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: 1025347
Sex: F
Age: 44
State: NM

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness to vaccine site raised edges-has moved down left arm.

Other Meds:

Current Illness:

ID: 1025348
Sex: F
Age: 82
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Fri 2/5/21 , 6 am teeth chattering, weak, nausea, tiredness, slight headache, light headed, extreme diarrhea (may be due to antibiotic) very slight soreness as injection cite. This lasted for 48+ hours. Did not feel myself for 72 hours.

Other Meds: gabapenetin, levothyroxine,lisinopril, restasis, coreg cr, hctz, rosuvastatin, vascepa centrum silver, calciumDK daily probiotic Cefurozime axetil (for dental infection)

Current Illness:

ID: 1025349
Sex: F
Age: 69
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Symptoms include rapid heart rate, elevated blood pressure, nausea, and palpitations lasting for approximately 4 hours. Patient has a history of heart disease so the vaccine may have triggered an existing condition.

Other Meds: Aspirin Gabapentin

Current Illness: Heart disease

ID: 1025350
Sex: F
Age: 70
State: IN

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: A noticeable red rash at the injection site of the left arm, with heat in an 3" radius of injection site. Today, this same injection site is totally red and swollen with more noticeable heat coming from this same 3" radius. I have taken 2 Benadryl capsules yesterday and 1 today.

Other Meds: Multi vitamin, Calcium Citrate+D3 500 IU, Vitamin D3 2000 IU, Vitamin C 500 mg.

Current Illness: none

ID: 1025351
Sex: M
Age: 61
State: OK

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: video exam

Allergies: latex

Symptoms: swelling on my right side of neck. i took Benadryl.. Dr told him to take steroids which he didn't take.

Other Meds: atorvastatin lisinopril, quobenadryl, vitamins, stuff to bust my immune symptoms

Current Illness:

ID: 1025352
Sex: F
Age: 20
State: TN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Referred to EMS; taken to nearby hospital. Status unknown.

Allergies: History of anyphlaxis. gets allergy shots. allergic to antibiotics but pt does not know the name of them.

Symptoms: atient received 2nd dose of Pfizer Covid19 vaccine today at approximately 9:35 AM. Patient received 1st dose on 1/15/21. Patient has history of anyphylaxis and was instructed to wait and be monitored for 30 minutes after vaccine. Patient alerted nurse responsible for monitoring that she was experiencing an itchy throat and difficulty swallowing. Nurse alerted nursing supervisor, and nursing supervisor brought patient into a clinic room immmediately. BP 178/110 O2 97% room air. Epi 0.5mg 0.5ml administered LD IM at 10:01 AM. Benadryl 100mg 2ml administered RD IM at 10:01 AM. EMS called. Patient reported some improvement of symptoms approximately 1 minute after EPI/Benadryl injections. EMS arrived at 10:10 AM and transported patient to hospital. Attempted to call patient on 2-10-21 and left message. No response.

Other Meds: unknown

Current Illness: None known. Patient was asked at registration if experiencing any illness or symptoms of Covid 19. Patient responded "no."

ID: 1025353
Sex: F
Age: 42
State: IN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Feb 10, 2021

Allergies: NO

Symptoms: Had low grade fever, chills, red hot ears, headaches, slight body aches that following night after receiving vaccine. The next day, had headaches nauseous for short time then hit with serve body ache, fever, and headaches.

Other Meds: VC

Current Illness: Covid in Jan

ID: 1025354
Sex: F
Age: 38
State: IN

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Redness at injection sight-roughly the size of a golf ball

Other Meds: Thyroxine

Current Illness: No

ID: 1025355
Sex: F
Age: 66
State: VA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Benadryl

Allergies: Nickel/ Shellfish

Symptoms: Tongue and throat itching

Other Meds: Famotidine/ Losartan/ Tramadol/ Vitamin D/ Calcium

Current Illness:

ID: 1025356
Sex: M
Age: 25
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Feeling of achiness, malaise, fatigue/tiredness starting the day after vaccination with second dose. Acetaminophen to treat.

Other Meds: None

Current Illness: None

ID: 1025357
Sex: M
Age: 76
State:

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash Generalized, Systemic: Fever, Systemic: Joint Pain

Other Meds:

Current Illness:

ID: 1025358
Sex: M
Age: 77
State: DE

Vax Date: 01/14/2021
Onset Date: 01/28/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Adverse reaction to NSAIDs, allergy to sulfa drugs, allergy to cipro

Symptoms: Erythematous patch over deltoid oval measuring about 10 by 6 cm; lasted two days, followed by mild itching in area for another two days. Painful red spots on multiple toes lasting about 5-7 days.

Other Meds: Simvastatin, tadalafil, fluticasone and azelastine nasal spray, fluticasone diskus, famotidine

Current Illness: None

ID: 1025359
Sex: M
Age: 65
State: IN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Eye exam

Allergies: None

Symptoms: Vision issue, the right half of each eye became blurry and had calidescope colors and shapes lasting 40 mins

Other Meds: Crestor, omprazonle, Atacand, ibuprofen, citerzine, zetia,

Current Illness: None

ID: 1025360
Sex: F
Age: 30
State: NC

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

Lab Data: n/A

Allergies: none

Symptoms: on the evening of the injection, the patient began to experience redness to injection arm (entire arm) along with papular rash and severe itching

Other Meds: none

Current Illness: none

ID: 1025361
Sex: F
Age: 77
State: TN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Paxil, Sulfa, Flexeril, Codeine: Causes flushing.

Symptoms: Patient received 1st dose of Pfizer Covid19 vaccine today at the Health Department at approx 10:56 AM; pfizer lot number EN5318. Patient has history of feeling 'flushed' after paxil, sulfa, flexeril, codeine; no history of anaphylaxis. Patient alerted the guardsman at 11:09AM that she was experiencing swelling and burning on her face and lips. Nursing and medic staff responded and observed swelling over her right eye and cheek. The medic reported a significant increase in swelling from her pre-vaccinated appearance. BP 118/76. EMS already on site. Epi 0.5mg 0.5ml (Lot 339384) administered RD IM and Benadryl 50mg IM LD administered at 11:11 AM. EMS called for 2nd transport vehicle and arrived at 11:23AM and assumed care of patient. Patient transported to hospital. Called patient on 2/11/2021. Patient stated feeling better. Stayed at hospital and was observed for 4 hours. IV and oral Prednisone given. Still has some facial swelling. PCP recommends not getting second dose.

Other Meds: Unknown

Current Illness: None known. Patient was asked at registration if experiencing any illness or symptoms of Covid 19. Patient responded "no".

ID: 1025362
Sex: F
Age: 45
State: VA

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: biaxin, tobramycin

Symptoms: Approximately 8-10 days following first injection, developed hives over injection site. Then to follow with severe redness, heat, itching over the deltoid muscle measure approximately 4-6 inches with axillary tender lymph nodes. Resolved within 48-72 hours. No medications needed to treated. I have pictures to document if you need them. I did not seek out medical care.

Other Meds: norvasc, valsartan/hctz, crysella, hizentra, prozac, topamax, magox, b12

Current Illness: none

ID: 1025363
Sex: F
Age: 40
State: OH

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Pregnancy was on 2/11, Second vaccine dose was on 2/5

Allergies: no

Symptoms: About 12 hours after the vaccine I developed headache, fever 100.5, nausea and vomiting, and red rash across my chest up to my neck and under both breasts. All symptoms but the rash improved the following day. I went to have my 8 week pregnancy US 6 days after this second vaccine dose and there was no fetal heart rate. The baby measured 8.7mm and there should be a heart rate when the baby measures >7mm. I had all of my pregnancy symptoms up through the day of the vaccine and then they disappeared the day my vaccine symptoms improved. I do not have a history of miscarriage.

Other Meds: Folic acid 800mg

Current Illness: none

ID: 1025364
Sex: F
Age: 70
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: EKG

Allergies: morphine, demerol, keflin

Symptoms: Almost immediately after receiving the shot, my heart started racing . we called for help and the emt's on site took my bp. It was 184/125 and my heart rate was through the roof. I think it was around 135. I was pale and felt funny! After around 15 minutes I felt better. My heart rate and bp started coming down but the emt's advised me to go by ambulance to the ER and be checked out. I was fine once I got to the ER. they did a 12 lead EKG and I waited three hours to see a doctor who discharged me and advised against getting the second dose of the vaccine.

Other Meds: metoprolol, pravastatin, lorsatan, levothyroxin, tamoxofen

Current Illness: none

ID: 1025365
Sex: F
Age: 21
State: NJ

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

Lab Data:

Allergies: Not known

Symptoms: Patient fainted after injection, possible seizure ( she had rapid eye movement) lasted approximately 1 minute. Patient woke up saying she was ok then fainted again lasted approximately 2 minutes . After she woke up she wanted and received ice pack behind her neck . We asked her to stay 30 minutes for observation. She stated she was fine after the 30 minutes.

Other Meds:

Current Illness:

ID: 1025366
Sex: F
Age: 73
State: FL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: penicillan

Symptoms: At first, my left arm was just sore at the place of injection. After a few days--perhaps 3 or 4, I noticed a swelling at the sight, with a reddish coloring to the swelling. (My arms are tanned so the redddish coloring is not that prominent. ) The swelling feels slightly tight, or hard to the touch and also slightly warmer than the skin surrounding it. There is no soreness or pain at the swelling.

Other Meds: 5 mg lisinopril pravastatin 20 mg vit D3 supplement, 2000 per day zyflamend, dietary supplement, 1 per day collagen peptiddes, 20 g per day

Current Illness: none

ID: 1025367
Sex: M
Age: 81
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, fever, body aches, nausea

Other Meds: esomeprazole, amilorise Hcl+hctz, simvastatin,synthesis, meloxicam,

Current Illness:

ID: 1025368
Sex: F
Age: 81
State: CA

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

Lab Data:

Allergies: no

Symptoms: Systemic: Seizure-Mild

Other Meds:

Current Illness:

ID: 1025369
Sex: F
Age: 59
State: VA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Penicillin, Ampicillin, Cipro, Doxycycline, Levaquin, Morphine, Percocet, Hydrocet, Darvocet, Vicodin, Aspirin, Pepto Bismol, Nasal Sprays, Sulfa drugs, Iodine, Aspartame, Latex, Shitake & Portabella Mushrooms, Mold, Cats, Dogs, Horses, Pine Trees, & Weeds, Bausch & Lomb products

Symptoms: Dose 1 just got a little red at site of injection & i was a little tired. (was received on 1/18/21 @ 9:30am) Dose 2 it got red, hot & a lump at the site of injection. Also, had lump under armpit, was told it was lymphadenopathy, had moderate pain in lower back & mild pain in other joints, also developed fever of 99.4 (my normal temp is 97.4) & chills. This was mostly on the 1st & 2nd day after the vaccine. the swelling under armpit & in arm are better but not completely gone yet & it is now day 4 after the injection (injection on 2/8/21) (was received on 2/8/21 @ 10:37am)

Other Meds: Verapamil, Metoprolol, Vitamin C, & Vitamin D

Current Illness: not sure

ID: 1025370
Sex: M
Age: 26
State: TX

Vax Date: 01/29/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Latex and adhesive from band-aids

Symptoms: Started developing redness/rash near the injection site roughly 2 weeks after the vaccination.

Other Meds: Metoprolol Tartrate 25mg 1x daily Zinc 25 mg 1x daily Vitamin D 1000 IU 1x daily

Current Illness:

ID: 1025371
Sex: F
Age: 54
State: IL

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: POCT SARS on 2/11/21 was negative, SARS PCR on 2/11/21 - still pending result

Allergies: no known allergies

Symptoms: rash on legs bilaterally, arms bilaterally and back that began on Sunday (02/07/21). Pt had first round of COVID vaccine on Friday (02/05/21). Denies fever, chest pain or shortness of breath. States she has productive cough and headache that began on Monday (02/08/21). States she took benadryl this morning and zyrtec this afternoon with improvement of rash.

Other Meds: Zyrtec, ibuprofen, Benadryl, levothyroxine, losartan, metformin

Current Illness: no

ID: 1025372
Sex: F
Age: 60
State: WA

Vax Date: 01/23/2021
Onset Date: 01/30/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Left arm muscle of injection site started twitching/spasming every 4 to 15 seconds. Continued 24 hours a day for 7 days and then stopped. Arm swollen and bruised looking. Arm still has visible lump 3 weeks after injection.

Other Meds: Spironolactone 100mg daily for acne, Xyzal 5mg daily for allergies, Multi-vitamins daily.

Current Illness: None

ID: 1025373
Sex: M
Age: 39
State: AL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: MRI (L) Shoulder: Probable acute reactive bursitis (L) Shoulder

Allergies: NKDA

Symptoms: Patient reported watching the Nurse swab his shoulder with alcohol ( here shoulder meets the arm). He noted that he feklt the injection going in and muscle felt tense. He waited 15 minutes prior to levaing the area. He reports leaving area on or about 1030hrs. He states he informed spouse his shoulder was little sore but he return to work around 1230hrs. Patient reports as time went on his left arm became more sore that he had started to use his right arm to move his left. Patient reports he left work around 1700hrs, went home then to bed. Discomfort was rated 3-4/10. On or about 2300-2330 pain increased to 7-8/10 and he could not get comfortable. After mid night he went to the Emergency Room. During the evaluation the pain increased to 8-9/10. He was diagnosed with post immunization arthropathy unspecified site and released to home with instructions to use ice. He then notes after returning home he still could not become comfortable (stood in hot shower, sat in hot tub of water).On or about 0330 he states pain increased to 9/10 and then he went to the Emergency Room. Patient was evaluated, MRI was conducted which reveal: Fluid in the subacromial-subdeltoid bursa suggesting a reactive bursitis. He was discharged to home with instructions to f/u with his Primary Care Physician. Patient was seen by his PCP on 20210210 on or about 1445 hrs for revealuaton and treatment. Evaluation revealed increased discomfort with moving of (L) arm. He was plaed in a shoulder sling, a shoulder immobilizer was subsequently ordered; he was placed on Lortab 10, given Diclofenac 75mg and placed on quarters.

Other Meds: Allegra; Omeprazole

Current Illness: None

ID: 1025374
Sex: F
Age: 77
State:

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Ecchymosis around bruising site

Other Meds:

Current Illness:

ID: 1025375
Sex: F
Age: 81
State: CA

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

Lab Data:

Allergies: no

Symptoms: Systemic: Seizure-Mild

Other Meds:

Current Illness:

ID: 1025376
Sex: M
Age: 3
State: WI

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

Lab Data: none

Allergies:

Symptoms: Dad calls our office to have us enter a report. He said that pt. was having myalgia and also injection site redness and swelling.

Other Meds:

Current Illness: constipation and candida diaper rash

ID: 1025377
Sex: F
Age: 69
State: IN

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 8 days after shot my arm started itching. 9 days after shot hard knot, minor redness, tender and itchy.

Other Meds: Multi Vit. Vit E. Baby Aspirin. Calcium with D. Fish Oil. Magnesium

Current Illness: No

ID: 1025378
Sex: F
Age: 67
State: MD

Vax Date: 12/22/2020
Onset Date: 12/25/2020
Rec V Date: 02/12/2021
Hospital: Y

Lab Data: Several tests related to my Oxygen, blood work and covid and the covid test also Hospital

Allergies: No

Symptoms: On Christmas day I was working and then you started feeling like a pinching in my chest, like when you are going to catch a cold, that went on through the afternoon. In the afternoon I started with light headache and dry cough (intermittent), no temperature. I did not take anything for it and continued working. When I got home, I felt weak and was supposed to join my family for Christmas and decided not to go. And went to sleep. The next day (Sat) I was still not feeling well, weakness on my limbs, I went to the hospital to see if I could get checked and they told me to return on Monday because Occupational Health was closed on the weekends. I went home and treated myself with Tylenol and Vitamin C. On Monday I got tested and was positive. By then, I was coughing, limbs weak, had temperature (101F). I started to get weaker an weaker and Tuesday or Wednesday my work called me and asked me if I would like to come see a doctor. Wednesday I started with shortness of breath. I called my PCP and he prescribed me an albuterol inhaler. It helped me but my cough got worse by Saturday. My doctor then told me to go to the hospital (I live by myself). At my choice I went to Medical Center and were admitted and was hospitalized for 6 days. They kept treating me with inhaler and oxygen. They wanted to send me to rehab but I told them I wanted to go home. I came home with oxygen and with albuterol inhaler and the ambulance had to bring me home. I still was feeling very weak, had cough, and had the shortness of breath. And I have been home since then. I have home health and a therapist that come check on me 2X a weekly.

Other Meds: Lovastatin 20mg

Current Illness: 2 months before the vaccine I had shingles and went to the doctor and took prescription it cleared up.

ID: 1025379
Sex: F
Age: 48
State: CT

Vax Date: 01/04/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: cherries

Symptoms: Headache, fatigue still continuing through this date.

Other Meds: singular, albuterol,

Current Illness: none

ID: 1025380
Sex: M
Age: 50
State: MD

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

Lab Data: 1/15/21-Health Clinic- Rapid COVID Test and Labotory COVID Test conducted. 1?15?21-Medical Center-Rapid COVID Test, Bloodwork, CT, Laparoscopic

Allergies: 2007 Chemotherapy Treatment

Symptoms: 1/12/21 Stomach started feeling uncomfortable 1/13/21 Stomach pains and by the evening I started to have a fever, chills, and sweats. 1/14/21 Stomach pains, fever, chiills, sweats, and body aches continued. 1/15/21 Severe stomach pains, fever, chills and body aches. Responded to Health Clinic. Rapid COVID test was negative and per the request of the Doctor I responded to the Emergency Room located at Medical Center. Rapid COVID test negative, Bloodwork completed, CT test conducted, Appendicitis and I had to have an emergency Laparoscopic Appendectomy.

Other Meds: Metformin, Atorvastaton, Pantoprazole, Gabapendin, Ozempic Pen, Indomethacin

Current Illness: Diabetes, High cholesterol, gout

ID: 1025381
Sex: F
Age: 67
State: VA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Benadryl given

Allergies: Codeine

Symptoms: Upper lip swelling

Other Meds: Amlodipine-Benazepril/ Hydrochlorothiazide/ Lovastatin/ Metformin

Current Illness:

ID: 1025382
Sex: F
Age: 56
State: NY

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

Lab Data: Vital signs

Allergies:

Symptoms: Patient developed headache and dizziness post vaccination

Other Meds: Ibuprofen

Current Illness:

ID: 1025383
Sex: F
Age: 27
State: NY

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

Lab Data:

Allergies: Naproxen, Ibuprofen, Tylenol

Symptoms: Facial redness, and itching

Other Meds: Singulair, Allegra, Vitamin D

Current Illness: none

ID: 1025384
Sex: F
Age: 73
State: IL

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Tetracycline ]; Cipro; Crestor

Symptoms: 2nd day post injection, the site became itchy and red. That left next day. 5th day post injection headaches came off and on. Took Advil a few times 8th day post injection the site became itchy and red once again. 9th day post injection, the site is still red and itchy. Applied Hydrocortisone cream. Some relief for the itching. Headache seems to be gone/

Other Meds: Lisinopril 30mg. 1 daily; Ergocalcife 1.25 mg. once weekly; Elder-Mune 2 gummies daily; Patriot Power Greens one scoop in water daily.

Current Illness:

ID: 1025385
Sex: F
Age: 79
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: normal the first 5to6 days until the10th it started itching. and it was pale pink color. on Thursday morning is was burning red and itching so bad. and its hard and swollen. I had a rash on my chest also. took Benadryl

Other Meds:

Current Illness:

ID: 1025387
Sex: F
Age: 33
State: UT

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Ceclor, Sulfa, Amoxicillin, Tomatoes

Symptoms: Extremely sore arm night of and next day. Hard lump and itching started 2-3 days later. Lump turned red, painful, and really itchy 6 days later. Today is day 8 and redness is getting larger

Other Meds: Levothyroxin 250 MCG

Current Illness:

ID: 1025389
Sex: F
Age: 63
State: MO

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

Lab Data:

Allergies: NKA

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1025391
Sex: M
Age: 79
State: NY

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

Lab Data:

Allergies: No allergies patient is aware of

Symptoms: Finger numbness (middle and ring finger)- happened right after vaccination was given. Said numbness goes up the arm close to the shoulder. Patient did say this happened with other vaccinations and went away after half a day or so. Patient was seen in emergency department in the past but Dr. could not find anything wrong.

Other Meds:

Current Illness:

ID: 1025392
Sex: M
Age: 75
State: MA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: strawberry,

Symptoms: Flu like symptoms after covid vaccination on 2/2/2021. Patient developed chills, headache, fatigue, body aches during HD. BP remained stable < 100 systolically which is relatively good for patient. He remains afebrile. He notes right arm discomfort and is cold with chills. He notes headache is generalized with no changes in vision, no dizziness, no numbness / paresthesias noted. He denies n/v/d/c, no dyspnea or chest pain, no sore throat. No loss of taste or smell. On 2/3/2021 at about 2pm patient developed fever, hypotension and tachycardia.Recevied 1 liter of NS infusion. Team decided to transfer pt to OSH for further evaluation.

Other Meds: Tylenolprn, albuterol inhaler prn, albuterol nebs prn,allopurinol,apixaban, darbepoetin,dronabinol,flonas nasal, fluticasone/vilanterol inhaler,gabapentin,insulin, ipratropium inhaler, levothyroxine,lorazepam prn, melatonin, bengay, metopro

Current Illness:

ID: 1025393
Sex: F
Age: 77
State: CT

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 6 days after receiving the vaccine the patient developed a spotty rash in multiple places on my body. Patient is saying it is itching. I examined the patient today 2/12/2021 I prescribed Benadryl Cream and Benadryl tablets.

Other Meds: Atorvastatin

Current Illness:

ID: 1025394
Sex: F
Age: 45
State:

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: biaxin, tobramycin

Symptoms: Shot was given around 530pm. at 12 hours nausea, dry heaving. at 24 hours 103 fever, body aches, headache, ocular pain. felt good the next morning. at 48 hours 101 fever bodyaches, not as bad and woke up with sweats in the middle of the night to feel great the next morning . Had a nightly headache around 6pm each night with constant localized redness over the injection site, no lymph nodes this time for the following week. everything gone within 1 week after. Only took ibuprofen/tylenol for fevers and bodyaches.

Other Meds: amlodipine, valsartan/hctz, crystelle, hizentra, topamax, prozac, magox, b12

Current Illness: none

ID: 1025395
Sex: M
Age: 75
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever 101.7 - chills - malaise Starting approximately 18 hours after injection. Lasting approximately 24 hours. Multiple (5+) herpes sores on upper and lower lips and surrounding face. Started 02/09/21 and still ongoing.

Other Meds: Lisinopril/HCTZ 20/25 1 tab daily Amlodipine 10mg 1 tab daily Allopurinol 300mg 1 tab daily Carvedilol 12.5mg 1 tab twice daily Simvastatin 40mg 1 tab at bedtime ProAir as needed Symbicort 169/4.5 1 puff twice daily MultiVitamin 1 daily

Current Illness: None

ID: 1025396
Sex: F
Age: 79
State: CT

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

Lab Data:

Allergies: Penicillin and Lumigan (Bimatoprost), tree nuts

Symptoms: slight nausea off and on for about a week, rashes on arms and back -- no treatment -- nausea still present occasionally

Other Meds: Aspirin 81mg 1/day Hydrochlorothiazide 25mg 1/day Nifedipine 60mg 1/day Simvastatin 40mg 1/day Losartan Potassium, 100 mg 1/day Combigan (both eyes) 1 drop

Current Illness: None

ID: 1025397
Sex: F
Age: 39
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Zithromax

Symptoms: Chills, badly aches and fatigue from 3:30 am for about 24 hour.

Other Meds: Levothyroxin, crestor, B vitamins and Vitamin D

Current Illness: None

Date Died: 02/07/2021

ID: 1025398
Sex: F
Age: 77
State: IL

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Latex, Abilify, Gadolinium contrast media

Symptoms: Patient received vaccine on 2/5. We were told on 2/9 that the patient visited another emergency department on 2/6 but no information was given as to what prompted that visit. She was sent home. Daughter found her on 2/6 or 2/ 7 unresponsive and she died.

Other Meds:

Current Illness:

ID: 1025399
Sex: F
Age: 88
State: WA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Systemic: Heart Attack-Severe

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm