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: 1023843
Sex: M
Age: 74
State: IN

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

Lab Data:

Allergies: Contrast

Symptoms: shortness of breath, elevated anxiety

Other Meds: None

Current Illness: None

ID: 1023844
Sex: F
Age: 45
State: NY

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

Lab Data:

Allergies:

Symptoms: " Prior taking the vaccine I had a cold, but nothing serious. After taking the vaccine, I had a slight headache throughout the weekend. Starting Monday, I had chills weakness, muscle cramps and shortness of breath. Now, all the symptoms have resolved"

Other Meds:

Current Illness:

ID: 1023845
Sex: M
Age: 53
State: NM

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

Lab Data: CT, EKG, Chest Ray, Blood Work

Allergies: no

Symptoms: pt stated that the night after the vax the left side of his face started drooping, he had severe headache behind left ear and some slurred speech. The next day his symptoms got worse so he took Benadryl since he thought he was having an allergic reaction but he continued to get worse. The third day his speech was getting worse, his face continued to swell and droop and he still had severe headache on the left side. Pt ended up going to the ER where they did a CT, EKG, Chest X-Ray, blood work, gave him IV fluids and steroids. The ER Dr. consulted a Neurologist which told him he had the symptoms of Bell Palsy so they did the stroke protocol but ended up telling him his symptoms were from taking the Covid Vaccine. He was told to finish his medicine that they prescribed which is steroid and antibiotic and if he did not get any better to come back for FU.

Other Meds: Metformin, Lisinopril,

Current Illness: no

ID: 1023846
Sex: F
Age: 33
State: RI

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

Lab Data:

Allergies: Augmented Diflucan

Symptoms: Pt came over c/o lighthearted, feeling warm, no sod no cp. Pt was transferred onto our stretcher base live vs obtain. Pt was given water. After 5 min pt state's all side effects have passed. 169/92 99hr spo2 99% 18 reps

Other Meds: Prozac

Current Illness: None

ID: 1023847
Sex: F
Age: 58
State: WA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Sulfa meds

Symptoms: Chills lump/soreness in armpit of the arm for the vaccine extreme lower back pain....3 days

Other Meds: HBP med

Current Illness: none

ID: 1023848
Sex: F
Age: 84
State: IA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Patient's arm became red and itchy at injection site. Patient's caregiver thinks it was given to close to inside of arm and not in deltoid so it would have been more of a SQ injection vs an IM in deltoid.

Other Meds:

Current Illness:

ID: 1023849
Sex: F
Age: 35
State: MD

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

Lab Data:

Allergies: Dilaudid, Aspirin, Demerol

Symptoms: Patient complained of itching, slurred speech and migraine

Other Meds: Moderna Covid vaccine

Current Illness: hx of migraine

ID: 1023850
Sex: F
Age: 31
State: TN

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

Lab Data:

Allergies:

Symptoms: About 8hrs prior to the injection I began to have a pain in my arm, nauseous, and a headache. I also had slight diarrhea. As of now (2/11/2021 @ 2:54p) i am still experiencing a headache

Other Meds:

Current Illness:

ID: 1023851
Sex: F
Age: 93
State: MN

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Rash first starting to present mildly on 1/8/21 after receiving the first vaccination on 1/6/21. However after the vaccination on 2/3/21, the rash spread and became more severe. On 2/10 the nurse manager stated the following: The rash is located on bilateral arms, back, chest, upper bilateral thighs, and groin area. The areas present as little bumps that are raised and have been scratched open. Resident is saying they are extremely itchy and causing her much distress. Resident went to the ER on 2/10/21 and received a steroid, antihistamine, and diflucan and they also prescribed Doxycycline and Triamcinolone cream.

Other Meds: Fluoxetine, Lipitor, Carvedilol, Furosemide, Vanicream, Carbamazepine, Remeron, Demeclocycline, Magnesium, Lactobacillus, Sucralfate, Pantoprazole, and Lamotrigine.

Current Illness: None present

ID: 1023852
Sex: F
Age: 65
State: FL

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

Lab Data:

Allergies: Cipro

Symptoms: Within 15-minutes of vaccination, the patient reported that she was short of breath and having difficulty breathing. EMS evaluated the patient on-site. The patient is currently prescribed albuterol for a history of breathing issues. EMS placed patient on 8lpm oxygen and administered 2.5mg inhalation albuterol treatment. Patient refused transport.

Other Meds: Albuterol

Current Illness:

ID: 1023853
Sex: F
Age: 77
State: FL

Vax Date: 01/20/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: 2/5/2021 - negative COVID antigen pcr test

Allergies: tetracycline,macrodantin, pollen, dust mold,peanuts

Symptoms: I developed a rash under my left arm on Feb.1,2021. By Feb. 3, it had spread to under my right arm, my trunk, back and inner thigh area. The rash exhibited a classic pine tree pattern with an initial herald patch under the left arm. The rash is consistent with a diagnosis of Pityriasis Rosea. Over the last 5 days, the rash has begun to fade on the trunk and back and the herald patch has disappeared during the laast 24 hours. A low level if itching has been treated with 25 mg. of Benadryl taken at bedtime.

Other Meds: neurontin,naprosyn,mybetriq,citracal,centrum silver,vitamin C,

Current Illness: none

ID: 1023854
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: None

Symptoms: 1, Left arm sore 4 plus hours following the injection sore to touch for 48 hours. 2. Dizziness / double vision - 48 hours after receiving the injection - lasting 24hours.

Other Meds: None

Current Illness: None

ID: 1023855
Sex: F
Age: 63
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: Erythomyacin, Keflex

Symptoms: Very sore arm Tightness in high chest, near collarbone only on right side Felt like I needed to cough but couldn?t. No true shortness of breath.

Other Meds: Welbutrin, levothyroxine,benicar,creator, jardiance

Current Illness: None

ID: 1023856
Sex: F
Age: 73
State: PA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: No

Allergies: avalox penicillin prezantine neproxan byaxine coedine arythomycin benadryl adhesive tape

Symptoms: About 3:30 in the morning I woke up and I was really cold. I started having chills. when I checked my temperature it was in the 99s (the highest my temperature 101.9. When I checked my heart rate in the morning and it was in the 90s, and that's higher than normal for first thing in the morning. My heart rate went high and I had achy muscles. I sat around all day, but I didn't feel that bad in the morning, I took an extra strength Tylenol and I didn't have much have an appetite. My heart rate stayed in the 90s-130, so I called my cardiologist and he recommended I alternate Tylenol and ibuprofen and drink lots of fluids. By dinner that night I had no appetite, and then I had nausea and dry heaves, so I took 25 mg of promethazine at about 8 and the dry heaves got better within an hour. I got the COVID tongue. I had a white coating on my tongue and I couldn't get it off and a weird metallic taste in my mouth, I had a mild headache. The next day I felt much better. I called my PCP and they didn't think it was necessary for me to come in for a cardiogram because I was feeling better.

Other Meds: levothryoxine 12.5 mcg flumodedine 20 mg zyrtec 10 mg biotin 1000 mcg vitamin d3 1000 IU areds multivitamin 2x daily losartin 25 mg zocor 10 mg lorzepam .5 mg (as needed)

Current Illness: No

ID: 1023857
Sex: F
Age: 63
State: CO

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

Lab Data: none

Allergies: Carrot - mild Pistachio- mild

Symptoms: generalized mild rash with mild-moderate puritis

Other Meds: Allegra Montelukast Flonase Pepcid medroxyprogesterone Zyrtec

Current Illness: none

ID: 1023858
Sex: F
Age: 69
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness, tachpnea

Other Meds: synthroid, anti depressant

Current Illness:

ID: 1023859
Sex: F
Age: 25
State: KS

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Developed rash at injection site with itching, erythema and warmth as well as inflammation. Rash lasted about a day. Some other generalized hives over the course of the day. Took benadryl, rash resolved on its own after 24 hours

Other Meds: Verapamil 120 mg/d

Current Illness: None

ID: 1023860
Sex: F
Age: 36
State: IL

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Hydrocortisone - itchy, get a rash Tetracycline - have an epi-pen because I get a rash on my stomach 2 weeks into taking and anaphylaxis. Pine nuts - itchy, swollen throat and lips

Symptoms: My arm was sore, kind of heavy on 2/10/2021 in the evening. My arm was still sore the next morning (2/11/2021). It hurt to lift above my head. I happened to look in the mirror and I had a red mark where I received the vaccine. It is about an inch in diameter with the center not red. It does not feel warm to the touch and I don't have a fever.

Other Meds: Prescriptions - Metformin, phentermine, azithromycin Over the Counter - Zyrtec

Current Illness: None

ID: 1023861
Sex: F
Age: 28
State:

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

Lab Data:

Allergies:

Symptoms: 2nd dose of COVID-19 vaccination the morning of 2/1/2021 . She had an adverse reaction including sensation of swollen tongue and tachycardia while being monitored during the 15-minute waiting period following the injection. She was given 25 mg Benadryl and advised to go home from work. She was advised to call 911 if symptoms worsened or she experienced any difficulty breathing.

Other Meds:

Current Illness:

ID: 1023862
Sex: F
Age: 41
State: MD

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

Lab Data: n/a

Allergies: none

Symptoms: patient received dose 2 of the moderna vaccine and waited the required 15 mins, in which no symptoms appeared. As she went to leave, she felt as if her throat was closing up. She received one dose of 50mg IM Benadryl, followed by a second dose administered 15 mins later. Symptoms resolved and she left after 45 mins of observation

Other Meds: none

Current Illness: none

ID: 1023863
Sex: F
Age: 77
State: VA

Vax Date: 09/25/2020
Onset Date: 09/26/2020
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient has called to inform us (4 months after immunization) that she is having pain and reduced mobility in her shoulder, beginning shortly after being immunized.

Other Meds:

Current Illness:

ID: 1023864
Sex: F
Age: 33
State: CA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Currently 33 weeks pregnant. Following morning after shot I woke up with severe chills. I was experienced severe weakness and I was really tired and I could not get up all day. I did not have a fever but i felt hot. The next day I was better.

Other Meds: Synthroid 175 mcg, Buproprion SR 50mg TID, & pretnatal vitamins including Folate, Vitamin D, and Co-Q10

Current Illness: no

ID: 1023865
Sex: F
Age: 49
State: AZ

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

Lab Data: N/A - Stayed home

Allergies: N/A

Symptoms: Nausea, Vomiting (for four hours), diarrhea (for 3-4hours). Felt tired for 24hrs. 100% better by next morning 6am

Other Meds: Synjardy XR, Gabapentin

Current Illness: n/a

ID: 1023866
Sex: F
Age: 28
State: NC

Vax Date: 01/15/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: HCG and CBC blood work. 2/11. Vaginal exam by OBGYN 2/11

Allergies: None

Symptoms: Miscarriage at 6 weeks 1 day. Vaginal bleeding and decline in HCG hormone. Pregnancy not viable.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1023867
Sex: F
Age: 26
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin

Symptoms: After the first vaccine, I had a severe migraine for over 48 hours. I had to contact my neurologist for rescue medication. After the second dose, I had chills, sweats, body aches, migraines, nausea, and dizziness for 24 hours.

Other Meds: Maxalt Migraine medication

Current Illness: None

ID: 1023868
Sex: F
Age: 39
State: WA

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

Lab Data: None

Allergies: Zoloft Percocet pill

Symptoms: After 9 minutes my tongue start to swell and tingle .. within a hour my mouth and lips started tingling. My moth and lips felt as if they were swollen

Other Meds: Singulair Monteluast Trasidone Annuity inhaler Albuterol as needed estradiol Vitamin D Vitamin D3 Zinc

Current Illness: None

ID: 1023869
Sex: F
Age: 38
State: MN

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

Lab Data: EKG - normal, ECHO - normal, CT Scan with contrast - normal, labs draws - platelet count, leukocytes, neutrophils, lymphocytes- all high, chest x-ray - normal, 4 COVID nasal swaps - all negative

Allergies: seasonal allergies

Symptoms: Thursday started extreme fatigue, headache, muscle aches. On Sunday started rash on chest, arms and legs with itching in face and throat. Went to urgent care on Monday and received steroid cream for rash. Rash went away by Thursday, but came back on Saturday, then have had a light redness on and off since the following Sunday. Still had the fatigue, headache, muscles aches, but started the shortness of breath, chest pain with dry cough, nausea. Saw NP on Thursday and got prednisone for cough and shortness of breath. Felt better on Thursday but got worse over the weekend with increased shortness of breath, chest pain with cough and spotty vision. Saw NP on Monday and was sent to ER to rule out life threatening illnesses. Finished the prednisone on Monday.

Other Meds: Trikendi XR, Omperazole, albuterol inhaler (prn), IUD, promethazine (prn), calcium supplement, emergen-c

Current Illness: none

ID: 1023870
Sex: F
Age: 86
State: FL

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

Lab Data: None

Allergies: Penicillin

Symptoms: 0950: Pale, lethargic, cool and clammy; respond to command. Transferred from chair to wheelchair. Vital signs : BP 77/50, repeat BP158/91, SPO2 95%. Individual transferred to stretcher, O2 @ 2L via face mask; continue to respond to command -orientation x2 place and day. 10:02 BP 186/98, SPO2-100%, Pulse 80, Temp- 97.5. Patient alert and having conversation. 10:04 Rescuer (Fire Dept.) arrived - report of patient given. Lead rescuer assessed patient . Request to be transported to ER declined by patient.

Other Meds: Losartan, Omeprazole, Rosuvastin, Calcium, Omlodipine Besylate

Current Illness: None

ID: 1023871
Sex: F
Age: 72
State: KS

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

Lab Data: ECG, CT, blood studies, Xray,

Allergies: Sulfa, Bactrim, PCN

Symptoms: Patient received vaccine during working hours on 2/10/2021. Coworkers reported patient was acting abnormally this morning upon arriving to work. After medical assessment and testing, patient was diagnosed with a ischemic stroke and transferred to higher level of care.

Other Meds:

Current Illness:

ID: 1023872
Sex: F
Age: 56
State: AR

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

Lab Data:

Allergies: Latex & environmental ( mold, pollen, etc)

Symptoms: Fever 101.1 F, mild dry cough, muscle aches, nausea , severe fatigue, headache.

Other Meds: Estradiol

Current Illness: None

ID: 1023873
Sex: F
Age: 72
State: FL

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

Lab Data:

Allergies:

Symptoms: Date and time of vaccination: (list both if they received both shots): 1st: 1/18/2021, 2/8/2021 at 0900 Brand and lot of vaccine: Pfizer 1st#: el1283, 2nd#: el9263 Starting feeling chills in the afternoon, become worse in the evening. Fever of 101.5. C/o muscle weakness, fatigue. Feels like "covid symptoms". Taking Acetaminophen as needed. Site injection pain as well. Denies dizziness/neuro changes, SOB, chest pain or DIB.

Other Meds:

Current Illness:

ID: 1023874
Sex: F
Age: 25
State: KS

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

Lab Data: Metabolic panel- normal 1/27/21 ECGs 1/27/21

Allergies:

Symptoms: Developed heart rate of 170bpm 10 minutes after event. Apple watch showed arrhythmia at that time. Was taken to ER. Arrhythmia terminated in the 15-20 minutes that it took to get to ER and get set up. Stayed in ER for testing and released home within 1.5 hours.

Other Meds: Verapamil 120 mg/d

Current Illness: None

ID: 1023875
Sex: M
Age: 53
State: TX

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

Lab Data: none

Allergies: Lactose - gas (Active) COVID-19 mRNA Vacc (Moderna) - fever/myalgia with first dose

Symptoms: Patient had second COVID19 vaccine at 12:30pm on 2/8/21. Late that night, started with fever, chills, muscles aches, and pain at injection site (left arm). Had SOB on and off. Does not have thermometer, not sure of temp when feverish. He took ibuprofen for fever. Fever and SOB resolved yesterday (2/10/21). Chills and muscle aches are imroving, very mild today. Still has tenderness around injection site, but improving. He reports similar symptoms after first COVID vaccine but sx were more severe with first vaccine. Denies redness o swelling to injection site. Denies facial or throat swelling or chest pain.

Other Meds: Alprazolam : 1 MG 1 tablet Orally as needed Twice a day Vitamin D (Ergocalciferol) : 1.25 MG (50000 UT) 1 capsule Orally once a month Fluticasone Propionate : 50 MCG/ACT 2 sprays in each nostril daily ,Refills: 2 Singulair : 10 MG 1 tablet

Current Illness: HIV

ID: 1023876
Sex: F
Age: 66
State: CA

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None.

Allergies:

Symptoms: Continued bruising and rash at injection sight. Five inch diameter. Sometimes itch.

Other Meds:

Current Illness:

ID: 1023877
Sex: F
Age: 90
State: MN

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Right arm cellulits

Other Meds: Amlodipine Besylate, Asa, Atorvastatin, Loratadine, Latanoprost, Losartan K+, Vitamin D3, Colace, Dorzolamide, Pilocarpine, Preservision areds, refresh, Timolol maleate, Tylenol, Vitamin B12

Current Illness: none

ID: 1023878
Sex: F
Age: 26
State: NM

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

Lab Data: None

Allergies: Shellfish

Symptoms: Swollen and tender armpit Headaches Chills Fever Nausea

Other Meds: No

Current Illness: No

ID: 1023879
Sex: F
Age: 78
State: CA

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

Lab Data:

Allergies: Sulfa, Doxicycline, Glucosamine, bee stings

Symptoms: Swollen shot location, 2 inches in diameter, warm, but doesn't hurt to the touch other than feeling swollen.

Other Meds: Ritalin (10mg), Alendronate Sodium (70), Atenolol (25)

Current Illness:

ID: 1023880
Sex: F
Age: 55
State: PA

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

Lab Data:

Allergies:

Symptoms: This was not an adverse event. I am reporting that this dose of the Covid 19 vaccine was given out of the recommended range. This dose was given on day 15 not 17-21. She did not have a reaction.

Other Meds:

Current Illness:

ID: 1023881
Sex: F
Age: 78
State: IL

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

Lab Data:

Allergies: codeine, upper Brazil nut

Symptoms: about 3:30 the next morning i woke up with dry mouth and went to the bath room and tried to drink water and my throat had closed up and i couldn't breathe I was not able to drink water and and kept gasping for air. finally after a few minutes i was able to catch my breath and i started to wheeze and then my chest hurt when i would breath. And then i woke up today and i was fine.

Other Meds: potassium Citrate 5 mg, baby aspirin 80 mg, calcium 600 mg, vitamin D3, Iron 65 mg, centrum multivitamin, coQTen, Align pro biotics, Eliquis 5 mg twice a day, carvedilol 12 mg twice a day, Olmesartan 40 mg ,

Current Illness:

ID: 1023882
Sex: F
Age: 58
State: FL

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

Lab Data:

Allergies: Levaquin, nuts

Symptoms: Headache, Chills, fever 101.1 , body aches Sleep / Rest

Other Meds: Powder collagen, D3, C , aspirin 81mg

Current Illness:

ID: 1023883
Sex: F
Age: 24
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Subjective fever, chills, arthralgias, headache, nausea. Swelling and pain at injection site

Other Meds: None

Current Illness: None

ID: 1023884
Sex: M
Age: 80
State: IN

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

Lab Data:

Allergies: Yes - Unknown

Symptoms: Patient with symptoms of burning and tingling initially lasting 1-2 minutes 2-3 times per day about 4-5 days after first vaccination. On 2/11, concern for increase in symptoms - episode of 5 minutes of itching - spreading down arms and into stomach.

Other Meds: Unknown

Current Illness:

ID: 1023885
Sex: M
Age: 21
State: CT

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

Lab Data: Pt. was able to get an appointment with his PCP today 2/11/2021. PCP advised Pt. of the following. "Follow up from my PCP; ? He thinks it is inflammation of the rotator cuff. He is unsure if this is a result of the vaccine irritating a previous injury or just irritating the rotator overall. ? He advised that I should take 800mg of ibuprofen 2-3 times a day with no more that 3000mg a day. He also advised to ice it 2-3 times a day. ? He stated if it doesn't get better by next Friday, to contact him for further steps. He did not restrict my activities in any way ? He thinks the immunization did not get to the joint directly but could have irritated the muscles, tendons around it. He also thinks the immunization was too high." - verbatim from Pt. recent email.

Allergies: no allergies other than seasonal allergies

Symptoms: Pt. received his 2nd dose of the Moderna COVID-19 vaccine on 2/3/2021. On 2/10/2021; Pt.wrote an email to staff indicating he had received his vaccine on 2/3/2021 and had since been experiencing "sharp stabbing pain" in his shoulder with movement. Pt indicated in his email the pain felt similar to a rotator cuff injury he had obtained to his other shoulder in high school. Pt. reported he felt like the vaccinator injected the vaccine higher than appropriate which is why he is experiencing pain. RN called Pt to discuss further. Pt. stated the injection site is a yellow bruised color with swelling above it. Pt. states at times he feels like the pain is getting better but then it always seems to return. Pt. denied fever or other symptoms.RN advised Pt. to call his PCP for evaluation as soon as possible. Documentation was reviewed. VAMS did not have the vaccinators name in the system accurately. It sited a vaccinator who was not in clinic on 2/3/2021. Upon investigation from paperwork, Pt.card confirmation, and scheduling assignments the vaccinator was identified as Registered Nurse License # 10.E37725 Exp date: 6/30/2021.

Other Meds: Zyrtec 10 mg daily

Current Illness: none per patient

ID: 1023886
Sex: F
Age: 65
State: NC

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

Lab Data:

Allergies: Codeine

Symptoms: Fever chills soreness of injection site. Injection site is very tender. Fever over 100

Other Meds:

Current Illness:

ID: 1023887
Sex: M
Age: 54
State: MA

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

Lab Data:

Allergies:

Symptoms: 24 hours post vaccine develoved T 100.1, headache, light sensitivity, reports headache worsened, blurred vision - went to Emergency Services at Hospital, admitted. Reports diagnosis of CVA. Reports headache has improved, continues with blurred vision

Other Meds: Unknown

Current Illness:

ID: 1023888
Sex: F
Age: 34
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Nausea, lethargy, body aches, head ache, along with redness/soreness/significant swelling at injection site.

Other Meds: Sertraline (Generic for Zoloft) 100 mg, 1x daily Aripiprazole (Generic for Abilify), 2 mg, 1x daily

Current Illness: None

ID: 1023889
Sex: F
Age: 57
State: NY

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

Lab Data:

Allergies:

Symptoms: "pain/swelling/burning in arm, chills, shaking, extreme fatigue, temp 101.8 first day second day, today low grade temp, some soreness in arm , slight sore throat" "call sick yesterday and today"

Other Meds:

Current Illness:

ID: 1023890
Sex: F
Age: 40
State: WA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: Azithromycin and vicodin.

Symptoms: Received first dose of Moderna on 12/30/2020 on right upper arm. Experienced sore arm for about 3 days. Onset of moderate itching on my back, upper chest and torso 01/09/2021. OTC regimen did not help. Seen at Urgent Care 01/13/2021. Hydroxyzine prescription helped and itching resolved by taking 2 doses, 2 nights in a row . Received second dose of Moderna vaccine 01/27/2021 left upper arm at 5:30pm. Immediately experienced left upper soreness within 10 minutes of injection. Onset of mild chills 01/28/2021 at 3:30pm. I took Ibuprofen 600 mg with food at onset of fever at 101.9'f, chills, body-aches, headache and fatigue on 01/28/2021 at 7:00pm. Fever and chills lasted for 5 hours night of 01/28/2021. Woke up with severe headache and nausea 01/29/2021, took Ibuprofen 600 mg with food. Symptoms lasted for 4 hrs. Improved by taking Ibuprofen, eating and drinking coffee. Mild body-aches and fatigue 01/29/2021. Left upper arm continued to be sore. Onset of small rash about 1 inch below injection site 01/29/2021 on left arm. Rash continued to spread with redness and warm to touch. Seen at Urgent Care 01/30/2021 for Left Upper Arm below injection site for Cellulitis which had continued to spread. Cellulitis measured at 14 cm by 8 cm during the Urgent Care Visit. I was prescribed Doxycycline 100 mg twice a day for 7 days. Cellulitis, body-aches and fatigue resolved by 02/03/2021.

Other Meds: Ibuprofen 600 mg Hydroxyzine 100 mg Doxycycline 100 mg twice a day for 7 days.

Current Illness: None

ID: 1023891
Sex: F
Age: 77
State:

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

Lab Data:

Allergies:

Symptoms: Head ache Fatigue Joint ache: neck, lower back, knees Muscle ache: calves Loss of appetite Night sweats/fever Deep chills Redness and swelling at shot site

Other Meds:

Current Illness:

ID: 1023892
Sex: F
Age: 76
State: CA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: One week later, site of injection became red, swollen and felt bruised, similar symptoms to a few hours after the shot but one week later, lasting for 3 days.

Other Meds: Calcium supplements, Vitamin D, Turmeric

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm