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: 1026952
Sex: M
Age: 46
State: KY

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: 1st dose COVID vaccine 1/30/21; developed shortness of breath 2/7/21; worsening symptoms SOA, falls, chest pain; seen in ED on 2/12/21; Admitted to Hospital for severe sepsis, acute respirator failure.

Other Meds:

Current Illness:

ID: 1026953
Sex: F
Age: 33
State: NY

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

Lab Data:

Allergies:

Symptoms: 2 days, fever, chills, tiredness

Other Meds: Birth control- syeda Bupropion Lexi pro

Current Illness:

ID: 1026954
Sex: F
Age: 40
State: CA

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

Lab Data: None at this time, symptomatic care

Allergies: Codeine, Quinoa

Symptoms: Fever, pain in joints, stabbing pains abdominally, canker sores in the mouth

Other Meds: None

Current Illness: NA

ID: 1026955
Sex: F
Age: 55
State: TX

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

Lab Data: None

Allergies: NKDA

Symptoms: Swelling and bruising to the face. Pain only in shoulders. Neg SOB

Other Meds: Advair 250mg/50 1 puff BID Singular 10mg po QD Hydroxychloroquine 300mg PO QD

Current Illness: None

ID: 1026956
Sex: F
Age: 57
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Swelling, pain, knot in lymph node in underarm of shot arm

Other Meds: Amlodipine Besylate, Atorvastatin, Escitalopram, Calcium, Vitamin D, Fish Oil, Multivitamin supplement

Current Illness: None

ID: 1026957
Sex: M
Age: 67
State: PA

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient describes having a large pimple on his behind that started sometime last night

Other Meds:

Current Illness:

ID: 1026958
Sex: M
Age: 66
State: IN

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

Lab Data:

Allergies: none

Symptoms: extremely sore muscles and joints-chills

Other Meds: symbicort inhaler-----tamsulosin

Current Illness: none

ID: 1026959
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies: Penicillin

Symptoms: The late afternoon/evening on the day of the shot, my right side of my face, head, and neck felt sore. The next morning when I woke up, my right jaw joint was extremely inflamed and so much so that I could not bite down and my teeth did not touch or fit together. The pain was so bad and I had such limited movement of that area that I couldn't even move my tongue out to lick my lips. Then on Sunday, the pain was even worse and I could still not touch any teeth together and my bite was so off that my lower teeth did protrude out beyond my upper teeth. I went to the doctor the next day (Monday) in which he gave me a prescription for Meloxicam to reduce the inflammation. I had taken ibuprofen the days prior with no effect at all. Meloxicam did not work that much better but did reduce the inflammation a little bit. It was not until Thursday of that week (6 days after vaccine) that the inflammation was reduced enough to actually chew. MY front teeth touched together first and then the other teeth over the next couple of days.

Other Meds: None

Current Illness: none

ID: 1026960
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies:

Symptoms: throbbing pain at injection site for 3 days

Other Meds:

Current Illness:

ID: 1026961
Sex: M
Age: 61
State: IA

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

Lab Data:

Allergies:

Symptoms: Pts was red and hot around the area of injection. pt also reports that it is painful.

Other Meds:

Current Illness:

ID: 1026962
Sex: F
Age: 75
State: CO

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

Lab Data: None

Allergies: Sulphate, Nickel, Acetaminophen

Symptoms: Ok for about 12 hours after inoculation, Feb.10, then chills, fever, severe body aches and fatigue. Symptoms continued well into the following day, Feb. 11. Chills and fever subsided, late evening, while body aches remained. Treated with fluids, and two doses of Ibuprofen, 600 mg. 11::00 am and 8pm on the 11th. Slept solidly that night and awoke feeling refreshed, free of all symptoms.

Other Meds: Daily multiple vitamins, Fish Oil, Flaxseed Oil,Calcium, Benadryl

Current Illness: None

ID: 1026963
Sex: F
Age: 31
State: MN

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

Lab Data:

Allergies: None

Symptoms: Vomiting occurred approximately 12 hours post vaccine and lasted approximately 10 hours. Several rounds of vomiting, chills, restless legs.

Other Meds: escitalopram, spironolactone, multivitamin, calcium/D vitamin

Current Illness: Positive COVID diagnosis within the month prior to vaccine

ID: 1026964
Sex: M
Age: 76
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: n/a

Allergies: NKDA

Symptoms: Patient received Moderna COVID vaccine on 1/20/2021. Shortly after (with in 1 week) patient experienced addominal pain, diarrhea, loss of appetite, and chills.

Other Meds: Prilosec 20mg on tablet once a day. Spiriva with HandiHaler 18mcg Inhalation.

Current Illness: None

ID: 1026965
Sex: M
Age: 92
State: PA

Vax Date: 01/24/2021
Onset Date: 01/26/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Lab ESR elevated work and CT scan negative

Allergies: no known allergies

Symptoms: received second Pfizer COVID dose on 1/24 to left deltoid. On 1/26 began with pain in bilateral arms and hands. On 2/1 had limited range of motion. Receiving Tylenol PRN for pain. On 2/7 new order for ibuprofen 600mg Q8hr. PRN. On 2/10 rating pain 10/10 sent to ER for eval and treat. Labs work CT negative, dose of morphine and returned to facility same evening. On 2/12 rated pain right 5/10 and left 8/10, continue to monitor and follow up with physician

Other Meds: no new meds given

Current Illness:

ID: 1026966
Sex: F
Age: 73
State: PA

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

Lab Data: EKG, CT scan, blood tests, chest x-ray in emergency room

Allergies: Microbid

Symptoms: Chest pain radiating to arm pits, shortness of breath, fast heart rate, fainting, loss of vision

Other Meds: Synthroid, Crestor, Vitamin D, Vitamin B, Calcium, Tylenol, eye drops, Prolia, Vagifem

Current Illness: Detached retina--surgerically repaired 2/9/2021

ID: 1026967
Sex: F
Age: 28
State:

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

Lab Data: Tested for COVID due to cough- negative result

Allergies: Penicillin

Symptoms: Sore arm, terrible headache, neck pain, muscle soreness, chills, stomach ache, slight cough - started about 18 hours after shot and lasted around 12-24 hours

Other Meds: Oral contraceptive

Current Illness: NA

ID: 1026968
Sex: F
Age: 56
State: TX

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

Lab Data: Did not follow up with PCP for stool sample as the symptoms went away after about 9-10 days.

Allergies: latex; walnuts

Symptoms: After the first vaccine on 14JAN2021, Upset stomach followed by loose projectile stools 3-4 days in a row in the late afternoon and early evening hours between 4 and 7pm. Initially thought it was due to food poisoning but spouse who also had his shot (same day) and we eat same foods, he did not have these symptoms. Finally called PCP on 20JAN2021, as the diarrhea was not subsiding; but it did finally subside a day later and back to normal stools by 22JAN2021. 12FEB2021 the second Moderna vaccine given around 1150AM; same loose projectile stools came with upset stomach around 4PM; will fill out another form. Informed PCP.

Other Meds: Amour thyroid; wellbutrin; lexapro; metformin

Current Illness: none known

ID: 1026969
Sex: F
Age: 26
State: MN

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: N/a

Allergies: No known allergies

Symptoms: 7 days status post first dose of Moderna vaccine experiencing itchy rash located axillary, back, abdomen, chest, and bilateral upper and lower extremities.

Other Meds: Birth control

Current Illness: None

ID: 1026970
Sex: M
Age: 73
State: TX

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

Lab Data: None

Allergies: Peanuts - reaction is NOT typical; about a day after eating peanuts I have stomach cramps for about 1.5 days; then I get a non-itchy rash from the waist up that looks like a sunburn and a low-grade fever (~99F) that lasts for about 1.5 days. Then I feel fine again.

Symptoms: About an hours after injection, felt tingling in lower jaw. About an hour later tongue was about double size. Took an antihystamine

Other Meds: Metoprolol ER, Hydrochlorothiazide, Omeprazole, Levothyroxine, Atorvastatin, Multivitamin, Culturelle

Current Illness: None

ID: 1026971
Sex: F
Age: 60
State: NY

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

Lab Data: None

Allergies: None

Symptoms: I have been having chills, headaches and joint pains since 2/3/21.

Other Meds: Vitamin D , Advil , Pantrapazole and Lipitor

Current Illness: None

ID: 1026972
Sex: F
Age: 59
State: WA

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

Lab Data:

Allergies:

Symptoms: When the vaccinator was administering the vaccine, some of the vaccine leaked out on to patient's arm. Patient describes feeling liquid on her arm.

Other Meds:

Current Illness:

ID: 1026973
Sex: M
Age: 56
State: NY

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

Lab Data: 1/22/21, 2/11/21 - No blood test out of ordinary, CT scan clear, chest x-ray clear but I feel terrible now 3 WEEKS AfTER I received this vaccine

Allergies: None

Symptoms: Moderna Covid-19 vaccine EUA. Rapid heartbeat, tingling and numbness in extremities, face, tongue, dizziness, swollen lymph node, blood taste in mouth. I?ve been to the ER three times and they can find nothing wrong with me but I am not well.

Other Meds: One a day vitamin Vitamin d3 Hydroxyzine

Current Illness: None

ID: 1026974
Sex: F
Age: 41
State: WA

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

Lab Data: None

Allergies: No

Symptoms: Late adverse reaction, Major swelling and rash, heat and pain. Below injection site.

Other Meds: Propranolol

Current Illness: None

ID: 1026975
Sex: F
Age: 81
State: CA

Vax Date: 01/24/2021
Onset Date: 02/01/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Ceftin, Lasix, Vasotec, Diovan, Avelox,tape

Symptoms: Rash appeared below injection site on 2/1/21. Area red and itchy. Looked like COVID arm rash pictured on internet. Rash gone by 2/10/21.

Other Meds: Aldactone, Amlodipine,Atorvastin, Famotidine, Metroprolol,Tomoxifen, Vitamin D3, Aleve

Current Illness: Osteoarthritis

ID: 1026976
Sex: F
Age: 25
State:

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

Lab Data:

Allergies:

Symptoms: I received the vaccination at 9:30 am. I developed mild-moderate pain in my left arm around 10:30 am. I developed nausea around 10:30 am. I ate normally throughout the day and began feeling faint and severely nauseous at 7:30 pm and vomited immediately after. Vomiting persisted for approx. 5 minutes and was the peak of my adverse event.

Other Meds:

Current Illness:

ID: 1026977
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies: Sulfa

Symptoms: Vomiting, nausea, fever, headache, fatigue, and body aches.

Other Meds:

Current Illness: None

ID: 1026978
Sex: F
Age: 20
State: MI

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

Lab Data: N/A. Was prescribed Cefdinir.

Allergies: None

Symptoms: Swelling of arm week after vaccine. Red, swollen lump on left arm. As well as swollen lymph ones under left armpit. The day after vaccine, my arm had the normal inflammation related to the vaccine. It went away after 4 days. A few days after my arm started to become itchy. It has been itchy since. On 2/11, my arm swelled up again and became red around the injection site and hard and warm to touch.

Other Meds: Metoprolol ER 25 mg

Current Illness: None

ID: 1026979
Sex: M
Age: 73
State: OH

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient complained that he still can not lift his arm above his shoulder. He reported no redness or swelling. He also said he had developed a rash that also was not going away.

Other Meds:

Current Illness:

Date Died: 01/25/2021

ID: 1026980
Sex: M
Age: 80
State: OH

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data: CT CHEST , CT ABDOMEN PELVIS, (01/23/2021) AUTOPSY 02/03/21??

Allergies: NKDA

Symptoms: Patient reported to Emergency room on 01/23/2021 with complaint of nausea. According to ER record patient reported he received a COVID 19 vaccine Pfizer the day before. Work up in the ER (CT ABD PELVIS) reveal a clotted of SMA. CT CHEST REVEALED BILATERAL PULMONARY EMBOLUS. THE PATIENT WAS TRANSFERRED TO THE STATE HOSPITAL. HE WAS SCHEDULED FOR EMERGENT VASCULAR SURGERY WHICH WAS CANCELLED AS THE PATIENT DIED SHORTLY AFTER HIS ARRIVAL.

Other Meds: METFORMIN, PIOGLITAZONE, NORTRIPTYLINE, TERAZOSIN, RISPERDONE, VIT D 3, DEPO-TESTOSTERONE, LOSARTAN, FLUTICASONE, NTG SL, CRESTOR, PROSCAR, ZOLOFT, MONTELUKAST, HYDROXYZINE, CARAFATE, OMEPRAZOLE, REGLAN, CENTRUM SILVER.

Current Illness: NONE

ID: 1026981
Sex: F
Age: 77
State: CT

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

Lab Data: None. I called my PCP office and spoke to an Aide, who said it was probably a vaccine reaction. Since I was feeling better, I didn't pursue it. But I now feel it should be reported, as I hope you folks are keeping track of this stuff.

Allergies: Penicillin, Erythromycin

Symptoms: about 80 hours after receiving the shot, I experienced severe diarrhea , starting at about 10 PM. I spend most of the night sitting on the toilet. No vomiting. Some abdominal cramping, and my nose was very runny, altho not stuffy. By morning the diarrhea had stopped, but I felt awful. Did not know if I was mainly dehydrated, exhausted from no sleep, or sick. Ate nothing that day, but drank a lot of fizzy water and herbal tea with a little honey. Following day feeling OK, and by third day, fine. The experience felt like a really bad stomach flu or food poisoning, but I haven't had either of those for over 15 years (and that was from Erythromycin prescribed by my dentist when I didn't realize I am allergic to it).

Other Meds: cod liver oil pills, melatonin

Current Illness: none

ID: 1026982
Sex: F
Age: 72
State: TX

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

Lab Data: None

Allergies: Laytex, Penicillin; Cypro; Iodine

Symptoms: Patient's response to vaccine was VERY similar to her response to the illness. Lack of body strength, stability,(unable to stand by herself, to walk, to follow commands requiring body movement) incontinence, inbility to think clearly, unable to recognize her loved ones, No fever, no vomiting or diarreah, no cough. These symptoms lasted for 24 hours, then went away almost fully and completely. Left arm soreness exists two days after injection.

Other Meds: Naminda 28 mg ; tramadol 100mg; Exelon Patch 13.3mg; Trazadone 100 mg.;Levothyroxin 25mcg ; Sertraline 100mg; Symbicort 160 4.5 MCG ; Ventolin HFA 90 mcg; Tolterodine

Current Illness: Covid (Jan 16-30)

ID: 1026983
Sex: F
Age: 57
State: ND

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

Lab Data: None

Allergies: NKDA

Symptoms: Patient diagnosed with Bells Palsy on 2/10/2021

Other Meds: White Petrolatum-Mineral Oil (EYE LUBRICANT) OINT Apply 1 application to the affected eye(s) every night at bedtime Right eye polyethyl glycol-propyl glycol (LUBRICANT EYE DROPS) 0.4-0.3 % SOLN Place 1 drop into the right eye Every 2 hours

Current Illness:

ID: 1026984
Sex: F
Age: 72
State: AZ

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

Lab Data: none

Allergies: bactrim

Symptoms: hives of arms, pruritis arms/trunk/scalp/ears. It resolved for the timebeing w/i 1.5 hours w/ 50 mg oral diphenhydramine and dose of oral famotidine

Other Meds: ascorbic acid, diclofenac topical, hydroxychloroquine, leucovorin, methotrexate, nitrofurantoin

Current Illness: none

ID: 1026985
Sex: F
Age: 64
State: MS

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

Lab Data: SubDeltoid Bursitis Of Left Shoulder? Bursitis Of Left Shoulder ... Examined 2/12/2021. Medication Script Given For Medrol Dose Pack Apply Ice Pack 15 Min 4 x a day...

Allergies: Morphine, Penicillin

Symptoms: Arm Pain, Can?t Lift To Dress, Can?t Lift Anything, Shoulder Pops, for 2 weeks

Other Meds: Procardia XL, Armour Thyroid, Aspirin 81 mg, Crestor 5 mg, Ativan (PRN), Vit D. , Vit C , Fish Oil, Multi Vit, Estrace Cream

Current Illness: None

ID: 1026986
Sex: M
Age: 67
State: NJ

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

Lab Data:

Allergies: Trovan

Symptoms: Fever 100 Chills Sleep excessive Nausia

Other Meds: Bystolic

Current Illness: GERD

ID: 1026987
Sex: M
Age: 68
State: CO

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

Lab Data: None

Allergies: None known

Symptoms: Swelling, redness, and warmth at injection site. Patient observed in clinic for 35 minutes. Vitals were taken every 15 minutes. Educated patient on the use of ice packs and if symptoms return to call clinic, call with questions concerns, and to call 911 if swelling of face, tongue or airway.

Other Meds: Atorvastatin Calcium, Aspirin 81, Levothyroxine Sodium, Lisinopril, Calcium (OTC), Vitamin D (OTC), Oregano oil, Spironolactone, Vitamin C.

Current Illness: None

ID: 1026988
Sex: F
Age: 37
State: WA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: **15 weeks pregnant. Due date 8/2/21. Second child** I had chills, fever (101), headache, body aches, nausea and diarrhea. My arm was soar, I felt like I got hit by a Mack truck, I couldn't lift my arm. The next two days I still had all symptoms., by Monday I felt ok.

Other Meds: Prenatal Metformin

Current Illness:

ID: 1026989
Sex: F
Age: 65
State: PA

Vax Date: 01/27/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: I didn't have any medical or lab results related to this delayed reaction to the vaccine.

Allergies: none

Symptoms: Two weeks after I received the shot, I got a very large hive around the injection site - about 4 -5 inches in diameter. It hurts, is hot and itchy.

Other Meds: synthroid, Vitamin B, Vitamin D, biotin, magnesium

Current Illness: none

ID: 1026990
Sex: F
Age: 39
State: NJ

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

Lab Data:

Allergies: Pencillin, sulfa drugs

Symptoms: High Fever of 103, aches, rash

Other Meds: Buspirone

Current Illness: None

ID: 1026991
Sex: F
Age: 28
State: MD

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

Lab Data:

Allergies: Amoxicillin

Symptoms: During administration of the vaccine in my left arm, the needle came off ("popped off") of the syringe. Doctor and tech said they were using a new shipment of syringes that were bad quality. Because of this, I had another dose of the vaccine in my right arm. It was an honest mistake and was handled appropriately. I am reporting as a means for documentation and scientific study of potential extra-dose effects of the Pfizer-BioNTech COVID19 vaccine.

Other Meds: Vyvanse, Wellbutrin, Lexapro, Liletta IUD, Flagyl, probiotic

Current Illness: None

ID: 1026992
Sex: F
Age: 82
State: FL

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

Lab Data:

Allergies: None

Symptoms: Swelling and redness and blisters at injection site

Other Meds: Carvedilol. Fluoxetine trimethopine praulent Prozac Aspirin fish oil multi vitamin calcium

Current Illness: None

ID: 1026993
Sex: F
Age: 39
State: KY

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

Lab Data:

Allergies: Chantix

Symptoms: 1st vaccine 01/15/2021; 2nd dose 02/05/2021; seen at care center 12/12/2021 for new onset jaw pain and swelling onset 12/12/2021.

Other Meds:

Current Illness:

ID: 1026994
Sex: M
Age: 80
State: MO

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data: On admission, fever of 101.3, WBC 2.6, HgB 8.2, PLT 77k. Nadir (2/11) WBC 0.7, HgB 6.0, PLT 42k. Bone marrow biopsy collected 2/5 demonstrated "rare hemophagocytic histiocytes." On 2/4, ferritin was 6115. On 2/9/21, IL-2 receptor alpha was 1023. Constellation of fever, bycytopenia, elevated ferritin and IL-2 all consistent with HLH. Notably, triglycerides and fibrinogen were normal / inconsistent with HLH. CT on 1/29/21 demonstrated possible enterocolitis. Repeat CT on 2/1 showed rectus sheath hematoma.

Allergies: lidocaine

Symptoms: Patient began feeling ill within 24 hours of getting second COVID19 vaccination. Presented to our hospital the evening of 1/28/21 with generalized weakness, fevers, near syncope. Extensive workup revealed likely hemophagocytic lymphohistiocytosis syndrome attributed to reaction to vaccine. Patient treated with blood transfusions, corticosteroid (dexamethasone 20mg) and folic acid 1mg daily. Patient also developed rectus sheath hematoma attributed to vaccine/reaction. Patient continues to remain hospitalized 15 days later. Clinically stable, yet critically ill with no significant / some worsening of laboratory results.

Other Meds: famotidine, metoprolol, pantoprazole, trazodone

Current Illness:

ID: 1026995
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies:

Symptoms: Herpes Labialis 4 days after second vaccine, fatigue

Other Meds:

Current Illness: N/A

ID: 1026996
Sex: M
Age: 19
State: MA

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

Lab Data:

Allergies: None

Symptoms: Red and hot splotches along legs. Started about 27 hours after vaccination

Other Meds: None

Current Illness: None

ID: 1026997
Sex: F
Age: 56
State: TX

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

Lab Data:

Allergies: Latex and walnuts

Symptoms: Loose projectile stools about 3-4 hours after injection. This also happened with the first dose which was recently reported because I did not link or to think it was related to the vaccine until the same symptom of upset stomach followed by shooting, watery, stools. The last episode ended over a week. If like before with the first vaccine shot, the diarrhea will occur every evening for about 9 days; however, unable to predict this course/cycle with this second vaccine. I mentioned to my PCP. Meanwhile I just tolerate symptoms with Imodium, hydration, and rest.

Other Meds: Amour Thyroid; wellbutrin, Lexapro, and Metformin

Current Illness: none known

ID: 1026998
Sex: M
Age: 65
State: IN

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

Lab Data: had stent put in 99% blockage plus 70% in another

Allergies: none

Symptoms: never symptoms of heart condition with no medication ,age 65, the day after shot, I had severe chest pains left side of chest. went to hospital and had 99% blockage widow maker and another blockage. 6 living siblings, no heart condition in family, neither parent with heart condition prior to mother at age 90. Not sure if its connected to vaccine, I would like to know others had same, hopefully help other people

Other Meds: C D3 zinc , no prescriptions

Current Illness: cancer of prostate 11/2020 stage 1

ID: 1026999
Sex: M
Age: 45
State: MO

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

Lab Data: none

Allergies: None

Symptoms: Woke up at 3am and it felt like a truck had ran me over. I was hot, had cold chills muscle and joint aches my hair follicles hurt and i had a temperature of 102. It felt like the worst case of the flu in my entire life. It is now 5pm on 2/12/2021 and I'm feeling better still a little dizzy, and still tired.

Other Meds: Odeffsy, Metformin, xanax, ambien, crestor, Vitamin D 50,000 units, Co Q Ten, Benedryl, Tumaric, Vitamin C Vitamin b-12

Current Illness: None

ID: 1027000
Sex: U
Age: 71
State: MN

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

Lab Data:

Allergies:

Symptoms: Patient got vaccine and after 15 minutes, stated she felt dizzy, weak, and numbness in her legs. Checked for swelling of tongue and mouth, none noted. Caregiver that was with patient said she last ate "a few hours ago." Patient bought some orange juice and drank half of a cup. Also elevated her legs. Pharmacist offered 50mg of Benadryl at 4:40pm and patient wanted to take. Went to the bathroom accompanied by caregiver and came back. Waited another 10 minutes after returning from bathroom and felt much better. Wanted to get home because of the drive.

Other Meds:

Current Illness:

ID: 1027001
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies: Erythromycin

Symptoms: Swollen, itchy, and hot.

Other Meds: N/A

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm