time taking medication to treat symptoms). On February 9th, in the morning my symptoms (fever, fatigue, stuffy nose) were gone. My rash mostly went away in the morning (still slightly visible). My appetite in the morning seemed to return but I felt slightly nauseous after eating breakfast. Around noon, my nausea dissipated, I felt fatigued and had a fever of 101.6. I took Motrin at about 5:00PM and my fever dissipated. That night, at about 10:00PM I went to bed and was unable to sleep at all that night (extremely unusual as I don?t have any problems sleeping). I felt my fever came back at about 11:00PM but tried to go without the Motrin until about 3:00AM. I checked my temperature at 3:00AM which was 101.9 degrees. Due to feeling extremely uncomfortable I took the Motrin at that time. My fever dissipated again and I was able to get maybe a couple hours of sleep. On February 10th, I woke up with no appetite, joint pain in my elbow of my left arm (no history of injury) and a fever of about 100 degrees at 11:00AM. I had a very small breakfast at about 11:00AM. I haven?t felt hungry since 4:00PM today, consistent with a loss of appetite. Currently, I?m checking my temperature about every hour or so and have been going back and forth between 100-101 degrees. My elbow joint pain on my left arm has only started today and it has only flared up in the morning and then the afternoon. I took another Motrin today at 6:00PM and will take another tablet of Motrin before bed to get rest. I am scheduled to do an e-visit with a doctor tomorrow morning.

Other Meds: Zovia (birth control)

Current Illness: None

ID: 1021524
Sex: F
Age: 64
State: UT

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

Lab Data:

Allergies: None

Symptoms: Fever,chills,body aches, weakness, headache started 9 hours after the vaccination, lasted 36 hours.

Other Meds: Armpit thyroid, bupropion

Current Illness: None

ID: 1021527
Sex: F
Age: 44
State: TX

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

Lab Data:

Allergies: Penicillin

Symptoms: Huge rash at injection site

Other Meds: Vitamin Eye allergy drops Cholestraymine

Current Illness: microscopic colitis Diabetes-diet controlled

ID: 1021530
Sex: F
Age: 36
State:

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

Lab Data: 02/09/2020 - basic metabolic panel; CBC with differential; pregnancy test, qual

Allergies:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine Anaphylaxis reaction Background -I have had one other anaphylaxis event in my history in reaction to horse dander many years ago. As such per the guidance I remained in the waiting room for 30 minutes. After 30 minutes I had a light rash on both forearms and near the injection site on my left upper arm. I felt fine otherwise. I went up to the nurse in the monitoring room and showed her the rash. She asked if I was having trouble breathing. At the time I was not. She said I could take Benadryl for the rash as long as I had no allergy to Benadryl. I started driving home. During my drive my throat started to feel itchy and irritated. It proceeded to get worse and when I looked at my throat in the mirror it was very red and starting to be visibly swollen. I drove to the nearest hospital and checked myself in to the emergency room.

Other Meds:

Current Illness:

ID: 1021532
Sex: F
Age: 41
State: MN

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

Lab Data: Blood pressure checked with 179/83

Allergies: None

Symptoms: High blood pressure light headed and dizziness.

Other Meds: Depo shot

Current Illness: None

ID: 1021535
Sex: F
Age: 41
State: RI

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

Lab Data:

Allergies: Nka

Symptoms: Covid arm

Other Meds: Vit D, Flintstone chewable, iron,b complex, claritinq

Current Illness: None

ID: 1021539
Sex: F
Age: 41
State: IL

Vax Date: 01/31/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Arm became red, swollen and painful the day after the injection. It went away but came back on day 9. It is still red, swollen and hot in a large circle 10 days post injection

Other Meds: Levothyroxine Multivitamin

Current Illness: None

ID: 1021542
Sex: F
Age: 34
State: IN

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

Lab Data:

Allergies: Seasonal allergies

Symptoms: 2 inch welt around injection site that itches occasionally. Warm to touch started afternoon of injection. Still slightly present

Other Meds: Paxil

Current Illness: Upper respiratory 2 weeks prior

ID: 1021545
Sex: M
Age: 34
State: GA

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

Lab Data: Took COVID-19 Test and was negative at urgent care.

Allergies: Lactose, tomato, and basil.

Symptoms: Headache, chills, fatigue, and fever. Still having headache and fatigue days later after the 2nd dose. I went to ER at local hospital on 2/8/2021 and waited 4 hours and did not get seen. I went to urgent care on 2/9/2021 and was seen by a physician, and was told that they could not do anything. Headache still severe and hurting off and on, I am taking Tylenol and Aleve medicine for pain.

Other Meds: Tylenol and Aleve.

Current Illness: None..

ID: 1021548
Sex: F
Age: 51
State: CA

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

Lab Data: none

Allergies: codiene

Symptoms: left arm heat welts pain

Other Meds: one a day women's vitamin cetrizine hydrochloride 10 mg vit c- 1000 & ziinc vit d 10000 iu 25 mcg

Current Illness: none

ID: 1021551
Sex: F
Age: 46
State: OH

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

Lab Data:

Allergies:

Symptoms: As I walked to sit and wait for my 15 minute period to watch for adverse effects, I felt my heart racing and a sense of panic. There was tension in my throat and my hands got clammy- changed temperature and got moist. I did no see any rash or swelling and did not have trouble breathing. I was feeling safe to leave within 30 min.

Other Meds:

Current Illness:

ID: 1021554
Sex: F
Age: 30
State:

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

Lab Data:

Allergies: Cefdinir

Symptoms: Rash and severe soreness of arm starting 1 week after vaccine

Other Meds: Proazac, Junel fe, gabapentin

Current Illness: None

ID: 1021558
Sex: F
Age: 69
State: TX

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

Lab Data: None

Allergies: None known

Symptoms: Rash and itching at injection site

Other Meds: Enalapril, Lasix, Levothyroxine, Lexapro, Crestor

Current Illness: None

ID: 1021561
Sex: F
Age: 38
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Immediately after the shot my arm was sore for a couple days then went away. Then a week later, it was tender, swollen, itchy, and hot to the touch. It lasted until day 14 and it it went away. I didn?t take any meds at all

Other Meds: None

Current Illness: None

ID: 1021564
Sex: F
Age: 61
State: SC

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

Lab Data: 8 days after the vaccine shot my arm is itches red and swollen

Allergies: Tetnus shots. Swollen and hot arm after having phenomenon shot

Symptoms: 8

Other Meds: Linispril metformin trojenta lipitor vitamin d biotin

Current Illness:

ID: 1021567
Sex: F
Age: 80
State: NV

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

Lab Data:

Allergies:

Symptoms: patient has a rash on her vaccine site, no fever, but sometimes itchy and not even hot upon palpation.

Other Meds:

Current Illness:

ID: 1021571
Sex: F
Age: 72
State: PA

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

Lab Data:

Allergies:

Symptoms: Chills/body aches/fatigue/headaches Could not get out of bed

Other Meds:

Current Illness:

ID: 1021574
Sex: F
Age: 65
State: PA

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

Lab Data:

Allergies: Compozine Codeine Atorvastatin Crestor

Symptoms: Extreme Chills Body Aches Fever Severe Headache Fatigue Nausea

Other Meds: Losartin Amolodopine Zinc Chlorthalidon Vitamin D Ezetimbe

Current Illness: I had COVID 12/22

ID: 1021578
Sex: M
Age: 72
State: CA

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: COVID arm started about 8 days after vaccination. The red rash is still present with very mild itching.

Other Meds: Lipitor

Current Illness: None

ID: 1021581
Sex: F
Age: 31
State: NC

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

Lab Data: N/A

Allergies: 1. Sulfa drugs - rash 2. Demerol

Symptoms: Skin flushing of the neck and chest, felt very hot, then became lightheaded. Lips also felt like they were tingling. Elevated blood pressure.

Other Meds: Liothyronine, Synthroid

Current Illness: None

ID: 1021585
Sex: F
Age: 60
State: TX

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: No results yet.

Allergies: No

Symptoms: Axillary lymph node-grape size, on side of injection site painful, movable and tender 5 days after the vaccine injection. No longer tender but still same size

Other Meds: Tylenol Vit -C D3

Current Illness: No

ID: 1021588
Sex: F
Age: 25
State: MI

Vax Date: 02/03/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swollen lymph nodes in left armpit. Causing pain and tenderness in that area.

Other Meds: Birth control

Current Illness: None

ID: 1021592
Sex: F
Age: 17
State: WA

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

Lab Data: None

Allergies: No noted allergies

Symptoms: Patient was 17y 7m old when vaccination was administered to her.

Other Meds: Unknown

Current Illness: No noted illnesses

ID: 1021595
Sex: F
Age: 78
State: CA

Vax Date: 01/26/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: "Covid Arm". Peri injection rash. Significant in size. Shoulder to antecubital fossa.

Other Meds: None

Current Illness: None

ID: 1021598
Sex: M
Age: 50
State: MN

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

Lab Data:

Allergies:

Symptoms: Itching and bit of swelling on injection site

Other Meds:

Current Illness:

ID: 1021602
Sex: F
Age: 48
State:

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy arm. Red circle hive lie rash Occurred one week later and lasted 2 weeks. Injection site muscle soreness continues still Hard lump

Other Meds:

Current Illness:

ID: 1021605
Sex: F
Age: 43
State:

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

Lab Data:

Allergies: No

Symptoms: Lump/rash appeared on left arm 1-2 days after 2nd dose of vaccine, 2.5 inches below injection site. Red, raised, warm to touch. Diameter approximately 3 inches

Other Meds: None

Current Illness: None

ID: 1021608
Sex: F
Age: 76
State: NV

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

Lab Data: None. It was the weekend, my GI doctor was unavailable and during this pandemic, there is no way I'd go to an urgent care clinic or ER, unless there was a high fever accompanying the pain or any bloody stools involved.

Allergies: sulfa drugs, codeine, MSG

Symptoms: Two days after receiving the vaccine, I began to have the feeling that my insides (as in my "guts" or my intestines) were on fire. I didn't have diarrhea, but the feeling was very intense and I had to go to bed. I took Pepto Bismal, hoping it would alleviate the awful feeling. It wasn't like any other stomach or intestinal upset I've ever had. It literally felt as though my insides were "on fire", inflamed. The feeling persisted for 2 days and then went away. During that time, I just ate tea and toast and hoped that I wouldn't see any blood in my stool. It was very frightening.

Other Meds: Prevacid, carisopradol, amitriptyline, topiramate, Miralax, lo dose aspirin, simvastatin

Current Illness: None

ID: 1021612
Sex: F
Age: 39
State: CA

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

Lab Data: None

Allergies: Shrimp

Symptoms: Worsening muscle/body aches, joint pains, general weakness, headaches, lightheadedness, loss of appetite, low-grade fever relieved by medication, groin pains

Other Meds: Methimazole, amlodipine, multi vitamin, calcium, fish oil, vitamin B

Current Illness: None

ID: 1021614
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies: No

Symptoms: February 10, associate goes to the clinic with her appointment for 7:06 AM. She completely bypassed the registration door where they could?ve verified her immunization card and her time frame on when to get the vaccine and went straight to the conference room. Individual, who oversaw documenting the vaccination, was currently helping a person before her since they were anxious regarding the second shot. After she was assisted, they went on with patient. They verified her birthday, allergies, side effects from the first dose and verified that she answered all the questionnaire but missed the part where it said Moderna on the first dose and was sited down to get vaccinated. Her immunization card it didn?t say Moderna either and only had the lot number with the date administered written down. The student that oversaw her vaccination was the College ADN. (She was new to our clinic and was usually in the Moderna Clinic) and was under the supervision of RN for that room. She did go through her 7 rights and in the end, she told associate that she is giving her the Pfizer vaccine 0.3 ml and then administered it. After administration, associate then told them that she had Moderna first dose and thus this situation was sent back to EH Manager. The associate was placed in observation for 30 minutes and no reactions were seen and the associate was able to go home but her contact info was taken. Upon investigation, patient told us that she knew it was a Pfizer Clinic since it said Pfizer on the registration and the EUA form is also for Pfizer but since she placed Moderna for her first dose she still came and thought that we would know that she is Moderna. Patient information was taken down and then reported to the Director.

Other Meds: No

Current Illness: No

ID: 1021617
Sex: F
Age: 70
State: MI

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

Lab Data: None to date

Allergies: Cipro Azzithromycin

Symptoms: 3rd-5th day after headaches; 2-3rd day:fatigue; 12th day noticed two red patches around injection site; itching; mild soreness; tenderness

Other Meds: Vit D; Vit B12; Magnesium; Zinc;

Current Illness: N/a

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm