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: 1026900
Sex: F
Age: 73
State: ID

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large area of redness at injection site with itching

Other Meds:

Current Illness:

ID: 1026901
Sex: F
Age: 63
State: AZ

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

Lab Data:

Allergies: Chocolate Sulfa Penicillin Amoxicillin

Symptoms: On the 8th day all of a sudden about 4inches below the vaccine shot I started getting hives and they merged together. It was hot to touch, painful and raised up, red, and super itchy. It wasn't right where the needle went in, it was several inches below it. I used Benadryl and hydrocortisone cream , it took about 5 days to go away. On my second dose the same thing happened on my let arm but was quicker and worse. It happened about 8 hours later. It took about 7 days to go away. You can still kind of see the outline of it. This one was more painful.

Other Meds: Synthroid

Current Illness: Seasonal Allergies

ID: 1026902
Sex: M
Age: 86
State: PA

Vax Date: 02/06/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: morphine, tetanus toxoids

Symptoms: received 2-6-2021. on 2-10-2021 patient states red itchy rash on both feet and ankles. no swelling.no chest pain .no shortness of breath, no other body rash

Other Meds: aspirin, tylenol, simvastatin,tamsulosin, vitamin b12

Current Illness: none

ID: 1026903
Sex: F
Age: 29
State: VT

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

Lab Data:

Allergies: Latex, nickel, morphine, penicillin, Toradol

Symptoms: Originally had hives following dose 2 on 2/11/21, and took Benadryl. Today, I felt my left arm was itchy and upon inspection, I found a welt just below the Injection site. It is itchy, tender, red and hot to the touch.

Other Meds: Benadryl, spironolactone 100mg, refresh optive, pataday

Current Illness:

ID: 1026904
Sex: F
Age: 66
State: AZ

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

Lab Data: N/A

Allergies: N/A

Symptoms: The patient experienced a itchy rash on both arms and slightly on her legs. It becomes more red throughout the day and is extremely uncomfortable. The rash does appear to be slightly raised.

Other Meds: Lantus, metformin, simvastatin, lantanoprost, ketotifen, lisinopril, ondansetron, Calcium, Mutlivitamin, Cholecalciferol, Magnesium, Levothyroxine, Gabapentin, Trulicity, Vit B12

Current Illness: N/A

ID: 1026905
Sex: F
Age: 77
State: KY

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

Lab Data: None

Allergies: CYPRO

Symptoms: Had shot on 2/3/21 and on Thursday around 2.00am started to feel pressure in temple area. It lasted until Wed ..one week like a vice on my temples. Called Primary Dr. office and spoke to PA. She prescribed IMITREX for migraine but I took Excedrin with Caffeine and it did not help. I have not taken the IMITREX because we've had an ice storm and couldn't get it. Wed my head felt much better...I was so happy..then last nite around 2.00am again it returned! Not as bad as before but it still returned.

Other Meds: TYMLOS INJECTION, GABAPENTIN 100MG, SYMVASTATIN,10MG, IBUPROFIN FOR BACK PAIN AND I HAVE HYDROCODYNE BUT DON'T USE.....ALSO TYLENOL FOR HEADACHE BUT JUST GOT IMITREX FOR HEAD

Current Illness: BACK PAIN

ID: 1026906
Sex: F
Age: 71
State: GA

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

Lab Data: Vitals

Allergies: None

Symptoms: After receiving the Moderna Covid-19 Vaccine at 9:40 am, the patient reported to observation. Patient reported to the nurse that she " felt weird " with a warm flushing/tingling feeling in arms and chest. No redness or flushing noted . Patient stated that she had been anxious over the vaccination. Vitals : 9:57 133/95, HR 96, 02 98, 10:02 am 145/95 , HR 95, 02 97 , 10:07 am 144/84, HR 82, 02 98, 10:12 am 147/89, HR 76, 02 97, 10:17 am 144/88, HR 77, 02 97. By 10:12 am pt reported feeling better. Released to go home at 10:20 am with instructions to contact MD or ER if symtpoms return . Patient stated that she had taken her blood pressure medication in the AM.

Other Meds: Blood Pressure Medicine ( name unknown )

Current Illness: None

ID: 1026908
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies:

Symptoms: I am 4 months pregnant due on July 9. I am achy everywhere, general exhaustion, headache, low appetite, and my left arm really hurts.

Other Meds: Baby aspirin, prenatal vitamins, singulair

Current Illness:

ID: 1026909
Sex: F
Age: 26
State: MN

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

Lab Data:

Allergies:

Symptoms: A series of rashes and hives

Other Meds:

Current Illness:

ID: 1026910
Sex: F
Age: 32
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore and itchy rash on upper half of arm (around injection site)

Other Meds: Buspiron and birth control

Current Illness:

ID: 1026911
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies: None

Symptoms: Fever 99.5 lasted 24 hours from onset at 2200 on 2-10-21 until 2200 on 2-11-21 Chills/body aches 24 hours from onset at 2200 on 2-10-21 until 2200 on 2-11-21 Redness/swelling/warmth at injection site onset 2-10-21 at 1700 still present as of now 2-12-21 at 1409

Other Meds: Celexa/Citalopram 20 mg PO once a day Centrum women's multi-vitamin PO once a day

Current Illness: None

ID: 1026912
Sex: M
Age: 28
State: NY

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

Lab Data:

Allergies: None

Symptoms: Pt states that 5 minutes after receiving the vaccine he became light headed and dizzy. Pt states he felt as if he would lose consciousness. Pt was wheeled via wheelchair to the evaluation room and laid down onto a cot. Pt?s vitals are stable. After 15 minutes the pt states his symptoms have alleviated and would like to go home. Pt refused transport to hospital. On site doctor was consulted and agreed that the pt is stable and can return home. Pt was wheeled via wheelchair to his car and assisted into his passenger seat as a precaution.

Other Meds: None

Current Illness: None

ID: 1026913
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies: no

Symptoms: Constant feeling of being stung by a bee. Arm where shot was administered is swollen.

Other Meds: timinol, amlodopine, lisiniprol, atorvastatin

Current Illness: no

ID: 1026914
Sex: F
Age: 60
State: NJ

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

Lab Data:

Allergies:

Symptoms: Developed a large about 4 inch red swollen welt that felt warm to the touch. It seems to spread around the arm as the days go by. It does not itch me. The welt feel hard to the touch, but does not burn. It does not impair daily activities. But is slightly sensitive to the touch , and I did not have a sleeve covering the area. I had the same reaction with the first dose of the covid vacccine, and that welt lasted approx 3 weeks, and I still have a slight black and blue mark in that area. I did get the 2nd dose in the same arm as the first dose.

Other Meds:

Current Illness:

ID: 1026915
Sex: F
Age: 35
State: OR

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

Lab Data: COVID test - negative - February 5 (result) drawn on the 4th of February

Allergies: Sulpha Based Medications - antibiotic class; bee venom

Symptoms: Mild low grade fever; body chills and aches; headache; extreme fatigue; felt like a mild flu. I was 21 or 22 weeks pregnant. I stayed in bed for 24 hours. I did take acetaminophen - I took it because I'm pregnant and fever is contraindicated. I had been sick for about a week when I got the COVID test. January 31, 2021 - Got a Sore throat (never febril) and headache.- gradual onset - no fever involved - runny nose and cough is what it progressed for. Symptoms onset and course were consistent with common cold. And that made me call in sick for work. Pregnancy History - 2nd pregnancy and have had one birth of twins - Para 14-2. May 21, 2021. Uncomplicated singleton pregnancy. IVS pregnancy - it was. I did start taking Albuterol inhaler recommended by Ugent Care Dr. I had a routine OB appt with doctor - February 8 - who listened to my lungs. Lungs - wheezes secondary to asthma; nothing concerning. February 4, 2021 I had a virtual visit with URGENT CARE- their virtual clilnic- who recommended monitoring system and the COVID test.

Other Meds: Prenatal vitamins; Vit D; Zoloft; Baby Aspirin

Current Illness: no

ID: 1026916
Sex: F
Age: 49
State: IL

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

Lab Data:

Allergies: seasonal allergies certain spices cause itchiness

Symptoms: Persistent headache/migraine

Other Meds: Iron pills, B1 and cholesterol vitamins

Current Illness: hypertension, diabetic type 2, high blood pressure, low iron low cholestrol

ID: 1026917
Sex: F
Age: 83
State: GA

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

Lab Data: None

Allergies: Penicillin-hives and skin rash

Symptoms: Patient called on 2/11/2021 reporting fever and swollen left arm. On 2/11/2021 I, assessed patient's arm and the left deltoid and the muscle was tender, warm and there was firm baseball size swelling. Patients temp was 100.4. She reported that she didn't feel well and had a wet cough. I recommended Tylenol for temp and arm pain and encouraged an ice pack to her arm 15 minutes every hour for reduce swelling. Spoke with patient on 2/12/2021. She reports she called her Doctor and he prescribed her an antibiotic and she states she is feeling better and the swelling in her arm has gone down.

Other Meds: unknown

Current Illness: unknown

ID: 1026918
Sex: M
Age: 67
State: NC

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

Lab Data:

Allergies: Cephalosporins, sulfa, tomatoes, silk

Symptoms: Chills, distended stomach, nausea, abdominal pain, fever 101.5.

Other Meds: Altace (Ramipril) 10mg x2 a day Allegra 60mg Probiotic pearl Multivitamin Vitamin C 500mg x4 Metamucil capsules x5 Vitamin D 1000mg x2 a day Vitamin E 400mg Fish oil 1050mg CoQ10 100mg x2 twice a da

Current Illness:

ID: 1026919
Sex: F
Age: 27
State: CA

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

Lab Data: None

Allergies: Patient denies

Symptoms: 02/12/2021 at 1031- Patient received 1st dose of Moderna COVID 19 vaccine. At 1047 patient began to experience mild sob. Doctor and Registered Nurse to patient to assess patient. Patient alert, oriented, and awake. GCS=15. Clear speech with full sentences. Pt denied any itchiness in throat or body, n/v/d, or any other complaints. Benadryl 25mg PO given at 1050 by RN. Patient tolerated well. Vitals are as follows bp=140/87 hr=73 pulse ox=98% rr=22. At 1100 patient self administered personal INH. Patient report to feel ?better? at 1110. Patient discharged with discharge instructions by Doctor. Patient with no signs of distress upon discharge at 1115.

Other Meds: None. Patient denies.

Current Illness: Patient denies

ID: 1026920
Sex: F
Age: 34
State: NY

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

Lab Data:

Allergies: Penicillin

Symptoms: At 5 pm on the day i was vaccinated i was bending over and my thumb swelled up to twice its normal size, blood swelled to my thumb causing it to turn black - extremely painful to the tuch - throbbing 30 min later swelling is down however blackness (blood discoloration is there there) with pain and some swelling

Other Meds: None

Current Illness: None

ID: 1026921
Sex: F
Age: 78
State: AR

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

Lab Data: BMP, H&H, ECG, CXR, CT Angiography, COVID-19 PCR, Fecal Occult Blood - 02/11/2021

Allergies: Aspirin, Cephalexin, Sulfa Drugs

Symptoms: HISTORY OF PRESENT ILLNESS: Pleasant 78-year-old female with history of lung cancer with remote partial pneumonectomy, some element of COPD and chronic respiratory failure on home oxygen therapy. She presents with worsening shortness of breath, which started rather abruptly the day prior to presentation. On arrival to the ED she was mildly tachypneic and slightly tachycardic and appeared to be in mild respiratory distress. Her O2 had been titrated to 4 L/m nasal cannula in order to sustain SaO2 values in the 90% or above range. Patient also noted to have pallor. No hematemesis, melena, hematochezia, abdominal pain, fever, cough or known exposure to COVID. Patient reports having received her first COVID vaccination just over one 1 week ago. A hypochromic microcytic anemia, progressive, was noted with a hemoglobin of 7.4 g/dL. Patient reported that she was up-to-date on EGD and colonoscopy within the past year without findings of acute pathology or bleeding. A CTA of the chest was conducted with findings of bilateral pulmonary emboli. She denies lower extremity swelling, pain or tenderness. Patient placed in observation in order to provide palliative blood replacement therapy and commence with anticoagulation for venous thromboembolism. DISCHARGE SUMMARY/OBSERVATION COURSE: Uneventful observation course for this pleasant 78-year-old female who presented with somewhat sudden worsening of her chronic shortness of breath and was found to have CTA evidence of bilateral pulmonary emboli. This in the setting of a progressive iron deficiency anemia without evidence of active clinical gastrointestinal bleeding. The patient received 2 units of packed red blood cells in a palliative fashion for her presenting hemoglobin of 7.4 g/dL. Posttransfusion hemoglobin was 10.1 g/dL. Concurrently, she was placed on weight-based low molecular weight heparin for full anticoagulation. I examined the patient on the morning of February 12 and found her to be nondistressed. Her SaO2 value was 96% on 4 L/m nasal cannula O2. Recall that her baseline flow rate historically had been 2 L/m his cannula. Etiology of the patient's thromboembolism uncertain. She had no clinical findings of unilateral or bilateral lower extremity swelling or tenderness. Patient noted to be a survivor of both breast and lung cancers but without known evidence of active persistent malignancy. Of interest, she had received a COVID-19 vaccine just over one week prior to presentation. I contacted pharmacy in this regard and encouraged him to report possible adverse event via VAERS. I recommended a course of rivaroxaban and provided a prescription with a VTE dosing schedule. Patient was advised to followup with Dr in 10 days. M.D., Hospital Medicine MD Feb 12, 2021 08:40

Other Meds: Famotidine 20mg tab - 1 tab PO BID; Hydrocodone/APAP 5-325mg - 1 tab PO Q6H PRN Pain

Current Illness:

ID: 1026922
Sex: F
Age: 48
State: MD

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

Lab Data: None

Allergies: Sulpha and clindamycn antibiotics

Symptoms: 2/7/21 2:00pm - Mild Headache, fatigue and mild muscle aches 11:30pm - Fever and chills, along with above symptoms 2/8/21 (Midnight - Midnight ) High Fever (101 with Motrin on board) Chills Headache Fatigue Nausea Muscle Aches 2/9/21 (Midnight - Midnight) Headache Mild Fever Fatigue 2/10/21 (Midnight - Midnight) Headache Fatigue 2/11/21 Headache 2/12/21 Headache

Other Meds: Motrin, Vitamin D (50,000 1xwk), Vitamin C, Skelaxin 800mg (1xday), melatonin

Current Illness: None

ID: 1026923
Sex: M
Age: 78
State: SD

Vax Date: 02/09/2021
Onset Date: 02/10/1921
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: keflex

Symptoms: Upset stomach, no appetite, chills, headache, disorientated. Temp went as high as 104.6, given Tylenol and put cold rags on extremities, Pulse oximeter read as low as 85and varied to 90. Applied CPAP and pulse Oximeter began to register 91 Pulse was as high as 103 and blood pressure was 152/92. This occurred over a time from 4:30 P.M. to approximately 6:40 when temp dropped to 102.8, and 7:45 temp was 101.8, Pulse oximeter was 86-89. By 9:05 pm Pulse oximeter went to 90 and rose to 92 and then 93 in the next couple hours. Patient had aching all over and felt disorientated the next day.

Other Meds: Oxycodone, levothyroxine, Oxcarbazepin, Allopurinol, Calcium,Sertraline ,potassium Chloride, Ropinirole Amitiza, Lisinopril, Furosimide, Docusate Sodium

Current Illness: Bursitis in left hip.

ID: 1026924
Sex: F
Age: 57
State: WA

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

Lab Data:

Allergies: None, to my knowledge.

Symptoms: Due to the snow, I took the bus to the HD, instead of riding bicycle. Due to the snow, however, buses were reduced, only running hourly; I walked home using my walking sticks instead of waiting for the next bus. Later in the evening, I developed an extremely severe right shin splint (anterior tibialis irritation). My left leg is always painful, even with my brace that treats me like an amputee. Dr at the Clinic has told me that he's amazed I'm still able to walk, even with my custom brace. Beginning about 11 PM on 2/11/2021, my legs were so painful that I could not stand and walk, even wearing my brace. Crawling was painful too, but I crawled anyhow. I also scooted on my butt and grabbed furniture to get around. Getting into bed took a very long time, quite likely several hours, due to my severely impaired mobility. My bed is low, several inches above the ground; I had to knowingly fall into bed to get there. Once in bed, I was still in lots of pain.

Other Meds: Fluoxetine HCL, Trazodone HCL, multivitamin, calcium, magnesium

Current Illness: None, to my knowledge.

ID: 1026925
Sex: F
Age: 45
State: RI

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

Lab Data:

Allergies: Cipro, Sulfa, Erythromycin, Anesthesia

Symptoms: Employee c/o tingling in both hands Benadryl 25mg given at 1646. V/s 122/80 99% 91 p. Tingling subsided at 1700. Ending v/s o2 99% P:73.

Other Meds: Multi vitamins

Current Illness:

ID: 1026926
Sex: F
Age: 46
State: MS

Vax Date: 01/18/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Bell's Palsy may or may not be related to vaccine. Developed about 21 days after initial vaccine dose. Emergency room doctor prescribed a course of steroid (Valtrex 1gm - 1 tablet 2/day for 7 days)

Other Meds: Janumet XR Tab 50-1000mg, Farxiga 10mg, Amlodepine Besylate 5mg, Lisinopril 10mg, Omeprezole 20mg, Centrum multivitamin, Fluticansone Propionate Nasal Spray 50mcg, Ibuprofen 200mg as needed, Phenylephrine HCL 10mg as needed

Current Illness: Rhinitis

ID: 1026927
Sex: F
Age: 75
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/30/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: Sulfa drugs

Symptoms: Beginning 4 days after shot and running for 8 days, had significant abdominal aches, pains in hip, pelvic areas as well as mid-spine to limbo-sacral areas. Temperature range 96.2 to 100.8, night sweats. At times had hard time getting around, e.g. standing straight, bending, getting into bed, moving around in bed. Pain moved around - intense in one area and then 6 hours later, intense in another area. Pain range 2 - 7 on scale of 0-10. Sleep interrupted for 8 nights sometimes for long stretches. Normally active, flexible, healthy, mentally alert, more like a 50 year old. Weight appropriate for height. Eat well and pay attention to staying healthy. Don't like taking medication, so only took one tylenol when temp got to 100.8.

Other Meds: Calcium, Magnesium, Cranberry, Vitamin D, occasional baby aspirin

Current Illness: none

ID: 1026928
Sex: M
Age: 71
State: OH

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

Lab Data:

Allergies: Sulpha and cortisone PO

Symptoms: Client has a history of some allergic reactions to medications. (Did not indicate this on form) Rc'd vaccine in a drive thru clinic and with in minutes delt flushed in his eyes and cheddls. He proceeded to Recovery area and was seen by Dr. No SOB or respiratory distress but had overt facial flushing and mild swelling. Client given 50 mg of PO Benadryl and observed x 30 minutes w/o improvement and worsening flushing. Transported by EMS to local hospital.,RN per Dr written vaers form and incident report form.

Other Meds: Lisinopril, Atenolol, Claritin

Current Illness: None

ID: 1026929
Sex: F
Age: 69
State:

Vax Date: 01/23/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: biaxin and sulfa

Symptoms: Pt. developed an itchy diffuse rash to torso, face and genital region but was also started on antibiotics following vaccine administration.

Other Meds: calcium carbonate, estradiol vaginal cream, famotidine, losartan, memantine, metronidazole topical cream, multivitamin, pravastatin, probiotic, Prolia injection Amoxicillin 875 mg- potassium clavulanate 125 mg and neomycin-polymyxin-hydroc

Current Illness:

ID: 1026930
Sex: M
Age: 77
State: AR

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

Lab Data: none

Allergies: none

Symptoms: Morning after, left leg was partially paralized, for about 20 minutes. Left elbow was same way except didn't last but about 5 minutes. Under front of nose there was a weird sensation that lasted until the second day. Felt like something was messing with nose but nothing was there that could be seen. Now this is day 8 and there is swelling abouve my left ankle probably about 2 inches up. The leg and elbow and nose seem to be ok. I don't think I want to take vaccine #2 because of these effects that happened.

Other Meds: triamterene-hydrochlorothiazide 37.5-25mg tablet meloxicam 15mg. tablet lysine 500 mg capsule multivitamin tablet omega-3 fatty acids 1000mg tab

Current Illness: none

ID: 1026931
Sex: M
Age: 67
State: FL

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Do not have those records from Hospital but was told CBC, CMP, chest x-ray okay.

Allergies: No known drug allergies

Symptoms: Severe fatigue and weakness, hypotension with blood pressure 78/58, presented to Hospital emergency room where they originally wanted to blame it on his Parkinson's disease but decided it probably was an adverse vaccine reaction(gee, I wonder if they reported this). Patient was so weak she could not even get out of bed and bear weight on his legs. No fever or chills. No cough. Labs were normal including COVID-19. Felt normal the following day.

Other Meds: I'll just stop right now and say for the record that this is why most physicians probably do not fill these out, this is not a user-friendly website and very time consuming. Carbidopa levodopa, loperamide, pravastatin, trazodone, 81 mg as

Current Illness: No acute illnesses around this time

ID: 1026932
Sex: M
Age: 77
State: UT

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: UA and cx 2/10

Allergies: benedryl, Sulfonomides

Symptoms: sepsis UTI, ESBL bacteremia

Other Meds: pregabalin, hyzaar, Flomax, lantus

Current Illness: none

ID: 1026933
Sex: M
Age: 66
State: CA

Vax Date: 01/28/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 02/09/2021 my upper left arm was slightly itchy with a red circle in same area, approximately 3" in diameter 02/10/2021 my upper left arm had a slightly red circle same size 02/11/2021 very faint red circle 02/12/2021 arm shows no signs of red rash.

Other Meds: Multi-vitamin, Vitamin D3, Vitamin C

Current Illness: None

ID: 1026934
Sex: F
Age: 59
State: TX

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

Lab Data:

Allergies: Codeine: Hives

Symptoms: Sudden onset of chest tightness with shortness of breath 20 minutes after receiving the vaccine. Symptoms last for 10 minutes

Other Meds: Symbicort inhaler Dexelant B12 injection

Current Illness:

ID: 1026935
Sex: F
Age: 58
State: RI

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

Lab Data: N/A

Allergies: Clindamycin

Symptoms: I have history of drug reaction to Clindamycin (true allergy) and to Levofloxacin (rash, may not have been true allergy). After the second dose I had itchy rash all over my body, sparing face, hands and feet, Resembles the drug rashes in appearance, distribution and itchiness. It hasn't gotten much better. It does seem to be bad in my upper left arm, and not on the upper right arm. Antihistamines and triamcinolone ointment havent really settled it down.

Other Meds: Synthroid, Fluoxetine, Bupropion

Current Illness: N/A

ID: 1026936
Sex: F
Age: 70
State: MN

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: EPINEPHRINE, EGGS, PEANUTS, DAIRY, FRAGRANCE, MINERAL OIL (RASH), JEWELERY (OTHER THAN GOLD).

Symptoms: IT WAS ITCHING AT NIGHT MONDAY (2/8/21). REMINDED PATIENT OF PHLEBITIS/CELLULITIS. WENT TO DR OFFICE AND NURSE LOOKED AT IT. NURSE SAID IT WAS RAISED AND WARM. HURT WHEN PRESSED ON. NURSE RECOMMENDED ICE AND BENADRYL ORAL AND TOPICAL. 2 BENADRYL EVERY 4 HOURS FOR A DAY. 2/10/21 IT WAS CLEAR; ONLY BRUISE REMAINDED.

Other Meds: CLARITIN OR CLARITIN-D AS NEEDED. OCUVITE, VITAMIN D 2000, CALCIUM, PLEXUS PROBIOTIC TWICE DAILY.

Current Illness:

ID: 1026937
Sex: F
Age: 58
State: AZ

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

Lab Data: Took Benadryl at 7pme and sprayed Benadryl to itchy area next morning. Still red next day and less itchy.

Allergies:

Symptoms: Rash breakout on my neck, around the collar that traveled to my chest and under around my breasts to my armpits -

Other Meds: Atorvastatin 40mg daily Montelukast 10mg daily Spironolactone 25mg daily Aspirin 81mg daily Allegra 180mg daily Pro-air HFA_Albuterol Sulfate - prior to exercise daily Multi Vitamins Vit D3 5000 daily Vitamin C 1000 IU daily Calcium Magnes

Current Illness:

ID: 1026938
Sex: M
Age: 74
State: TN

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

Lab Data:

Allergies:

Symptoms: Weakness in lower extremities, fever of 102

Other Meds:

Current Illness:

ID: 1026939
Sex: M
Age: 77
State: IN

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

Lab Data:

Allergies: codine, lobster, sulfa drugs

Symptoms: moderate pain at injection site rt arm. lots of body/ joint pain. chills. headache. no fever . lasting 24 hrs

Other Meds:

Current Illness:

ID: 1026941
Sex: F
Age: 67
State:

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

Lab Data:

Allergies: IV Contrast, Lisinopril

Symptoms: Employee c/o lips prickly and throat scratchy at 1352. Benadryl 25 mg administered. V/s b/p: 123/85 P:100 o2:97. At 1430 employee complained that the symptoms had not subsided. Benadryl 25 mg administered. At 1450 employee stated she felt much better and she left observation area.

Other Meds:

Current Illness:

ID: 1026942
Sex: M
Age: 32
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness Fever

Other Meds:

Current Illness:

ID: 1026943
Sex: F
Age: 43
State: NY

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

Lab Data: O

Allergies: No

Symptoms: Fever of 102 degrees, arm pain, swelling in arm, back pain, muscle pain, headache

Other Meds: Acetaminophen 200mn

Current Illness: No

ID: 1026944
Sex: F
Age: 75
State: AL

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

Lab Data: no

Allergies: Sulfa

Symptoms: redness at injection site. It is very hot and red and swelling states it is now pink and has cooled down some.

Other Meds: insulin and DM pill, gabapentin, losartin, atenalol, vit E, B12, B3,

Current Illness: no

ID: 1026945
Sex: F
Age: 58
State: NC

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

Lab Data: NONE

Allergies: Unknown and none reported

Symptoms: PT FELT HOT AND FLUSH, HIGH ANXIETY, RASH AT INJECTION SITE, BLOOD PRESSURE WAS ELEVATED

Other Meds: 600mg ibuprofen within 2 hours prior to vaccination for headache. Diphenhydramine 50mg to treat allergic reaction within 30 minutes of reporting reaction.

Current Illness: None reported

ID: 1026946
Sex: F
Age: 77
State: KY

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

Lab Data: HAD POSITIVE COVID PCR 02/12/21.

Allergies: PENICILLIN

Symptoms: RECEIVED COVID VACCINE 1ST DOSE ON 02/03/21. REPORTED TO ICC ON 2/12/21 FOR HEADACHE, NO TASTE, FATIGUE, AND CONGESTION. REPORTED COVID EXPOSURE 1 WEEK PRIOR. HAD POSITIVE COVID PCR 02/12/21. RECIEVED BAM INFUSION ON 02/12/21.

Other Meds:

Current Illness:

ID: 1026947
Sex: M
Age: 37
State: MD

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

Lab Data:

Allergies: N/A

Symptoms: Double vision - 1/29/21 to present. Noticed double vision when was about to drive to work (7:30am 1/29/21). Double vision currently being monitored by neuro-ophthalmologist. Cause of double vision not yet known. Currently still have double vision. Severe headaches - 1/20/21 to 1/24/21 Vomiting - 1/20/21 Woke up in middle of night (3:00am 1/20/21) with severe headache. Started vomiting few hours later. Vomiting continued throughout the day. Went to clinic later that night and was given IV for dehydration. Vomiting stopped, but headaches continued for about 3-4 days.

Other Meds: N/A

Current Illness: N/A

ID: 1026948
Sex: M
Age: 21
State:

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

Lab Data:

Allergies: None

Symptoms: fever, fatigue, headache, heavy breath

Other Meds: None

Current Illness: None

ID: 1026949
Sex: M
Age: 72
State: CA

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

Lab Data:

Allergies:

Symptoms: Symtoms: Body Aches, Low Grade fever, generalized weakness. Treatment: Tylenol

Other Meds:

Current Illness:

ID: 1026950
Sex: F
Age: 71
State: MN

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

Lab Data: None at this time.

Allergies: Macrodantin

Symptoms: Starting on February 3 starting experiencing dizziness, nausea, headache, shakes like I had a bad stomach due. The symptoms waxed and waned and have continued to this date. Background history I have a Covid test on November 4th and received a confirmation by telephone that it was positive on November 9th. After 14 day quarantine I felt fine and proceeded with my life. The symptoms now appear to me to be related to the vaccine. Was this the result of having Covid or getting the vaccine within the 90 days of having supposed immunity or a result of the vaccine. It does make me question getting the second injection

Other Meds: Celexa, Crestor, Astelin, Estrace, turmeric, CoQ10, calcium, zinc, magnesium, Vitamin D

Current Illness: None

ID: 1026951
Sex: M
Age: 73
State: IN

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

Lab Data: None

Allergies: Penicillin,

Symptoms: Headache, back ache, chest pain, hurt all over, chills, felt like the first day I had Covid 19

Other Meds: Vitamin D3 Aspirin 81 mg Lisinopril, Atenolol, Atorvastatin, Venlafaxine-HCL-ER, Clonazepam, Tamsulosin

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm