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: 1026646
Sex: F
Age: 42
State: RI

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

Lab Data:

Allergies:

Symptoms: Redness and pruritis to the left hand area.

Other Meds:

Current Illness:

ID: 1026647
Sex: F
Age: 38
State:

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

Lab Data:

Allergies: Eel, hair dye, insect bites

Symptoms: ?COVID arm? Rash at injection site about 2 inches diameter, itchiness, bumps.

Other Meds: Multivitamin, plant-based protein powder, Flo vitamins

Current Illness:

ID: 1026648
Sex: M
Age: 66
State: FL

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

Lab Data: None

Allergies: Airborne

Symptoms: Fever, chills, fatigue, joint pain, headache,

Other Meds: Gabapentin 300mg 3X/day no 2/day Meloxicam 7.5mg 2 XDay (anti-inflammatory) Lorazepam 0.5mg (anxiety) 2X/day Atorvastatin 40mg 1/day (cholesterol) XXX Amlodipine Besylate 5mg 1/day (Hbp) Losartin Potassium 100mg 1/day (Hbp) Hydroc

Current Illness: None

ID: 1026649
Sex: F
Age: 61
State: NY

Vax Date: 12/26/2020
Onset Date: 12/31/2020
Rec V Date: 02/12/2021
Hospital: Y

Lab Data:

Allergies: NKA-no drug, latex, or food allergies

Symptoms: 2 days post-vaccination developed rash, muscle aches, nausea, diarrhea, vomiting and fever. 10 days post-vaccination admitted to hospital with acute kidney injury and hypotension. Released on oral steroids for presumed hypersensitivity reaction. Admitted second time 36 days post-vaccination rapid worsening of rash, nausea, vomiting, diarrhea, fever and hypotension. Discharged to community on oral steroids

Other Meds: Amlodipine Besylate 5 MG TAB 5 MG ORAL DAILY Celecoxib 200 MG CAP 200 MG ORAL BID PRN PRN PAIN Hydrochlorothiazide 25 MG TAB 25 MG ORAL DAILY Nebivolol Hcl (Bystolic 20 MG) 20 MG TAB 20 MG ORAL DAILY Omeprazole 20 MG CAP 20 MG ORA

Current Illness: none

ID: 1026650
Sex: F
Age: 75
State: CA

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

Lab Data: none

Allergies: Nuts & Fruits - itchy throat

Symptoms: Patient escorted to recovery/treatment area, and vital signs taken. Ice pak placed on left deltoid and patient observed for an additional 20 minutes. Patient reports no further reaction. Localized area, noted to be a bit smaller on evaluation. Patient escorted to her car and reports feeling well. Patient states she is headed to sit with her sister that had a stroke a few months ago, advised to be alert and call family members if she is not feeling well later on today.

Other Meds: Aspirin, Vitamin D, Omeprazole

Current Illness: Hypertension High Cholesterol Anxiety

ID: 1026651
Sex: M
Age: 34
State: CA

Vax Date: 01/22/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Concern for Bell's palsy. Started with pain behind and in R ear 2/8/2021. 2/12/2021, noticed drooping of R upper eyelid and R side of mouth Treated with valtrex 1 g tid x 7 days and prednisone 60 mg qd x 7 days

Other Meds: None

Current Illness: None

ID: 1026652
Sex: F
Age: 38
State: RI

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

Lab Data:

Allergies:

Symptoms: Light headed with throat tightness.

Other Meds:

Current Illness:

ID: 1026653
Sex: F
Age: 75
State: TX

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

Lab Data: none

Allergies: Phenergan

Symptoms: Rapid heart rate, tightness in chest and forehead, chills, feeling of malaise, lasting about 3 hours, general weakness and lethargy continuing for about 24 hours after receiving vaccine.

Other Meds: Simvastatin 10 MG. Synthroid 50 MCG. Protonix 40 Mg. Amlodipine Besylate 5 MG. Losartan Potassium HCTZ 110-12.5 MG Bystolic 10 MG.

Current Illness: None

ID: 1026654
Sex: F
Age: 78
State: MI

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

Lab Data: SHE REFUSED TO HAVE VITALS DONE

Allergies: NKA

Symptoms: SHE EXPERIENCE TIGHTNESS IN HER CHEST AND LIGHTHEADEDNESS 10 MINUTES AFTER VACCINATION. OUR ONSITE EMS WAS REQUESTED. NO VITALS PATIENT REFUSED SAID SHE WAS FEELING BETTER. STATED SHE TOOK HER MEDICATION THIS MORNNG AND DID NOT EAT BREAKFAST BEFORE HAND. PATIENT HAD A B-12 INJECTION 3 DAYS PRIOR TO VACCINE AND FLU VACCINE APPROXIMATLY 2 WEEKS BEFORE. NO RECORD OF FLU VACCINE IN MICR. HER SYPTOMS RESOLVED AND PATIENT WAS RELEASED TO GO HOME.

Other Meds: SHE COULDN'T REMEMBER

Current Illness:

ID: 1026655
Sex: F
Age: 75
State: NY

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

Lab Data:

Allergies:

Symptoms: The day after vaccination I woke up and was nauseous. I was in class online at 2:15 and I vomited one time. I was nauseous the rest of the day and I felt dizzy. My upper arm near the vaccinate injection site I have these red rashes(streaks of the red rashes looks I was whipped or something). They are kind of itchy. The red spots appeared last night and they are still today. Today I feel okay I just feel a little weak, yesterday I couldn't hardly eat.

Other Meds:

Current Illness:

ID: 1026656
Sex: F
Age: 69
State: MD

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: sulfa Levaquin iodine shellfish aspirin

Symptoms: vomiting/Fever chills shakes 1/27/2021- Vomited 3 times --went to ED Covid negative

Other Meds: unsure

Current Illness: unknown

ID: 1026657
Sex: F
Age: 65
State:

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About a week after the injection I developed a red, hot-to-the-touch, itchy rash at the site of the vaccine. The rashy area was about four inches across. Over the course of the next week the rash slowly traveled down my arm getting closer to my elbow. It continued to be about four inches across and red, hot-to-the-touch, and itchy. Slowly these symptoms faded away, and I feel fine now. To clarify on point #21, I didn't actually visit my doctor. We communicated using MyChart. I uploaded a picture of my rash to MyChart.

Other Meds:

Current Illness:

ID: 1026658
Sex: F
Age: 50
State: TX

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

Lab Data:

Allergies: Penicillin

Symptoms: Sudden itchiness at injection site; redness; Did not appear until after 2 weeks

Other Meds: Vitamin B

Current Illness:

ID: 1026659
Sex: F
Age: 56
State: MN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: no

Allergies: sulfates, sulfites, nitrates, acetaminophen sulfa antibiotic, ibuprofen, Benadryl, Azithromycin, lavender, no artificial sweetener

Symptoms: pt states that she started having pain in left back shoulder area and right upper thigh also left thumb was achy. She also had a 98.8 fever that went up 99.0. 36 hours after vax pt had brain fog and she did not know where she was. Pt has not contacted her PCP w/ her symptoms at this time.

Other Meds: no

Current Illness: no

ID: 1026660
Sex: U
Age: 75
State: MI

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

Lab Data: HR 70 BP 168/80 O2 98% ON ROOM AIR

Allergies:

Symptoms: 11:30 am vaccinated. Symptoms started 1152am ; SHE EXPERIENCED TINGLING IN HER LIPS AS SHE WAS DRIVING OUT OF THE GARAGE AFTER HER 15 MINUTE OBSERVATION WHEN SYMPTOM AROSE. OUR ONSITE EMS TEAM WAS REQUESTED. PHYSICIAN ON SITE EVALUATED PATIENT. NO SWELLING OF LIPS OR TONGUE, NO DIZZINESS REPORTED. SYMPTOMS RESOVED. PATIENT WAS RELEASED TO HOME.

Other Meds: ANASTRAZOLEM HYDRALAZINE

Current Illness:

ID: 1026661
Sex: F
Age: 72
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: penicillin, sulpha

Symptoms: Fever, body aches, headache, weakness and fatigue, nausea

Other Meds: None

Current Illness: mild migraine

ID: 1026662
Sex: F
Age: 23
State: MI

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

Lab Data:

Allergies:

Symptoms: Patient received her first dose of Moderna Covid-19 vaccine in left deltoid. Approximately 5 minutes later the patient began feeling extremely dizzy, hot, and started to have severe nausea. Her blood pressure was elevated (153/110) initially and continue to remain elevated. She decided to have us call EMS to be transported to the hospital.

Other Meds:

Current Illness:

ID: 1026663
Sex: F
Age: 29
State: RI

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

Lab Data:

Allergies:

Symptoms: pt with redness to chest

Other Meds:

Current Illness:

ID: 1026664
Sex: F
Age: 34
State: MD

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

Lab Data: none

Allergies: none

Symptoms: Patient complained of starting to feel shaky in her hands and lips. Denies any other symptoms. Benadryl 25mg given. Patient reported feeling better after 30 minutes. Mother came to pick up the patient. Advised to follow up with PCP or go to the ER if continued to have any problems. Vitals remained stable

Other Meds: albuterol inhaler prn

Current Illness: none

ID: 1026665
Sex: F
Age: 71
State: SC

Vax Date: 01/15/2021
Onset Date: 01/20/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data: Positive COVID-19 test on 1/21/21

Allergies:

Symptoms: Patient tested positive for COVID six days after receiving her first COVID-19 vaccination. Her symptoms began one day earlier on 1/20/21. She went to the hospital on 1/23/21 but was sent home. She was later taken back to the hospital and admitted to ICU on 1/25/21.

Other Meds:

Current Illness:

ID: 1026666
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies: no known allergies

Symptoms: I became light headed, then passed out, then woke up and started vomiting, vomited/dry heaved about a dozen times, then had severe chills and could not feel my feet and hands for about 2 hours. I have had vasovagal events in the past and this was exactly like them, only normally they are triggered by an event, and there was no event so I assume it was the vaccine. After sleeping it off under multiple blankets for a couple hours I seem to be recovered and just have a headache.

Other Meds: citalopram

Current Illness:

ID: 1026668
Sex: F
Age: 46
State: NY

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

Lab Data:

Allergies: Penicillin

Symptoms: Fever, chills, headache, sweating, lower back pain, fatigue

Other Meds: Dupixent

Current Illness: None

ID: 1026669
Sex: F
Age: 83
State: NY

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

Lab Data:

Allergies:

Symptoms: pt developed a rash at the injection site about 20 minutes after injection. The rash spread to her back, neckline, and chest. The rash subsided after 24-36 hours. She is fine after 4 days.

Other Meds:

Current Illness:

ID: 1026670
Sex: F
Age: 34
State: NC

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

Lab Data: N/a

Allergies: No allergies

Symptoms: I developed severe body aches, chills, fevers, right arm pain approximately 8 hours after my vaccination. This was my first dose so I did not expect such severe symptoms. I was completely unable to function the day after my vaccination. I was severely weak, dizzy, fever was 100.7, severe chills and shaking. I had COVID 10/13/21 with some cardiac complications at the time which resolved entirely in November. I was hesitant to boost my immune system after having this, but decided to get it fearing some long-covid syndrome should I get infected again. I want to document what I have also seen in the news as of this week stating I had covid and was vaccinated and had a very strong immune reaction to the 1st dose. It would help people to be more prepared for this as I was sick in bed all day and had to cancel and have other people cover my responsibilities. My arm continues to be sore, but the rest mostly resolved by Sunday evening.

Other Meds: Multivitamin, vitamin D3 4000 IU

Current Illness: None

Date Died: 01/08/2021

ID: 1026671
Sex: F
Age: 95
State: TN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Patient has not been reported as a COVID related death, no information on status of testing for COVID in the hospital.

Allergies: none

Symptoms: The vaccine was administered at the patient's residence in an assisted living facility. The morning following the vaccination staff report that she was very agitated and stated she did not feel well. They called an ambulance and she was transported to a local ER, staff report that it was not at the hospital that the patient is usually seen by when when she has issues and they were concerned that the facility did not have her medical history to treat her properly. The patient's grandson reported back to the assisted living director that the patient was diagnosed with asymptomatic pneumonia, was transferred to the ICU and passed away in the night.

Other Meds: unknown

Current Illness: none reported

ID: 1026672
Sex: F
Age: 36
State: OH

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

Lab Data: None

Allergies: None

Symptoms: 7 days ago I received the Covid vaccine, no symptoms. Today, my injection site began to hurt. It is swollen about the size of a baseball. It is red, hot, and itches. Our school nurse (I am a teacher)sent us a link about Covid arm. The link suggested reporting the issue for data collection purposes.

Other Meds: None

Current Illness: None

ID: 1026673
Sex: F
Age: 76
State: OR

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Sulfa medications and rabbits

Symptoms: Beginning 7 days post-injection there was itching, a hard bump and redness in a circle form, measuring approximately 3", gradually lessening until gone 10 days after noticing this.

Other Meds: Metformin,1000mg daily; Lisinopril, 10mg daily; Chlorthalidone, 12.5 mg daily; Pravastatin, 40 mg daily; Fish Oil, 500mg daily

Current Illness: None

ID: 1026674
Sex: F
Age: 54
State: NY

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

Lab Data: monitor BP

Allergies: Unknown

Symptoms: BP 206/116 S/p Vaccine. Employee taken to the ER for evaluation and treatment of hypertension

Other Meds: Unknown

Current Illness: Unknown

ID: 1026675
Sex: M
Age: 69
State: IN

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

Lab Data:

Allergies:

Symptoms: PATIENT RECIEVED 1ML DOSE INSTEAD OF 0.5ML DOSE

Other Meds:

Current Illness:

ID: 1026676
Sex: M
Age: 1
State: NY

Vax Date: 05/12/1998
Onset Date: 05/01/1998
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Environmental

Symptoms: Patient was born healthy, but within days of being vaccinated he ran around screaming like he was in pain, banging his head and smashing things. Over the next 3 months, he became speech delayed, getting stuck on three words: mama, dada, and hi. These problems persisted and at age 5 Patient was diagnosed with Asperger's Syndrome, an autism spectrum disorder. Patient also developed gastrointestinal problems including constipation and multiple food intolerances. He is socially awkward and struggled through school, unable to get a high school diploma. He is 24 now and still has this diagnosis. We believe the MMR vaccine was the cause of this.

Other Meds:

Current Illness:

ID: 1026677
Sex: M
Age: 58
State: NY

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

Lab Data:

Allergies:

Symptoms: Vaccine administration error. The vaccine leaked out of the arm with blood after the needle was removed from the vaccination site. I need clinical guidance as to what to do next. This was my second shot. Please contact me with information ASAP.

Other Meds:

Current Illness:

ID: 1026678
Sex: F
Age: 61
State: NV

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

Lab Data: COVID test given on 2-10-21 results were negative

Allergies: soy

Symptoms: for 7 days had intense headaches, muscle aches, chills, nauseous, lightheaded, fevers (ranging from 100 - 104 for 5 days - 3 of those days fever was 102-104)

Other Meds:

Current Illness: no

ID: 1026679
Sex: F
Age: 51
State: OR

Vax Date: 02/07/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Local arm pain close to injection site, dizziness, back pain close to elbow to the head, dirrhea, vomiting, headache, burping, bitter taste in mouth, body aches, weakness, farting, tiredness. Still experiencing adverse effects.

Other Meds: levothyroxine 88 mcg, losartan 100 mg, gestodene 0.75mg + ethinylestradiol 0.2mg

Current Illness:

ID: 1026681
Sex: F
Age: 32
State: IA

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

Lab Data: Client was evaluated in the ER at Hospital. No labs or medical tests performed. Received 1 liter IVF and evaluated for an hour and was then discharged in stable condition to return to work.

Allergies:

Symptoms: 9 minutes after receiving 1st dose of vaccine, client states "I feel different than I did before the shot". When asked to explain, client reports headache, dizziness, chilled and face and neck were visibly flushed and warm. VS were taken. Client was 98-99% on RA with no respiratory distress. HR was elevated at 110. Denied chest pain. Blood pressure was initially 130's/80's. Client was assisted to clot to lie down and reports less dizziness at that point. HR did return to 70-80's and blood pressure to 120's/70's. Client continued to denies issues with breathing or chest pain. Due to continued weakness, headache and dizziness, client was taken to ER at Hospital for evaluation

Other Meds:

Current Illness:

ID: 1026682
Sex: M
Age: 23
State: PA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2/10/21 at 9:30 pm, the night after I received the vaccine, I noticed a red rash on my chest/stomach. The next day I noticed that it had spread a bit to my back. As of right now, 2/12/21, it has lightened to a more pink color. It doesn't hurt, at most it itches but otherwise I don't really notice it.

Other Meds:

Current Illness:

ID: 1026683
Sex: M
Age: 48
State: TN

Vax Date: 01/30/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Sleep study recommended. Nurse practitioner recommended and is working on scheduling a sleep study. Ask doctor for more information

Allergies: Sudafed, various other can be obtained from my doctor

Symptoms: Slight cramping in left leg, followed by slight cramping in right leg,cramping got worse until both legs and shoulders were involved. Unable to get comfortable for more the a few hours at a time. Sleep became erratic. Most of the time only two to three hrs of sleep. Per night. It is ongoing still

Other Meds: Insulin, Lithium,trazadone,

Current Illness: Type 1 diabetes, bipolar

ID: 1026684
Sex: F
Age: 27
State: NY

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

Lab Data:

Allergies:

Symptoms: 101.8 fever, body aches, cold sweats, chills, pain at injection site, sore arm (arm where injection was), fatigue, headaches, joint pain, whole body in pain to the touch, starting around 9pm day of shot 2/11/2021. Continuing until today 2/12/2021 fever still at 101 unable to go to work

Other Meds: Omeprazole, adderall, digestive advantage

Current Illness: N/A

ID: 1026685
Sex: F
Age: 39
State: OR

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Laboratory - confirmed

Allergies: No

Symptoms: Arm pain and fatigue right away; January 4th I noticed I was bleeding - I had a miscarriage. Went to doctor the next day and they did lab tests and confirmed I had a miscarriage. Pregnancy - 3rd pregnancy; and it was my second miscarriage. I was about seven weeks pregnant.

Other Meds: Prenatal vitamins; vit d

Current Illness: no

ID: 1026686
Sex: M
Age: 71
State: IN

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

Lab Data: Covid test on 2/11/2021.

Allergies: None

Symptoms: My husband has been experiencing flu like symptoms since the day after his vaccine. These include body aches, chills, no taste or smell, low grade fever up until 48 hrs. ago and extreme fatigue and tiredness.

Other Meds: Amlodipine, atorvastatin, low dose aspirin, vitamin d3 2000 units

Current Illness: None

ID: 1026687
Sex: M
Age: 44
State: IA

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

Lab Data:

Allergies: NA

Symptoms: Fatigue set in, after 6 hours, chronic pain in the right arm/shot location that drastically affected sleeping ability, At 18 hours or so, achy, pains, headache, fatigue, loss of appetite - very flu-like symptoms, until about 3pm (24 hours after) At 32 hours or so, extreme fatigue set in Right arm pain (though less) still evident, some 48 hours after

Other Meds: Glucosomine Men's Daily Vitamin

Current Illness: NA

ID: 1026688
Sex: F
Age: 65
State: TX

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

Lab Data:

Allergies:

Symptoms: I got a rash on my left arm below shot area Feb 12

Other Meds:

Current Illness:

ID: 1026689
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: None

Symptoms: Abdominal pain/queasiness Treated with Benadryl 50mg x 1 and Maalox observed for 30 mins Symptoms resolved, Vitals stable

Other Meds: Benadryl 50mg orally x 1 dose Maalox

Current Illness: No

ID: 1026690
Sex: M
Age: 74
State: IN

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

Lab Data:

Allergies:

Symptoms: PATIENT WAS GIVEN 1ML DOSE INSTEAD OF 0.5ML DOSE

Other Meds:

Current Illness:

ID: 1026691
Sex: F
Age: 65
State: MS

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

Lab Data:

Allergies: None

Symptoms: Started having diarrhea about 4:00 am on Friday, Feb 12-lasted about 4 hours. Headache,chills, nausea started about 8:00 am. Still having headache and chills. Have not gone to doctor

Other Meds: Two alleve. Took Lisinopril 20 mg that evening

Current Illness: None

ID: 1026692
Sex: F
Age: 69
State: MA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: sulfa "sensitivity"

Symptoms: The patient developed a rash on her L lower arm 1 day following her second dose of the Pfizer covid-19 vaccine. Supportive treatment was provided. The rash was improving on 2/10/2021 when we spoke. We are following her closely. Her symptom is not yet resolved.

Other Meds: Amlodipine 5 mg QD Allegra 180 QD (start) Flexeril 10 HS, 10 PRN during the day Tramadol 50 mg 1/2-1 tab up to TID PRN MVI with D3 600 Ca 600 with D 400 Mg 300 BID glucosamine/chondroitin Probiotic C 1000 QD Echinacea Curcumin Psyllium CBD

Current Illness: Pt had a homeopathic injection on her L arm and neck on 2/5/2021

ID: 1026693
Sex: M
Age: 77
State: CO

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: 1. Sulfa based drugs; 2. Sulfites food additives

Symptoms: Event: "Delayed Cutaneous Hypersensitivity" or Lay Term "COVID arm". Symptoms at Injection Site: Itching, 3-inch high by 2-inch wide rash, slightly elevated surface temperature. Elevated Surface Temperature: Determined by Exergen temporal thermometer on 2/5/2021 with surface temperature readings of 99? on temple, 97.9? on upper right arm and 99.2? on upper left arm injection site. Treatment: No treatment of symptoms undertaken. Outcome: Symptoms subsided without treatment. Start of Symptoms: 2/3/2021 or 6-days after Dose 1 injection. End of Symptoms: Itching subsided on 2/6/2021 or 3-days after Start; Rash had (see Continuation Page...)Additional information for Item 18: 99% subsided on 2/12/2021 or 9-days after Start.

Other Meds: Six different items for this question on Continuation Page...Additional information for Item 9: 1. Omega 3 Fatty Acids 2,000 MG (1) capsule per day; 2. Ascorbic Acid 500 MG (1) tablet per day; 3. Multivitamin-Minerals (1) tablet per day; 4.

Current Illness: None

ID: 1026694
Sex: F
Age: 59
State: MD

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

Lab Data: None

Allergies: Sulfa

Symptoms: About 30 minutes after shot, I got a warm sensation. I started to break out is cold sweats, I felt extremely nauseous. Had slight tunnel vision. Lasted about 30 minutes then I was fine. Just felt very cold the rest of the evening.

Other Meds: Vitamin D Multi vitamin Vitamin B

Current Illness: None known

ID: 1026695
Sex: F
Age: 63
State: NJ

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: NSAIDS

Symptoms: Developed shingles rash. numbness left hip and pain

Other Meds: Insulin, vitamin B12 vitamin C vitamin D

Current Illness:

ID: 1026696
Sex: F
Age: 77
State: CO

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

Lab Data: None

Allergies: None

Symptoms: Severe chills, fever, body aches, fatigue, diarrhea

Other Meds: Amlopidine

Current Illness: None

ID: 1026697
Sex: F
Age: 50
State: SC

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: I did not seek medical attention as the eruptions stopped appearing after the 1st 7 days and the body aches got better after the 2 weeks

Allergies: None

Symptoms: New eruptions of my lupus facial rash appeared over the course of the first seven days after the injection along with 2 weeks of multiple areas of joint pain and extreme fatigue.

Other Meds: Levothyroxine Chlorthalidone

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm