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: 1022263
Sex: F
Age: 81
State: IN

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

Lab Data: none

Allergies:

Symptoms: Awakened at about 1:00 A.M with painful arm. Pain has continued until now. Also chills and nausea. Fever reached 100, subsequently dropping to 98.

Other Meds: synthroid, atorvastatin aspirin

Current Illness:

ID: 1022264
Sex: F
Age: 71
State: NH

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

Lab Data: none

Allergies: none

Symptoms: rash on arm at injection site first noticed 2/9/21. Area is warm to touch and slightly itchy. Not painful. About 1 1/2 inch area. Still there this morning,2/10/21.

Other Meds: Prescriptions-Atorvastatin, Metformin, OTC-Prilosec, Calcium/Vitamin D, multivitamin, fish oil

Current Illness: none

ID: 1022265
Sex: F
Age: 56
State: TX

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

Lab Data:

Allergies: Sulfur Medications

Symptoms: Shot given on 02/02/2021. On 02/10/2021 large area around injection site became red, itchy, and swollen. Site is also painful and warm to the touch.

Other Meds: Omeprazole DR 40 mg - 3 times a week Famotidine 20 mg - 4 times a week Acetaminophen 500 mg - 2 times a day Caffeine 200 mg - 2 times a day Cetirizine Hydrochloride 10 mg - 1 time a day (allergy) Metoprolol Succ ER 50 mg - 1 tim

Current Illness: None

ID: 1022266
Sex: M
Age: 56
State: TX

Vax Date: 01/19/2021
Onset Date:
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Sulfa drugs

Symptoms: Sore throat, Fever, Headache, Nausea, Loss of appetite and all over body aches for 24 hours.

Other Meds: None

Current Illness: Stomach Flu 12/23/2020

ID: 1022267
Sex: M
Age: 68
State: WA

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

Lab Data: Blood pressure 238/138 Heart Rate 81 SAT- 98%

Allergies: NKA

Symptoms: Sudden Headache and light headedness.

Other Meds: Glypeside, Losortan, Plavix

Current Illness:

ID: 1022268
Sex: M
Age: 68
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: Overly Tired, injection site tender

Other Meds: Multivitamin Symvostatin

Current Illness: None

ID: 1022269
Sex: M
Age: 49
State: KY

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

Lab Data: None

Allergies: No

Symptoms: Body ache. Fever. Chills. Diarrhea. Headache.

Other Meds: Celexa

Current Illness: None

ID: 1022270
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: 2/11/21 - Sweats, cough, severe muscle/joint pain - unable to move back and shoulder.

Other Meds:

Current Illness:

ID: 1022271
Sex: M
Age: 36
State: DC

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever and headaches 24 hours after receiving the vaccine. Fever lasted 48 hours

Other Meds: None

Current Illness: None

ID: 1022272
Sex: F
Age: 39
State: PA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: Penicillin

Symptoms: 5pm, took 800 ibruprophen 6pm, cold and chills 7pm, chills, low grade fever 7pm - 11pm, chills, fatigue, fever increased to 102.9 11pm - 5am, chills, fatique, fever all through the night. 5am - showered to go to work and couldn't think afterwards, started dry heaving, called off work. 530am and on, slept on and off all day on 2/9 2/10 went to work, didn't feel normal most of the day 2/10 7pm started to get a sore neck 2/11 6am still have sore neck, hard to move neck, headache started. 8am took tylenol

Other Meds: Lexapro Parental vitamins

Current Illness: None

ID: 1022273
Sex: M
Age: 77
State: FL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: terbinafine, biaxin, isordil, demerol, and budesonide-formoterol (Symbicort)

Symptoms: reported headache, low-grade fever, and chills began 02/05/2021 evening. Pt temp spiked at 99.1F and most recent temp is 98.2F. Pt took pseudoephedrine along with Tylenol 02/05/2021 evening. Low-grade fever and chills subsided 02/06/2021 morning, headache still persists Date and time of vaccination: (list both if they received both shots): 1st Dose- 01/07/2021 @ 11:30 Moderna 1st Dose- Lot# 0112L0A 2nd Dose- 02/05/2021 @ 09:30 2nd Dose- Lot# 012M20A

Other Meds: amoxicillin-clavulanate 875-125 mg, beclomethasone dipropionate (Qvar RediHaler) 80 mcg, tiotropium bromide and olodaterol (Stiolto Respimat) 2.5 mcg, albuterol (ProAir HFA) 90 mcg, aspirin 81 mg, atorvastatin 10 mg, levothyroxine 100 mcg,

Current Illness:

ID: 1022274
Sex: F
Age: 50
State: MI

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

Lab Data: none at this time 2/11/21 9:00am

Allergies: Amoxicillin, Biaxin, Cephalexin, Chlorhexidine, Reglan, Mirapex

Symptoms: started 6:00 am 12/11/21 headache, nausea

Other Meds: Effexor, Methotrexate Sodium, Vitamin D3, Xeljanz, Valtrex, Vitamin B12, Singulair, Restasis, Pepcid, Olopatadine HCL, Lisinopril-hydrochlorothiazide, Klonopin, Folic Acid, Evening Primrose, CoQ10, Claritin, Biotin, Vitamin E, ProAir HFA

Current Illness: 1/14/21 sore throat, nasal congestion, cough. 1/25/21 right otitis media

ID: 1022276
Sex: F
Age: 42
State:

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

Lab Data:

Allergies: Sometimes hives, but cause of allergic reaction unknown

Symptoms: I had chills the night of receiving vaccine shot. I had a fever the next day along with large swollen itchy raised bump (about 5? in length) on the injection spot . The fever lasted about 24 hours. The swollen itchy bump still continues (this is my 3rd day after shot). Headache and sinus pain has also persisted since 2nd day.

Other Meds: No

Current Illness: No

ID: 1022277
Sex: M
Age: 49
State: NJ

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

Lab Data: none

Allergies: Penicillin

Symptoms: Swollen lymph node under left arm golf ball size.

Other Meds: Pepcid, Allegra

Current Illness: none

ID: 1022278
Sex: M
Age: 36
State: MI

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: - Tender, mobile and swollen axillary lymph node (ongoing) - ice and advil seem to help a little - Burning and stinging sensations in the right axilla (ongoing) - ice and avoiding contact between lateral chest and right upper arm seems to help a little - Intermittent paresthesias in the right axilla and chest wall (ongoing)

Other Meds: none

Current Illness: none

ID: 1022279
Sex: F
Age: 46
State: AZ

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

Lab Data:

Allergies: N/A

Symptoms: 102 fever, chills - started 12 hours after shot, lasted about 36 hours muscle aches, backache, headache - started 10 hours after shot, still experiencing 48 hours later

Other Meds: Eligard, anastrozole, Lexapro

Current Illness: N/A

ID: 1022280
Sex: F
Age: 60
State: PA

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

Lab Data:

Allergies: Levaquin antibiotic causes rash, Biaxin - nausea and metal taste in mouth, Augmentin - nausea and diarrhea, Omeprazole - tingling sensitive in throat, mouth and hand and chest tightness and feeling off, Pantoprazole - headache, stomach discomfort and rash, Adhesive tape - rash and tape burns, Pollen - rhinitis , Latex sensitivity - rhinitis, Produce pesticides and Uncooked tree fruit - lip swelling, Cat Dandruff - watery eyes, rhinitis, and sneezing

Symptoms: Shortly after I could feel a dull pain at the injection site, by midday I went to lift my arm with a patient and the pain had progressed and it really bothered me to reach. When I got home last night I had chills, I couldn't get warm, wearing two sweaters and was still cold. I started to feel achy around 9-10pm and took a Tylenol. All night long and this morning I have been achy and cold. I checked my temperature this morning 99.6 (I have a low temperature normally).

Other Meds: HCTZ 6.25 MG daily, Multivitamin women's 50+, Biotin, Probiotic 100ML, L-ysine, Flonase nasal spray, Breo Ellipta Inhaler daily, Hair, Skin, Nails Gummies, Montelukast 10 MG daily, Magnesium 250 MG daily

Current Illness:

ID: 1022281
Sex: M
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Husband felt achy and general fatigue a few hours after the vaccine.

Other Meds: wife does not know med names: blood pressure med thyroid med; caller hung-up, not at home, stated she will call back for more info

Current Illness:

ID: 1022282
Sex: F
Age: 37
State: PA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs, Compazine, Eggs, Bee Stings

Symptoms: Short of breath, chest pain, blurred vision

Other Meds: Dicyclomine 20MG TID

Current Illness: none

ID: 1022283
Sex: F
Age: 70
State: FL

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

Lab Data: none

Allergies: seasonal pollen, cat

Symptoms: "Covid Arm" circular patch about 3 inches in diameter, red with itching and stinging surrounding injection site. Reaction still visible at 9 AM on 2/11/21

Other Meds: Bystolic 5mg, NP Thyroid90mg, Alendronate 70 mg (weekly) multivitamin

Current Illness: none

ID: 1022284
Sex: F
Age: 27
State: IN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Shellfish

Symptoms: Received second dose of vaccine at about 9:20 a.m. on Saturday, with no immediate adverse reactions. Around 8:30 p.m. on Saturday I began to have severe stomach cramps and bloating, with my stomach sensitive to touch and it was difficult to catch my breath. Symptoms lasted for about an hour before I started vomiting. After vomiting 3 times and taking benadryl I had stomach cramps lasting about an hour, then all symptoms subsided.

Other Meds:

Current Illness:

ID: 1022285
Sex: F
Age: 72
State: TN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports redness 3 inches long and about an inch wide on back of R side and tender in one spot. Patient reports some itching that improves with ice. Patient discussed with PCP and recommended direct follow-up with a provider if the site continues to expand and/or concerns for an abscess arise.

Other Meds:

Current Illness:

ID: 1022286
Sex: F
Age: 38
State: MI

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

Lab Data:

Allergies: none

Symptoms: My armpit and neck are slightly swollen and my armpit hurts.

Other Meds:

Current Illness: no

ID: 1022287
Sex: M
Age: 81
State: OH

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: 5 days in hospital positive test for covid19

Allergies: no

Symptoms: chills,muscle aches accross shoulders,tiredness lesding to atrial fibulation after 3 days

Other Meds: multivitamin,warfarin(2.5/1.25mg, carvedilol6.25mg,lisinopril20mg ,amiodarone hcl 200mg, atorvasstatin 40mg, furosemide 20mg

Current Illness: none

ID: 1022289
Sex: F
Age: 38
State: CO

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None. Stayed home & rested.

Allergies: N/A

Symptoms: Extreme Nausea w/ Vomiting, High Fever (102*), Chills, Loss of Appetite, Tired/Weak, Muscle Cramps.

Other Meds: Tylenol, Ibuprofen as needed.

Current Illness: N/A

ID: 1022290
Sex: F
Age: 23
State: MT

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

Lab Data:

Allergies: N/A

Symptoms: First vaccine: sore arm x 3 days Second vaccine: pain, weakness, joint pain, myalgia, aching, headache, eye pain, fever, foggy brain starting 9 hours after injection to present (0710: 2/11/22)

Other Meds: N/A

Current Illness: N/A

ID: 1022291
Sex: F
Age: 60
State: PA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Went to Dr. to have evaluation, told it was a reaction to Moderna Shot

Allergies: Environmental ex: grass, trees, etc.

Symptoms: Right Arm became red, hot and swollen to size of grapefruit.

Other Meds: None

Current Illness: None

ID: 1022292
Sex: M
Age: 73
State: LA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital: Y

Lab Data: WBC 3.8 2/10, 3.5 2/11 Platelet- 122 2/10, 110 2/11, Glucose 160's, HgbA1C - 6.2, Total Bili 3.1

Allergies: NKA

Symptoms: Reported to ER at MC 2/10 with shortness of breath and chills and patient attributed his symptoms to the second vaccination. Lab work in ER revealed WBC of 3.8 and platelet count of 122(baseline usually around 100), Total Bili 3.1. EKG NSR with prolonged ST interval. Chest xray mild left basilar infiltrate - admitted to acute care as observation with diagnosis of pancytopenia. Started on Rocephin for Pneumonia, IV fluids for hydration, accuchecks

Other Meds: Gabapentin, Glimepiride, Metformin, Quinapril, Sertraline

Current Illness:

ID: 1022293
Sex: F
Age: 66
State: PA

Vax Date: 02/02/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: pencillin

Symptoms: day after vaccine slight fever and sore arm, 9 days after vaccine: lump in arm, hot to touch

Other Meds: synthroid, hydroxycholoroquine, fluonase, pepcid, Areds, Vitamin D

Current Illness: none

ID: 1022294
Sex: M
Age: 38
State: AZ

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills, Fever, Body Aches, Head Aches, and Extreme Fatigue

Other Meds: None

Current Illness: None

ID: 1022303
Sex: F
Age: 69
State: FL

Vax Date: 01/29/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash, about 6 inches at site of injection. Red, hot and hard and swollen.

Other Meds: Hctz, Enalapril

Current Illness: None

ID: 1022304
Sex: F
Age: 40
State: KY

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

Lab Data: None

Allergies: NKDA

Symptoms: Injection at 11:40 on 2/9/21. Had dizziness and headache during the 24hrs after the injection. Around hour 28 (3pm 2/10/21), I began feeling inebriated and then began acting as such. Like I had taken a substance or drank several alcoholic beverages. I had not and was 100% sober. Fell asleep at 7pm and slept until 6am only briefly waking a few times as I was warm & a little sweaty. Head was completely clear by 11:30pm but dizzy when I stood up. By 6am, only remaining symptom was dull headache.

Other Meds: Buspirone HCL XL 150mg once a day

Current Illness: No

ID: 1022305
Sex: F
Age: 67
State: IN

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

Lab Data:

Allergies:

Symptoms: didnt start feeling bad until that night chilled all night long. fever stayed at 99.9 even with taking Tylenol every 6 hrs . fatigued, chills and body aches and fever.

Other Meds: Tylenol

Current Illness:

ID: 1022306
Sex: F
Age: 56
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Next day after the vaccine I have fever, abdominal pain diarrhea and hole body hurt like flu symptoms.

Other Meds:

Current Illness:

ID: 1022307
Sex: F
Age: 65
State: TX

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

Lab Data: None yet, unable to go to hospital yet due to not having anyone at home to take care of Support Animal while I'm gone. I live alone. Doctor's office will probably not be responsible because I did not have the vaccine with them.

Allergies: Penicillin, Diphenhydramine, Hydrocodone, Albuterol, Simvastatin, Clindamycin, Methylprednisolone, Isosorbide, Meloxicam, Lyrica, Lipitor,

Symptoms: Dizziness, light headed within first 10 min. but continued Fast heartbeat - 5 hrs later while walking around house Itching all over body, face, head, light rash in thorax and inner tights- 8 hrs later Dizziness and weakness continues on 2-11-21

Other Meds: Dexilant DR 30mg,Metoprolol Succ ER 25mg, Olmesartan Medoxomil 20mg, Janumet 50/1000mg, Lovastatin 40mg, Zetia 10mg., One a day multi vitamin, CoQ10, Friedly flora, Gluco/Chondrotin, Keto supplement.

Current Illness: Osteoarthritis, arthritis on feet, high blood pressure, Diabetes Type II.

ID: 1022308
Sex: M
Age: 66
State: SC

Vax Date: 02/01/2021
Onset Date: 02/07/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None that I know of

Symptoms: 'CoVid Arm' -- well-defined rash around and below injection site (not circular, but actually more of a straight line down and along the bottom margin of the rash). SLIGHT itching, but barely noticeable.

Other Meds: Vitamin D, Vitamin C, Quercetin, Zinc, Saw Palmetto, Pumpkin Seed Oil, Calcium/Magnesium/Zinc supplement

Current Illness: None

ID: 1022309
Sex: F
Age: 40
State: OR

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

Lab Data: None

Allergies: None

Symptoms: Developed a mild headache about five hours after injection. That was not uncomfortable. I then developed intense chills that woke me up from sleep 14 hours after injection. I had pain in injection site, fatigue, non-stop chills, body aches, joint pain, muscle pain, cough, and difficulty eating (but not nauseated) and slight fever - just less than 100 degrees the entire first night, next day and night from the second injection. The joint and muscle pain was so intense in my elbows and wrists, that it caused me to break down crying as I was trying to drive home from work at 9 AM the following day after injection. The joint/muscle pain persisted and I would get some shooting pains in my toes, feet, hands, and wrists on and off for roughly 12 hours the day after injection. Lymph nodes have also been swollen in my throat since 14 hours after injection. Naproxen did not ease this pain or discomfort but it did keep a fever at bay (but still with chills nonetheless) so at the recommendation of my sister who's a doctor, she said I should take the max dose for short periods of time at 2 pills, 3x a day. After taking two at once, that made the chills go away but not the body aches.

Other Meds: Melatonin, Valerian Root, B complex, B12, Vitamin D, Multi Vitamin, Glucosamine Chondroitin, Calcium/Magensium/Potassium

Current Illness: None

ID: 1022310
Sex: F
Age: 37
State: WI

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: Amoxycillin

Symptoms: Different taste in mouth immediately, left side of tongue began to go numb, then within 30 min both tongue & throat on left side numb for 15 hours.

Other Meds: None

Current Illness: None

ID: 1022311
Sex: M
Age: 49
State: MD

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

Lab Data: none diagnosed by my Doctor

Allergies: none

Symptoms: Shingles Numbness started on right side upper quadrant day afdter shot Rash started 5 days after shot Still treating one week out rash, burning, itch, severe pain

Other Meds: none

Current Illness: none

ID: 1022312
Sex: M
Age: 32
State: KY

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

Lab Data:

Allergies: Clams

Symptoms: Fever, chills, muscle aches

Other Meds: N/A

Current Illness: N/A

ID: 1022313
Sex: F
Age: 53
State: NY

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Lisinopril

Symptoms: Patient sitting on exam table, speaking in full sentences and breathing comfortably but having diffuse itching. Stated feels like internal itching. Within 3 to 5 minutes lower lip felt numb " like when get dental procedure'. Tongue also a little numb. Given Benadryl 50 mg IM in the right deltoid. At 12:10 pm Itching persisted then given Prednisone 40 mg PO at 12:30pmUrticaria and angioedema starting within 3 minutes of the vaccine.

Other Meds: albuterol, diclofenac, cetirizine, estradiol, famotidine,

Current Illness:

ID: 1022314
Sex: F
Age: 49
State: IN

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

Lab Data: N/A

Allergies: None

Symptoms: 2-2.5 hours after the injection, left shoulder/upper arm swelled and hardened. Injection site to neck and arm were extremely painful and brought me near tears. Took 2 Advil. Hurt too much to lift or to move the shoulder & upper arm. Severe fatigue and queasy stomach. Acid reflux/belching and nausea. Went to bed and woke up the next morning after 8 hours of rest still very tired with somewhat less pain and able to drive, go in to to work.

Other Meds: Vitamin D3, Strattera, trazadone, Wellbutrin XL, Linzess, Advair inhaler (all taken the day before- in the morning)

Current Illness: None

ID: 1022316
Sex: F
Age: 37
State: TN

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

Lab Data: None

Allergies: Keflex, cupronickel, levaquin, kiwi fruit

Symptoms: Vasovagal episode with vomiting x 1

Other Meds: Birth control pill

Current Illness: None

ID: 1022317
Sex: F
Age: 54
State: MO

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: clinical exam

Allergies: PCN

Symptoms: Severe flare up of HLA-B27 Pain and loss of vision in left eye

Other Meds: none

Current Illness: none

ID: 1022318
Sex: F
Age: 45
State: MA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Pneumococcal vaccine

Symptoms: Patient given expired vaccine on 2/8/21 vaccine expired on 1/26/21. Patient reports no adverse event or outcome.

Other Meds:

Current Illness:

ID: 1022319
Sex: F
Age: 48
State: AR

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: 1/4 Vaccination. 12 hours later; arm pain, lump on arm with redness. Within 24 hours, lump was larger. Lymph nodes swollen. Lump was about size of a softball, all lymph nodes swollen. Symptoms about a week. Sought attention from NP. She stated to ice and Ibuprofen.

Other Meds: n/a

Current Illness: n/a

ID: 1022320
Sex: F
Age: 60
State: IN

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Evening of vaccine. Slight itching. Day after vaccine - Headache, mild "fever /chills" No Rigor, All over body aches worse than flu, fatigue.

Other Meds: Tylenol, Claritin

Current Illness: None

ID: 1022321
Sex: M
Age: 42
State: IN

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

Lab Data: None

Allergies: Penicillin

Symptoms: Started out that night with chills and joint pains... then the next day (2/10), it was the nasty headache, tired, chills/ then was really hot (low grade temp) & then back to chills. Today 2/11, just a little tired and chilled and a slight headache but much better than yesterday.

Other Meds: None

Current Illness: None

ID: 1022323
Sex: F
Age: 61
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: ELEVATED TEMP OF 101, CHILLS ACHES, HEADACHE, WEAKNESS

Other Meds: NONE

Current Illness: NONE

ID: 1022324
Sex: F
Age: 77
State: FL

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: No other tests

Allergies:

Symptoms: Started to itch with hives on 1/29 on thigh. within three days hives covered 60 -70% of my body. All around the thighs rear end, arms, chest, back , hands, head ,neck including my ears and face. Horrible itch. On 2/1/21 Dr.s office gave me a Cortisone shot, and a Benadryl shot to calm the itch , also Triminolonie Acetonide Cream 0.1%. Not much help after two hours of receiving these. On 2/4/21 Prednisone 20mg tablets for 7 days was ordered for me. This began to finally work. On 2/11/21 I'm greatly improved.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm