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: 1024044
Sex: F
Age: 38
State: OR

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

Lab Data: Urgent care visits, iv fluids and medications given

Allergies: Corn

Symptoms: Fever, abdominal pain, malaise, joint pain, headache lasting for >5 days

Other Meds: None

Current Illness: None

ID: 1024045
Sex: M
Age: 54
State: CA

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

Lab Data: none

Allergies: none

Symptoms: c/o COVID symptoms after 2nd Moderna vaccine on 2/9 Pt reports of scratchy throat, nausea, diarrhea x2 since yesterday (unknown if bloody), occipital and temporal HA, chills, fever Tmax 105F, body/joint aches, fatigue, difficulty concentrationing, and feeling easily after x1 flight of stairs. Ibuprofen and tylenol helps, and reduced his temp to ~98F at work. Pt admis to previous symptoms after his 1st Moderna vaccine on 1/21. At that time he had current symtpoms, and also noted intermittent numbness at left side corner of mouth. Pt reported his symptoms resovled after approx 3 days. Pt previously test +COVID (6/25/20) with PNA, untilmately pt had residual intermittent tolerable dyspnea. That was managed with albuterol.

Other Meds: cholestrol meds

Current Illness: HLD

ID: 1024046
Sex: M
Age: 26
State: MN

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: amoxicillin

Symptoms: Head to toe maculopapular rash appeared on day 6 after first dose of moderna vaccine. No other symptoms. seen in clinic only.

Other Meds: adderral

Current Illness: none

ID: 1024047
Sex: M
Age: 76
State: IN

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

Lab Data: On set of headache for 3 days. On set of dizziness when standing and walking . Intermittent. O set of uncontrollable discharge from anal. Started day 5. Constant dry mouth since day three.

Allergies: NKDA none

Symptoms: None stated.

Other Meds: Gabapentin 300mg, Celexa 10 mg,Sudafed , Trellagy 100

Current Illness:

ID: 1024048
Sex: M
Age: 78
State: SC

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

Lab Data: CTA of head and neck on 2/8/2021 that showed subarachnoid hemorrhage

Allergies: none

Symptoms: The next two days following the vaccination, the patient was lethargic and not getting out of bed. His caregiver had to make him eat and bathe. On the third day his care giver had woken him up and found that he had wet himself (this has never happened before). He had altered mental status and was not able to recognize any of his family members. He was taken to the emergency room on 2/6/2021 where he had a seizure and found to have a subarachnoid hemorrhage. He is still hospitalized.

Other Meds: pantaprozole

Current Illness: none

ID: 1024049
Sex: F
Age: 74
State: FL

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: due to so many allergies reccommended to follow up with PCP but in the mean time to put ice 10mins on/off and to draw a line around the area with a pen to be able to monitor the size. asked if there was any antihistamines she was allowed to take due to allergies and heart conditions, say zyrtec. informed her she could try that if previously allowed by pcp. informed of lift threatening symptoms like numbness or tingling in extremity or facial paralysis, Any shortness of breath, chest pain, throat, mouth or tongue swelling; call 911 if any of those occur. verbalized understanding.

Allergies: hydroclorotyazide sulfa simvastatin tetracycline-HCL visoprlol-hydrochlorothiazide cephalexin cipro clarithromycin dephenycrimine epinephrine furosemide Hydrochlorothiazide methoazone metromicicol niacin timecrolimes fluocinolone prednisone -rash ranitidine tolmetin esomeprazole rabeprazole cerivastatin tzetimece-simcas demeclocycline losartan NSAIDS dyaside biaxon cipro biocin

Symptoms: Date and time of vaccination: (list both if they received both shots): 1-9-2021 approx at 1:03pm LOT # 039K20A 2-6-2021 @ 12:53pm LOT # 029K20A yes, itching, rash that is 2inches wide by 3 inches tall. texture is coarse, with welts

Other Meds: Allegra 180mg Daily Dofepilide (tikosyn) -250mcg BID precisely at 9AM & 9PM rosuvastatin 5mg qHS Irbesartan 75mg PRN >130 Systolic xarelto 20mg Daily bisobrol 5mg PRN elevated HR nitroglycerin PRN CP nascort BID vit D3 1000Units Daily

Current Illness:

ID: 1024050
Sex: F
Age: 56
State: MD

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

Lab Data:

Allergies:

Symptoms: Rash on face and neck 5 minutes after dose administration.

Other Meds:

Current Illness:

ID: 1024051
Sex: F
Age: 83
State:

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

Lab Data:

Allergies:

Symptoms: Increased confusion about six hours after vaccine lasting about 12-18 hours. Resolved spontaneously

Other Meds:

Current Illness:

ID: 1024052
Sex: F
Age: 49
State: RI

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

Lab Data:

Allergies:

Symptoms: While the patient was receiving their vaccine, the luer lock on the syringe malfunctioned. The vaccine began to leak from the syringe and the patient did not receive a full dose. The medical director advised to give a second dose if the patient was comfortable with it. the patient was comfortable with it and was monitored for thirty minutes after receiving the vaccine.

Other Meds:

Current Illness:

ID: 1024053
Sex: F
Age: 23
State: NJ

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: All tests were conducted yesterday 2/10/2021 at medical center: CBC with Auto Differential CREATININE COMMENT Comprehensive metabolic panel(CMP) Glomerular Filtration Rate, Estimated Lipase Magnesium POCT pregnancy, urine Urinalysis Non-infectious (NO reflex to culture) Ultrasound of the Abdomen limited

Allergies: Amoxicillin

Symptoms: On 2/10/2021, two days after my 2nd dose, I started experiencing mild abdominal pain at around 10am. I knew it was a side effect from the vaccine for I had been experiencing severe chills, fever, muscle and joint pain, fatigue, headache, diarrhea, and nausea the day before (2/9/2021) and those symptoms except for the fever had subsided on the 10th. I had been unable to eat all day on the 10th due to the pain but it was manageable. At 2pm the abdominal pain got worse. At 4:30pm the pain became unmanageable and I could not walk erect without severe pain. I was crying and bend over trying to walk. I had a family member drive me to the ER and arrived at around 4:40pm. Lying down with my knees up seemed to help the pain a bit but was exacerbated when lying flat or ambulating. I was given Pepcid, zofran, and toradol all IV push at 8pm and the pain subsided within 15 minutes. Today I still have mild abdominal pain but I would rate it at a 1/10.

Other Meds: Lo Loestrin Fe (birth control)

Current Illness: None

ID: 1024054
Sex: M
Age: 80
State: AZ

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Achiness starting about noon.

Other Meds:

Current Illness:

ID: 1024055
Sex: M
Age: 21
State: CO

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

Lab Data: None

Allergies: No known allergies

Symptoms: Dizziness/lightheaded, presyncope, and nausea that persisted for 48 hours

Other Meds: Escitalopram for depression, Ability for unspecified psychosis, levothyroxine for hypothyroidism, melatonin for insomnia

Current Illness: None

ID: 1024056
Sex: F
Age: 61
State: ME

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

Lab Data:

Allergies: None

Symptoms: Migraine shortly after vaccine, Next day starting when I woke up: fever 102 which lasted 2 hours; sore and very swollen arm lasted 48+ hours; back pain lasted 48 hours; skin pain lasted 24 hours; swollen feet with bruising lasted 48 hours, bruising and pain for a week plus (still happening); numbing and tingling in jaw lasted 1 hours; upset stomach with diarrhea lasted 48 hours;

Other Meds: Atorvastatin, Levothyroxine, Aspirin, amlodipine, aldonate

Current Illness: None

ID: 1024057
Sex: F
Age: 34
State: MA

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

Lab Data:

Allergies:

Symptoms: Vaccine administered to incorrect site; not administered in deltoid. Administered approx 4.5" below top of shoulder in fatty area around tricep. Unknown muscle penetration. Injection area sore for approx 2 days to touch & with pressure (bruised feeling in approx 2" area)-no redness or inj site reaction; no muscle stiffness or pain in either deltoid or tricep area. Contacted Pfizer-they do not recommend admin by any site/route other than IM in deltoid. No data on other site/route administration; ACIP recommendations re: re-vaccination for other vaccines in wrong route/site provided. Contacted CVS; CVS RPH says it is not a problem if it is not administered in the deltoid.

Other Meds:

Current Illness:

ID: 1024058
Sex: M
Age: 17
State: AZ

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

Lab Data:

Allergies: not known

Symptoms: 17 year old -age requirement of 18yo missed during Mass Vaccination Event. Patient turns 18yo in 40 days.

Other Meds: not known

Current Illness: not known

ID: 1024059
Sex: F
Age: 79
State: MN

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

Lab Data: While at Hospital: lab tests were good, so they sent me home.

Allergies: Shellfish

Symptoms: Vaccinated at 12:45. No reaction until 7:45 pm. Racing heart, labored breathing, pressure and slight pain in chest. Called 911 and to Hospital ER. Aspirin given in ambulance. All back to normal by 10 pm and went home.

Other Meds: Losartan, levothyroxine, areds 2 eye vitamins, multivitamins,iron, arnuity ellipta.

Current Illness: None

ID: 1024060
Sex: F
Age: 49
State: VA

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

Lab Data:

Allergies: Unknown

Symptoms: Apprehension, palpitations, anxiety. BP initially 162/94 "settled down to 138/86". Occasionally dropped beat noted but rhythm is mostly regular. Evaluated. Advised to see PMD for BP, and occasional dropped beat. States that she has not been seen by MD for four years. Agreed to follow up with PMD.

Other Meds: Unknown

Current Illness: None Known

ID: 1024061
Sex: F
Age: 50
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: body aches, chills, fever 102, headache which lasted about 5 days. took tylenol for acheness which helped.

Other Meds:

Current Illness:

ID: 1024062
Sex: F
Age: 43
State: CO

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

Lab Data: none

Allergies: No

Symptoms: Hives/welts size of dimes all over legs, arms and lower torso (so far)

Other Meds: MVI

Current Illness: No

ID: 1024063
Sex: F
Age: 83
State: FL

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: CONTACTED PCP WHO REFERRED HER TO PHARMACY. NO OTHER TREATMENT AT THIS TIME. ADVISED THAT TOPICAL OR ORAL ANTIHISTAMINES WERE OK, AS WELL AS TYLENOL AS NEEDED. ADVISED TO CONTACT PCP FOR FURTHER MANAGEMENT.

Allergies: KNOWN ALLERGY TO IV CONTRAST.

Symptoms: BILATERAL REDDENED RASH ON BOTH ARMS BEGINNING 2 DAYS AFTER VACCINATION ALONG WITH CONSTANT NECK PAIN. RASH STILL PRESENT, HOWEVER IMPROVED AS OF TODAY, SEEMS TO DISAPPEAR AND REAPPEAR. NECK PAIN CONTINUES AND IS CONSTANT

Other Meds: KEFLEX UNKNOWN BP& CHOLESTEROL MEDS

Current Illness:

ID: 1024064
Sex: F
Age: 38
State: WA

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

Lab Data: Chest x-ray January 8 Did lab work - every thing was negative on that

Allergies: no

Symptoms: Towards the evening of the day of the vaccine, I got headache and body aches. Next day, it was like full blown Covid all over again - joint aches; fever - 101.6; sweats; body aches; rash around the injection site; headache; redness and warmness around injection site, too. I had extreme fatigue.I had a terrible cough. I didn't have a sore throat. I had a lot of shortness of breath. My shortness of breath and my cough was still lingering (from when I had COVID before the vaccine). Went to URGENT Care on Friday, 8th; They Took chest x-ray - COVID pneumonia -was what DR called - antibiotics - took one course but didn't finish the second and prednisone - did finish the course of the asteroids. Next day they said the radiologist said it wasn't pneumonia. I still felt pretty crappy the following week and then I was fine. I didn't work 11th or 12th but as the week went on I started feeling better. Symptoms have resolved. I had the second vaccine on February 2nd, 2021. It went better then first - but I had joint aches; fatigue; headache;chills on the day after and then they slowly tapered off the next two days and then I felt fine.

Other Meds: Vit D; Vit B12; Vit C; Prenatal Vitamin; Chlorostyeromine; Lexapro; Iron; Zinc

Current Illness: COVID - became sick with COVID - 11/30/2020- And got test results on 3rd of December. I was sick the majority of December.

ID: 1024065
Sex: F
Age: 75
State: MD

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: n/a

Allergies: amoxicillin

Symptoms: rash on upper body and one thigh

Other Meds: n/a

Current Illness: n/a

ID: 1024066
Sex: M
Age: 52
State: NY

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

Lab Data:

Allergies: nka

Symptoms: Patient had a 2 seizures lasting 1 minute each approximately 2 hours and 4 and 1/2 hours post vaccination.

Other Meds: Memantine, Donepezil, simvastatin, tamsulosin, finasteride, vit C, Zinc, MVI w/ Mineral, Albuterol, Calcium, Senna, melatonin and vit D.

Current Illness:

Date Died: 01/31/2021

ID: 1024067
Sex: M
Age: 54
State: VA

Vax Date: 01/15/2021
Onset Date: 01/31/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: 1/23: COVID test administered 1/25: Reported positive for COVID 1/26: Patient was informed of positive result

Allergies: No

Symptoms: 1/15: Pfizer vaccine dose 1 administered 1/16: Fever, chills 1/22: Sore throat, coughing w/white phlegm, taking Tylenol and Mucinex. Fever and chills from 1/16 subsided. Had telehealth consultation with PA. Per her notes, patient said he gets these symptoms annually, requested for an antibiotic. PA referred him for a COVID test. Ordered hydrocodone/chlorphen ER suspension for his cough and an antibiotic. Antibiotic was recommended if symptoms do not subside. 1/23: COVID test administered 1/25: Reported positive for COVID 1/26: Telehealth session w/PA: she informed patient of his positive test, advised to quarantine and seek medical help at hospital if symptoms worsen. Patient reported that his sore throat mostly subsided but is still coughing at night. Said that the pharmacy didn't receive the prescription order for the antibiotic, so this was re-ordered. 1/31: Partner found him dead at 8:18AM on his bed. Death certificate issued by state says cause of death: COVID. Autopsy was not performed. Buried on 2/9/21.

Other Meds: Hydrocodone/Chlorphen ER Suspension Tylenol Mucinex

Current Illness: N/A

ID: 1024068
Sex: F
Age: 66
State: IL

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

Lab Data: none

Allergies: none

Symptoms: I vomited all night and had horrible all over body pain. I am sick from this, I refuse to take the second shot.nonenon

Other Meds: blood pressure medicine, Trazadone, Xanax, oxybutynin B vitamins

Current Illness: none

ID: 1024069
Sex: F
Age: 50
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Reports of body ache, mild HA, left deltoid pain (site of vaccineation) this AM, 2/10/21 Pt had her 2nd Moderna COVID vaccine yesterday, pt felt fine and completed her work shift which is Mon-Wed 1400-0230. Denies previous COVID hx, allergies to previous vaccines, no previous illness. Pt denies any symptoms after 1st Moderna vaccine.

Other Meds: none

Current Illness: none

ID: 1024070
Sex: F
Age: 28
State: WI

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

Lab Data: Additional information for Item 18: reported itching returned. The itchy feeling did subside after the 2nd dose of Benadryl. 2nd set of vitals at 1020 were as follows: BP 140/86, HR 101, RSR, O2 sats 96%, RR 16, normal effort. Patient did contact her father to respond to the scene to discuss options. Patient did not want to be transported to the hospital and decided to go home with her father and that he would keep an eye on her until symptoms subside. Patient stated she would seek medical attention if things change for the worse. Upon leaving, the patient was given 2, 25 mg Benadryl tabs from the health department to take home and use if needed. Patient did sign a release with EMS. Patient's vital signs prior to leaving at 1032 were as follows: BP 143/82, HR 89, RSR, O2 sats 97%, RR 16, normal effort; symptoms subsided without the use of Benadryl. Patient was observed for approximately 1.5 hours after receiving the 1st dose of COVID vaccine and was able to go home without incident.

Allergies: Sulfonamides, Foods (fruits), nickel, and animals

Symptoms: At 0954 EMS requested by medical standby at City Hall for the COVID vaccination clinic with report of an allergic reaction. Upon arrival found patient who received the vaccine sitting up in a chair, breathing normally and complaining of being itchy and chest tightness. Patient also complained of pain in chest when taking a deep breath. At 0955 25 mg of Benadryl was given to the patient by liquid oral route prior to arrival of EMS. Patient did say that itch had improved but still feeling tightness in the chest. Vitals were done by EMS at 1012 which were as follows: BP 164/120, HR 104, RSR, O2 sat 97%, RR 20, Effort normal. Patient was given a 2nd dose of 25 mg of Benadryl at 1030 because she; This patient did have a similar reaction after receiving the 1st COVID vaccine on 01/14/21 but symptoms. Additional information for Item 18: reported itching returned. The itchy feeling did subside after the 2nd dose of Benadryl. 2nd set of vitals at 1020 were as follows: BP 140/86, HR 101, RSR, O2 sats 96%, RR 16, normal effort. Patient did contact her father to respond to the scene to discuss options. Patient did not want to be transported to the hospital and decided to go home with her father and that he would keep an eye on her until symptoms subside. Patient stated she would seek medical attention if things change for the worse. Upon leaving, the patient was given 2, 25 mg Benadryl tabs from the health department to take home and use if needed. Patient did sign a release with EMS. Patient's vital signs prior to leaving at 1032 were as follows: BP 143/82, HR 89, RSR, O2 sats 97%, RR 16, normal effort; symptoms subsided without the use of Benadryl. Patient was observed for approximately 1.5 hours after receiving the 1st dose of COVID vaccine and was able to go home without incident.

Other Meds: Abilify, Lamictal, Aldactazide, and Lexpro

Current Illness: none

ID: 1024071
Sex: F
Age: 70
State: NC

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: Codeine, Erythromycin, Pencillin. MSG.

Symptoms: Moderna COVID-19 Vaccine EUA Original vaccine on 01/29/2021. On 02/07/2021 a re rash appeared at injection site. description: 4 inches long down my upper arm and about 3 inches wide. Warm to touch and itched, swollen, very red and inflamed. firm knot at injection site. Remained red and inflamed until 02/10/2021. Self treated with Diclofenac sodium gel 1% (VOLTAREN) for 3 days. Symptoms did begin to subside. Remnants still present with no itch 02/11/2021. Saw Physician today,02/11/2021 advised to get second dose in other arm scheduled for 02/26/2021. No other reactions occurred. Hardly even knew I had shot until reaction began probably on 02/06/2021 but unnoticed until itching realized.

Other Meds: Vitamins: B-12, C, D, Multivitamin, Calcium, Probiotic, Zyrtec

Current Illness: none

ID: 1024072
Sex: F
Age: 43
State: CT

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

Lab Data:

Allergies: Bactrim, Sulfa drugs (gets a full body rash), celiac disease, gluten

Symptoms: I experienced heavy menstrual bleeding, nose bleeds. This lasted for 24-48 hours. It had completely gone away on 02-05-2021.

Other Meds: Vitamin D, Multi-vitamin, Zinc

Current Illness:

ID: 1024073
Sex: F
Age: 33
State: MT

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Positive Covid 19 Test

Allergies: none

Symptoms: I was vaccinated on the 14th of January. Initially I just had a sore arm and fatigue on the 15th. The night of the 17th I was working out and had a vasovagal type episode (never had this before). By the morning of the 18th I was fatigued and had a cough that can be described as a bronchial spasm type cough, I assumed that it had to do with the work out and the episode the night before. I woke up on the 19th very sick. Fever, chills, fatigue, nausea. Because I am a healthcare provider I was able to go strait to the hospital and get an expedited COVID Test. By that afternoon I had my test back with positive results. Over the next few days the symptoms progressed. I had extreme headache, extreme fatigue, shortness of breath if I moved around at all, cough, loss of taste and smell, nausea, abdominal px, diarrhea, lac of apatite, extrema "brain fog". These symptoms continued for about a week. Most of the symptoms subsided after that time except for the fatigue off and on and a continuous cough that as of 2/11/2021 has still not gone away.

Other Meds: none

Current Illness: none

ID: 1024074
Sex: F
Age: 38
State: ME

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

Lab Data: Physical assessment

Allergies: None

Symptoms: Acute large, softball sized allergic reaction over the injection site - swollen, raised, red, itchy, hives. Took benadryl/claratin for approx 1 week until it completely resolved.

Other Meds: Synthroid 88mcg Daysee daily birth control Daily multivitamin

Current Illness: None

ID: 1024075
Sex: F
Age: 22
State: TX

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

Lab Data:

Allergies:

Symptoms: One week after injection, left arm was covered in a red blotch big enough to cover about half of the arms diameter. No pain, arm felt itchy, no serious effects tied with it.

Other Meds: Flonase Xyzal

Current Illness:

ID: 1024076
Sex: F
Age: 54
State: KY

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

Lab Data: none yet, they are not covered by my insurance.

Allergies: None

Symptoms: About 10 hours after receiving Covid vaccine #2, I had a blinding headache. The pain was unlike anything I had ever experienced. I thought i was having a brain aneurysm. My ears started ringing at that time (Tinnitus). I thought is was just because I had the headache, but it has been three weeks now and it has not stopped, even for a moment. I have never had tinnitus before.

Other Meds: None

Current Illness: none

ID: 1024077
Sex: F
Age: 74
State: PA

Vax Date: 01/28/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: Iodine Dyenon

Symptoms: 13 days after administration, I had an erythema and slightly swollen area on my lt. deltoid that measured 2 3/4" by 3 1/4" and another one slightly down and to the right that measured 2 3/4" by 1". Lesions were itchy.

Other Meds: Levothyroxin, Lipitor, Evista, Vit D, Fish Oil, Glucosomin Condroiten, Calcium

Current Illness: None

ID: 1024078
Sex: F
Age: 80
State: IN

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Penicillin, Sulfur, Oevoslxacin, Clindamycin HCL

Symptoms: 3 days after vaccination pt got shingles

Other Meds:

Current Illness:

ID: 1024079
Sex: M
Age: 20
State: TX

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

Lab Data: EKG

Allergies: None

Symptoms: Patient developed pleuritic chest pain 5 hours after the injection, which lasted less than 1 day and resolved.

Other Meds: None

Current Illness: None

ID: 1024080
Sex: F
Age: 41
State: KY

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: No med tests or lab results related to even.

Allergies: Skelaxin

Symptoms: Starting 1/27/21 ringing in left ear noted. 1/28/21 headache and left ear pain begins. 1/29/21 Started on Cefdinir for Left otitis Media. Ear pain continued and began to worsen over a week with headache pain in left temple and all the way down through neck. Pain was throbbing and Ibuprofen/Tylenol had to be taken around the clock. On 2/6/21 began Prednisone pack for possible nerve pain. Pain has eased over the past 5 days. Continues now left ear and left neck, however very mild.

Other Meds: Zyrtec 10mg daily, MVI i po daily, Biotin i po daily, Singulair 10mg daily, Spiriva Inhaler PRN, Nuvaring.

Current Illness: COPD minor

ID: 1024081
Sex: M
Age: 56
State: GA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: covid immunization

Other Meds: NONE

Current Illness: N ONE

ID: 1024082
Sex: F
Age: 75
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: penicillin sulfa drugs newbane

Symptoms: No discomfort or anything that first day. That evening it was a little tender. The next morning it there was a red band on my arm and I could feel a bump there. Today is day 8 and it's itching more than ever before. Every now and then it stings a little bit. Not as red as it was, but still red. Its fading a little about around the edges.

Other Meds: almastartin 40 mg daily emlodepine 5 mg daily metroproperol 100 mg 2x daily flecinide (for arythmia) 100 mg 2x daily chlorosorizdine (water pill) 12.5 mg daily eloquis 5mg 2x daily vitamin D 800 mg

Current Illness: None

ID: 1024083
Sex: F
Age: 80
State: IL

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

Lab Data: None

Allergies: Seasonal airborne allergies, allergic to perfume, liquid soap, newsprint

Symptoms: Immediately after the injection, I experienced an irregular small light red patch at the injection site about 3 inches by 2 inches. I had pain and mild itching at the injection site for two days and then the pain and itching stopped and the red patch faded. Seven days later, in the evening of February 9th, the red patch returned and it was darker and became larger - round, about 3 inches across. It was slightly swollen and warm to the touch. It was accompanied by intense itching, but no pain. This skin reaction has been lasting for two days now. My doctor, by phone, recommended Benadryl but I don't have that in the house and we're having a snow storm and I can't go out to get it. I took Extra Strength Tylenol before bed last night and it relieved the itching.

Other Meds: 10 mg Claritin daily, 20 mg Nexium, Daily, Vitamin D 4000 Units Daily, Centrum Silver multi vitamin Daily, Naphcon A eye drops, daily, Systane Eye Drops, daily, Extra Strength Tylenol, as needed

Current Illness: None

ID: 1024084
Sex: F
Age: 24
State: FL

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

Lab Data:

Allergies:

Symptoms: C/O DIZZINESS AND VOMITING WITHIN FIRST 15 MINUTES WHILE ON SITE. RESOLVED IMMEDIATELY AFTER VOMITING. NO OTHER SYMPTOMS AFTERWARDS EXCEPT FOR LEFT ARM SORENESS. DENIES ANY SOB, CHEST PAIN, DIB OR SWELLING OF MOUTH/TONGUE.

Other Meds:

Current Illness:

ID: 1024085
Sex: M
Age: 5
State: UT

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

Lab Data:

Allergies: NKDA

Symptoms: Had a rash that appeared about one hand width away from the injection site on the left leg. Was itchy, itchiness and rash resolved with Benadryl (as directed by physician.) Later that day did not recur.

Other Meds: none known

Current Illness: none

ID: 1024086
Sex: F
Age: 45
State: PA

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

Lab Data:

Allergies:

Symptoms: Left arm felt heavy a couple hours after second COVID vaccine. By evening she had tenderness to left axilla. In am on 2/10/21 she could not move left arm due to swelling and pain in lymph nodes. Woke up 2/11/21 and still couldn't move arm due to discomfort. Also developed a runny nose, slight upper abdominal pain, and slight headache.

Other Meds:

Current Illness:

ID: 1024087
Sex: F
Age: 52
State: VA

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

Lab Data: None

Allergies: None known

Symptoms: Itchy rash around the shot area. Started one week after shot.

Other Meds: Trelegy, albuterol, fluticasone, singulair, linzess, vitamins: B12, D, Iron, zyrtec

Current Illness: None

ID: 1024088
Sex: F
Age: 72
State: NH

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

Lab Data: n/a

Allergies: penicillin soy

Symptoms: foggy feeling, dizzy, pain from injection site up neck

Other Meds: Prilosec Excedrin

Current Illness: n/a

ID: 1024089
Sex: F
Age: 75
State: MN

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

Lab Data:

Allergies:

Symptoms: Patient became weak, had the chills, and spiked a fever.

Other Meds:

Current Illness:

ID: 1024090
Sex: M
Age: 76
State: IN

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

Lab Data: None

Allergies: Vibramiacin

Symptoms: Sore arm, body aches, chills, low grade fever, took Tylenol every four hours

Other Meds: Lisinapril, Metotoporal, Crestor, 81 mg aspirin, multi-vitamin

Current Illness: None

ID: 1024091
Sex: F
Age: 81
State: NC

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

Lab Data:

Allergies: Unknown

Symptoms: Pt described the feeling as a lump in her throat when swallowing. "feels like something's there". Pt denied any SOB, tightness in her chest, difficulty breathing, swelling of her tongue or throat. 0929 Pt denied any contraindications to benadryl or Pepcid. Pt gave verbal consent to administer medication. Benadryl and Pepcid administered per COVID vaccine standing order for adverse reactions. 02 98-99% Pulse 86 Pt was monitored for an additional 30 minutes after medication. She gradually felt like the lump in her throat was getting better. She again denied any difficulty with breathing.

Other Meds: Unknown

Current Illness: None

ID: 1024092
Sex: F
Age: 68
State: CA

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

Lab Data: None

Allergies: Demerol atropine kidney die oxycodone

Symptoms: Server chills, fever all night after shot. Headache, dizzy feeling sick. Eyes hurt. Today bad head ache sweats and exhausted. Called doctor yesterday. Taking Tylenol. Rest and drinking fluids. Arm hurts

Other Meds: Hydrochlorothiazide; Aciphex; Oxybutynni Chloride ER; Montelukast sodium 1; Amlodipine Besylate; Vitamin D3; B-12.

Current Illness: Nothing allergies like hayfever

ID: 1024093
Sex: F
Age: 74
State: IL

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

Lab Data:

Allergies: sulfa , Vicodin Ibuprofen 800

Symptoms: I start to itch on face an neck on face day after injection. Had a few hives on my face. today (2nd day), I have itching over whole body

Other Meds: None in last few days

Current Illness: acid reflux, high cholesterol,

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm