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: 1028116
Sex: F
Age: 34
State: CA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 02/13/2021
Hospital:

Lab Data: N/a

Allergies: Adhesive (reaction: blisters)

Symptoms: Patient received the Pfizer-BioNTech COVID-19 Vaccine EUA at 1006. Developed flushing tongue itching, local redness on shoulders at 1010. Patient was given Benadryl 25mg po in the clinic and remained for observation. After observation, patient cleared to leave clinic - was instructed to call 911 and go to ED if exhibiting any signs or symptoms of anaphylaxis. Patient was given an extra dose of Benadryl, 25mg to take if needed.

Other Meds: Unknown

Current Illness: Unknown

ID: 1028117
Sex: F
Age: 74
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: N/A

Allergies: Ampicillin, Sulfa, Levofloxacin

Symptoms: Chills began 10 hours after vaccine and lasted from 11:00 pm-9:00 am. Brain Fog most of next day after vaccine. Terrible headache and nausea began 24 hours after vaccine and lasted approximately 6 hours. 3 Tylenol helped. Inflammation at injection site lasting 2 days.

Other Meds: Valsartan-HCTZ 160-12.5 mg., B12 5000 mcg., Mega Red 750mg.,D3 2000 IU., PreserVision AREDS 2, Mature Multi-Vitamin, Calcium, 600 mg.

Current Illness: None

ID: 1028118
Sex: F
Age: 28
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None

Allergies: Penicillin - Anaphylaxis Prazosin - Heart arrhythmia Zolpidem, Bupropion, Citalopram - Anxiety, Suicidal Ideation Adhesive Tape - Rash, Hives

Symptoms: 10 minutes After injection, tongue and throat began to swell, breathing became labored, and skin on neck was itchy and red. Liquid Diphenhydramine was attempted, however was unable to be administered without slight aspiration, so injection of Epinephrine was administered. Within 5 minutes, airways returned to normal, SPO2 on room air was 98%, and was cleared to go home.

Other Meds: Venlafaxine 300mg PO daily Topiramate 100mg PO daily Metformin 500mg PO daily Atorvastatin 40mg PO nightly Progesterone 100mg PO nightly Testosterone Ciponate .25ml SubQ twice weekly Anastrozole .25mg PO twice weekly with Testosterone

Current Illness: None

ID: 1028119
Sex: F
Age: 31
State: WA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: On the first night, I had severe muscle pain in the left arm. The next day, I felt severely fatigued and had whole body muscle pain especially in my back and between my ribs. My left arm was still very sore and was hard to lift anything heavy with my left hand. The second day I woke up with numbness and tingling in the right half of my lower lip.

Other Meds:

Current Illness: none

ID: 1028120
Sex: F
Age: 28
State: NC

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Called to see patient ~10 min after prime dose of Moderna COVID-19 vaccination. Patient reported acute onset of left eye swelling sensation and throat tightening. Was able to talk without difficulty. Normal salivation. Moved immediately from observation area to treatment room. Reaffirmed that symptoms persisted and that time she also reported chest tightness. Vitals were normal and pulse oximetry = 99%. Exam conducted while vitals being measured. No wheeze or stridor. No rash. No obvious oral lesions or swelling. Eye lids not swollen. Epi IM given at once (within 1-2 min of arrival at the treatment room). Symptoms resolved over the next 10 mins. Vitals were monitored frequently. Heart rate was increased before and just after Epi then dropped to ~70 b/m. Other vitals also remained normal and she was comfortable. EMS was called and she was transported to ED for continued observation. Husband accompanied her. She was seen in ED and observed for 4 hours. Benadryl, Pepcid and Prednisone taper prescribed. She was released from ED.

Other Meds: None

Current Illness: None

ID: 1028121
Sex: F
Age: 46
State: NC

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: Morphine

Symptoms: Extreme Leg pain,, joint pain, 102 fever, entire body aching, just felt terrible. I was out of work for two days.

Other Meds: Wellbutrin Lisinopril

Current Illness:

ID: 1028122
Sex: F
Age: 54
State: AZ

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: Azithromycin, Beclomthasone, Clindamycin, Doxycyline, Hydrocodone

Symptoms: An hour and a half after injection pt reports she had itching all over her body, Redness and extreme swelling of the arm.

Other Meds:

Current Illness:

ID: 1028123
Sex: F
Age: 52
State: GA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: No tests taken, went to ER at 630pm as symptoms were not improving . Given steroids, Pepcid 20mg bid, Benadryl every 4 hours. Saw MD on 1/29, no improvement, extended steroids and added singular to meds. Still do not have full feeling in my tongue and it?s still slightly swollen (feels kind of like it was burned), taste is still off and it?s been over 2 weeks. 15 days of steroids have been completed.

Allergies: Amoxicillin

Symptoms: Numb face, lips, mouth, tongue, flushing, dizziness,

Other Meds: Lisinopril, Aimovig, synthroid, tizanadine, le a pro, albuterol

Current Illness:

ID: 1028124
Sex: F
Age: 0
State: PA

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

Lab Data: See description under 18.

Allergies:

Symptoms: Five (5) minutes after receiving vaccination (21:15), patient experience redness of skin or urticaria in the entire body area. The Paramedic on-site assisted the patient immediately evaluating airway, breathing and circulation (ABC) which were never compromised. Patient blood pressure (BP) was 185/100, heart rate (HR) 80 and oxygen saturation of 96% at room air. Paramedic applied Benadryl (25mg, IM) on right deltoid muscle (opposite to vaccination site). Ten (10) minutes after Benadryl injection ABC remained stable with a BP 179/99, HR 78 and oxygen saturation of 96%. Thirty-five (35) minutes after vaccination patient remained alert, stable, and urticaria diminished visually.

Other Meds:

Current Illness:

ID: 1028125
Sex: F
Age: 80
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: 7 days after receiving the vaccine, I felt a lot of itching in the site of injection, some inflammation and very hot and red, which I had not felt since the moment they gave me the vaccine

Other Meds: losartan , levothroid, metformin, xanax, dexilant, glimepiride, zinc, vit c, B12.

Current Illness: No

ID: 1028126
Sex: F
Age: 69
State: FL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Coughing, severe headache, muscle pain through out back arm and hip area

Other Meds: Lisinopril 40 mg 1 tablet daily; Losartan Potassium 25 mg 1 tablet daily; Atorvastatin 10 mg 1 tablet daily; Famotidine 40 mg 1 tablet daily. Fluoxetine HCL 20 mg 1 tablet daily

Current Illness: No illnesses. Survey May left knee replacement; January 4 back survey

ID: 1028127
Sex: F
Age: 44
State: RI

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

Lab Data:

Allergies: None

Symptoms: S,yncopal. Episode due to anxiety

Other Meds: None

Current Illness: None

ID: 1028128
Sex: F
Age: 71
State: IA

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

Lab Data: Prior Covid positive patient from 10-25-20

Allergies: Lisinopril, Doxepin, Metformin, Maltodextrin

Symptoms: Tachycardia

Other Meds: Melatonin, Alogliptin, Metoprolol, Divalproex, Losartan, Venlafaxine, Mirtazapin, Hydrochlorothiazide, Fish oil, Atorvastatin, Amlodipine, Clonazepam, Tolnaftate powder

Current Illness: None

ID: 1028129
Sex: M
Age: 46
State: IL

Vax Date: 02/01/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 102 fever, chills, body aches, fatigue, head ache.

Other Meds: None

Current Illness: None

ID: 1028130
Sex: F
Age: 59
State: WI

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

Lab Data:

Allergies: none

Symptoms: Arm pain after about 2.5 hrs. Chills, fever, overall body aches, nausea after about 12 hrs. Treatment: ibuprophen, tylenol PM, immodium.

Other Meds: none

Current Illness: none

ID: 1028131
Sex: F
Age: 56
State: NY

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: ED visit, blood work and CT scan of head. Continue workup for more blood work and will need an ECHO

Allergies: PCN

Symptoms: Headaches, joint pain and fatigue. Headaches and joint pain continued and increased after second vaccine. My BP which had always been controlled was 190/118 and I went to ED in Hypertensive crisis. Added more medication Norvasc. BP remains high 170/100 and I continue to have headaches.

Other Meds: Lopressor 50 mg OD Asa 81 mg OD Altace 10 mg OD Tylenol 100 mg prn

Current Illness: None

ID: 1028132
Sex: F
Age: 77
State: NY

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

Lab Data: none

Allergies: n/k

Symptoms: patient complains of severe shoulder pain 1 day after receiving vaccine. she said she is not able to move arm (reported to us on 12/13/21 at 1:30 pm )

Other Meds: n/k

Current Illness: n'k

ID: 1028133
Sex: M
Age: 81
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Extreme lethargy, muscle cramps, headaches, mild fever--started approximately 12 hours after shot and lasted 12 hours.

Other Meds: Prescriptions: Lisinopril, Baby Aspirin, Terazosin, Metoprolol, Eliquis, Anastrozole, Mirtazapine. OTC: Vitamins: B-12, C, Potassium Sulfate, Acidopholus, Daily Vitamin.

Current Illness: none

ID: 1028134
Sex: F
Age: 35
State: CA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 02/13/2021
Hospital:

Lab Data: N/a

Allergies: No known allergies

Symptoms: Patient received the Pfizer-BioNTech COVID-19 Vaccine EUA at 1758. Patient reported itchy tongue and dry mouth, itching at injection site at 1809, she was given Benadryl 25mg po. At 18:20 itchiness and dry mouth resolved, but patient then developed chills and felt cold and clammy, visibly shivering. At 18:35 still had chills. 18:43 chills/shivering resolved but felt ?less cold?. 18:45 patient returned to the hospital to finish shift and give sign-out. Clinic RN gave another Benadryl 25mg to the patient and asked the patient to return to the vaccine clinic after the end of her shift to reassess. 19:36 Patient returned to clinic, all symptoms resolved.

Other Meds: Unknown

Current Illness: Unknown

ID: 1028135
Sex: F
Age: 55
State: NY

Vax Date: 01/29/2021
Onset Date: 02/08/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: na

Allergies: latex, Sulfa, Levaquin, Skelaxin

Symptoms: 2 rashes to left arm first 1.5 by 2 inches 2nd lower down 3 x3 inches after 1st dose warm firm itchy. used benadryl went away 2 days later then returned on 2/12 1 rash 3.5 by 4 inches not warm of firm but itchy again using benadryl rash still present not itchy and now pink in color.

Other Meds: multivitamin, calcium with vitamin D

Current Illness: none

ID: 1028136
Sex: F
Age: 38
State: PA

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

Lab Data:

Allergies: None

Symptoms: Woke up in the middle of the night with severe chills and couldn?t warm up. T max 103.1 F

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1028137
Sex: F
Age: 34
State: WV

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Covid-arm. Red, itchy, lump at the injection site. The red site has continued to grow. It is now 9 days since the vaccine was received.

Other Meds:

Current Illness:

ID: 1028138
Sex: F
Age: 47
State: CO

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

Lab Data: No treatment was needed. I waited an additional tenty minutes in observation before leaving the site.

Allergies: Fish/Shellfish

Symptoms: Heart racing/palpitations noted for first ten minutes after receiving the vaccine and then stopped.

Other Meds: Multivitamin, Calcium, Probiotics, Estradiol 0.05mg Patch

Current Illness:

ID: 1028139
Sex: F
Age: 29
State: CA

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

Lab Data: none

Allergies: mild reaction to cefaclor and amoxicillin

Symptoms: Injection site pain, arm pain from shoulder to elbow in injection arm full body aches throat pain headache/sinus pain jaw pain

Other Meds: Daily multi-vitamin

Current Illness: none

ID: 1028140
Sex: F
Age: 40
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: First shot no side effects...second shot chills on night 1 for a couple hours then fatigue the next day and then all side effects went away until Wednesday the 10th...started having weakness in arms, legs, chills and dizziness with low grade fever...still experiencing side effects as of today Saturday 2/13

Other Meds: Tylenol

Current Illness: Headaches/Migraines

ID: 1028141
Sex: F
Age: 41
State: WA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: I had a slight fever (lower than 100'), body aches, fatigue, and felt nauseous. I felt like I had the flu.

Other Meds: Lamictal, Zolpidem

Current Illness: I had a hysterectomy on 12/2/20.

ID: 1028142
Sex: M
Age: 66
State: FL

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: Covid test, 2/13/21, NEGATIVE

Allergies: None

Symptoms: Injection site pain, headache, chills, sweats, fever to 102

Other Meds: Prilosec

Current Illness: None

ID: 1028143
Sex: M
Age: 47
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: Mild L cerumen impaction. Otherwise L ear exam normal. Pt referred to ENT for further workup

Allergies: Penicillin/Amoxicillin

Symptoms: Ringing in left ear, decreased hearing

Other Meds: None

Current Illness: None

ID: 1028144
Sex: F
Age: 65
State: CA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: My doctor ordered blood tests to check my platelets. Everything was within normal ranges.

Allergies: None

Symptoms: After receiving the first shot on Jan 19 I had a nosebleed. It was mild and happened about an hour after the shot. When I received the 2nd shot on Feb 9 I had a very severe nosebleed about 24 hours after the shot. It took about 45 minutes to stop and I passed several clots. It was very frightening.

Other Meds: Turmeric, vitamin D, calcium, famotidine, B12

Current Illness: None

ID: 1028145
Sex: F
Age: 39
State: CA

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: Allergic to cipro and flagyll

Symptoms: 8 days after the vaccine I woke up to a large, hot, itchy bump at the vaccine site.

Other Meds: Zoloft and singular

Current Illness: None

ID: 1028146
Sex: F
Age: 37
State: CA

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

Lab Data: N/a

Allergies: No

Symptoms: I received Covid vaccine #2 shot on 2/12/21 ~1:15 pm. I did not have any adverse effects till around 10 pm that night. I started with very chill feeling which I know is one of the expected SE. No issue with #1 shot. On 2/13/21 ~9:15 am, while I was preparing breakfast, I felt sudden nausea, dizziness and collapsed on the floor. I don't remember how long I lost consciousness. My 9 yo child came in and called me because he heard broken plate sounds. Then, I regain consciousness.

Other Meds: Ferrous sulfate 325 mg 1 tablet the night before vaccination

Current Illness: No

ID: 1028147
Sex: M
Age: 34
State: CA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 02/13/2021
Hospital:

Lab Data: N/a

Allergies: Peanuts (reaction: shortness of breath, severity: high) Penicillin (reaction: anaphylaxis, severity: high) Amoxicillin, cephalexin, ciprofloxacin, levofloxacin (reaction: rash, severity: low) Allergy to all nuts and phenobarbital (reaction and severity not specified)

Symptoms: Patient received Pfizer-BioNTech COVID-19 Vaccine EUA at 1324. At 1339 felt tightness in hands, 1350 itchiness/tightness/anxiety, 1430 sore joints. Given Benadryl 25mg at 1350. After further observation, patient felt good and left at 1452.

Other Meds: Unknown

Current Illness: Unknown

ID: 1028148
Sex: F
Age: 32
State: OR

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: I was tested for COVID-19 on 02/10/21. It came back negative. I was tested again for COVID-19 and influenzas A and B on 02/12/21. Both came back negative. I also had a CMP and CBC auto differential blood work ran 02/12/21 and all of my levels are with in normal range. with the exception of my MVP, which fell at 7.3, .1 lower than the lowest normal range.

Allergies: Doxycyclin

Symptoms: I received my 2nd shot on 02/05/21 at approx. 2pm. On 02/06/21 at approx. 3pm I started having chills, body aches, and a fever. These symptoms got much worse at approx. 8pm. On 02/07/21 I woke up to severe fatigue, headache, and a fever. From 02/08/21 to today 02/13/21 I have experienced a low grade fever. I feel dizzy, nauseas, fatigued, and over all unwell. Yesterday, 02/12/21, I vomited. I've had to miss work all week due to these symptoms. Even today, 02/13/21 I have a fever and feel unwell. My fever has ranged between 99.5-100.4.

Other Meds: Celebrex, Wellbutrin, Buspar, Nexium, Flexirill

Current Illness: N/A

ID: 1028149
Sex: F
Age: 30
State: RI

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

Lab Data:

Allergies: Nkda

Symptoms: Severe anxiety, felt like she was going to pass out she states

Other Meds: Iron

Current Illness: Anxiety

ID: 1028150
Sex: F
Age: 56
State: WA

Vax Date: 12/24/2020
Onset Date: 12/29/2020
Rec V Date: 02/13/2021
Hospital:

Lab Data: Routine screening mammogram done on 11-13-2020. 3 suspicious lesions were further investigated with additional mammogram views and a left breast ultrasound with attention to the upper outer quadrant of left breast on 11-19-2020. Two lesions in the right breast were deemed stable when compared to prior mammograms dating back 5 years. The lesion in the upper outer quadrant of the left breast was deemed likely benign and I was offered biopsy vs. increased monitoring with imaging q 6 months. I chose the latter. With those baseline studies available, on 12-30-2020, I had another ultrasound of the left breast focused on the region of mastitis in the lower outer quadrant which did not show any suspicious lesions. I was seen by my PCP on 1-7-2021 who referred to a breast surgeon for further follow up and a decision about how to follow this after I had healed from the acute infection. I saw breast surgical oncology clinic on 1-19-2021. He did a repeat ultrasound of the left breast focused on the prior region of mastitis, the lower outer quadrant. He saw no suspicious areas and his impression was that I had average risk for breast cancer overall. He recommended the next diagnostic breast ultrasound be done on 5-18-2021 and bilateral breast screening mammography due on 11-19-2021.

Allergies: diclofenac (caused hand/foot swelling)

Symptoms: Left lower quadrant mastitis presenting 12/29/2020, 5 days after receiving dose #1 Pfizer Covid19 vaccine in the left deltoid. I was seen in urgent care and treated successfully with sulfamethoxazole-trimethoprim orally twice daily for 7 days.

Other Meds: Enbrel (etanercept) sureclick, 50 mg SQ q wk, Premarin (conjugated estrogen) cream 0.5 grams intravaginal three times per week, celecoxib 200 mg po once daily, levothyroxine 88 mcg po once daily, methrotrexate 15 mg po once weekly, folic

Current Illness: none

ID: 1028151
Sex: F
Age: 58
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None so far

Allergies: Baclofen Levaquin Docycycline

Symptoms: Injection administered high in left deltoid. I IMMEDIATELY felt medication being injected into arm with radiation of med up into anterior shoulder. This caused immediate pain. Swelling in deltoid that has continued for 6 days at time of completing this form Treatment has been OTC pain relief, tylenol, ice to area and rest with little to no improvements in symptoms Will f/u with primary Md when office reopens monday 2/15

Other Meds: Q vair 1 puff daily Multivitamin Vit d Vitamin B12 Calcium Tramadol as needed

Current Illness: None

ID: 1028152
Sex: F
Age: 50
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None, all of above symptoms are last not mine then 10-12 days

Allergies: None

Symptoms: High fever 103, sever headache, bilateral lower back pain, hematuria, nausea, loss of taste and smell, fatigue, Shortness of breath, cough, asthma exacerbation.

Other Meds: Levothyroxine

Current Illness: Asthma, hypothyroidism, breast cancer in remission

ID: 1028153
Sex: F
Age: 28
State: TX

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Arm was sore the evening after receiving the shot. The next day, on 2/11, I woke up with a high fever, body aches, and horrible headache. These symptoms lasted about 18 hours. I also noticed a bruise and some redness on my arm around the injection site on 2/11. Now today, on 2/13, the redness is about 5 inches in diameter and the bruise is about 1 inch in diameter. My arm is sore to the touch, itchy, and has a hard lump where I was injected.

Other Meds: N/a

Current Illness: Diagnosed with covid-19 on 1/18/2021. Fully recovered at time of vaccine.

ID: 1028154
Sex: F
Age: 81
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: Diary of blood pressure, blood sugar, heart rate and oxygen saturation readings. PFIZER/BIONTECH VACCINE #1 having serious white-outs a couple hours after vaccine 1/28/21 3:50P 182/88 1/28/21 3:45P 148/77 64 1/28/21 4:30P 169/88 1/28/217:35 7:35P 113/53 39 shakey writing 1/28/21 10:00P 128/53 72 1/29/21 7:45A 139/70 60 1/29/21 1:15P 110/61 40 1/29/21 6:10P 125/60 38 1/29/21 10:55P 139/78 42 1/30/21 8:15A 155/74 62 1/30/21 5:15P 184/91 67 1/30/21 6:00P 154/75 1/30/21 8:25A 154/87 65 1/31/21 8:25A 134/67 61 144/72 58 1/31/21 2:30P 155/78 68 1/31/21 4:00P 137/76 68 1/31/21 9:55P 150/84 66 2/1/21 6:25A 110/61 50 Shortness of breath episode lasted 5:55 to 6:25; oxygen saturation: 93 then 96 once the episode ended 2/1/21 7:45A 126/68 57 Oxygen saturation: 98 2/1/21 1:10P 135/72 61 Oxygen saturation: 97 2/1/21 5:30P 175/88 70 Oxygen saturation: 97/98/99 2/1/21 6:25P 149/112 66 Oxygen saturation: 97 2/1/21 7:25P 172/89 66 2/1/21 9:55P 122/72 77 Oxygen saturation: 96 2/2/21 9:00A 145/71 56 2/2/21 1:40P 150/73 64 2/2/21 9:30P 144/76 72 2/3/21 8:30A 151/79 60 2/3/21 1:50P 140/72 68 2/3/21 4:40P 149/78 66 2/3/21 10:00P 134/67 74 2/4/21 8:40A 152/75 59 2/4/21 11:00A 143/68 62 2/4/21 9:30P 140/72 71 2/5/21 8:15P 129/66 54 2/5/21 5:15P 156/82 69 2/5/21 7:30P 129/74 77 2/6/21 8:30A 143/62 49 Oxygen saturation: 88 2/6/21 4:00p 144/79 70 2/6/21 10:45P 155/83 68 2/7/21 8:00A 107/60 52 2/7/21 11:45A 120/46 36

Allergies: Strawberries, tree pollen

Symptoms: Approximately 75 minutes after vaccine had significant shortness of breath, extreme fatigue (difficulty walking to the bathroom). Over the next week and a half, blood pressure and heart rate swung widely (outside of normal range). Heart rate periodically dropped down into 30-40 range. Experienced whiteouts.

Other Meds: Verapamil 360mg/1x day (high blood pressure) Prevastatin 20mg/1x day (high blood pressure) Losartan potassium 100mg/1x day (high blood pressure) Metformin HCL 1000mg/2x day (diabetes) Levothyroxine 50mcg/1x day (Thyroid) Asprin 81mg ev

Current Illness: None

ID: 1028155
Sex: F
Age: 72
State: KS

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: One day post..slight fever and arm pain One week post: severe knee pain for one night that then was off and on mild for several days. Also entire anterior upper arm from elbow to injection site hot, itchy, swollen currently for one week and not diminishing.

Other Meds: Trazadone, lipitor

Current Illness: None

ID: 1028156
Sex: M
Age: 66
State: MI

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red spot on arm, swollen and hard

Other Meds: Multi vitamin, vitamin D, Tamsulosin hcl, Finasteride

Current Illness: None

ID: 1028157
Sex: M
Age: 68
State:

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

Lab Data:

Allergies:

Symptoms: Light headed or dizziness showed up on the 20th day following shot #1. Other symptoms were sore shoulder and mild headache that appeared on the second day following the shot. The soreness and headache were expected and if those were the only symptoms I would not have reported them. The dizziness was unexpected and had not completely gone away at the time of my second shot on 02/09/2021. After the second shot they dizziness has gotten slightly worse. The soreness in the arm is WAY worse with the second shot and there is achiness in my back, shoulders and neck as well as a headache that comes and goes. Again, The only symptom that I did not expect was the dizziness.

Other Meds:

Current Illness:

ID: 1028158
Sex: M
Age: 72
State: TX

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

Lab Data:

Allergies:

Symptoms: Blood in urine

Other Meds: Met form in Vitamin c

Current Illness: Diabetes 2

ID: 1028159
Sex: F
Age: 40
State: NY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: 1/28/21 - about 10 hours after vaccination, seen in the ED for tachycardia. Sinus tachycardia with T inversions seen in the EKG. Normal CBC, CMP, Troponins and DDimers were negative. Fluids and anti inflammatory meds given and discharged from ED. 2/03/21 - Seen in the cardiology clinic for tachycardia- had EKG that showed flattening of T waves, had ECHO that the as normal and holter monitored was placed for 7 days. Results of holter monitor are still pending. Coronary CTA done on 2/08/21 and was negative.

Allergies: None

Symptoms: Tachycardia HR>100 at rest, going up to 140?s-150?s with movement. Seen in the ED and was sinus tachycardia with some T wave inversions in the EKG. Tachycardia improved the following days and worsened day again day 7-12 after vaccination. Cardiac work up was done, including ECHO and C-CTA that was negative. Tachycardia self resolved after day 12 post vaccine. It was associated with fatigue and i ability to perform daily tasks. Had to take off from work and rest.

Other Meds: None

Current Illness: None

ID: 1028160
Sex: F
Age: 46
State: MD

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

Lab Data: Labs were taken and a chest X-ray was done in the ER

Allergies: Atarax

Symptoms: I received the vaccine at 11:10am...at 11:20am I became very quickly flushed, disoriented, heart racing, was very short of breath and had a rash on my face...I was given epi and put on 8lpm oxygen and taken by ambulance to the loca hospital for observation...I was kept for a few hours and allowed to go home with epi pens...I am very sore today with a migraine, fever, joint pain and chills

Other Meds: None

Current Illness: None

ID: 1028161
Sex: F
Age: 51
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: Anti-inflammatories as per primary medical doctor and monitor symptoms

Allergies: None

Symptoms: Severe burning pain in Right leg. Paralysis in right foot. Lasting 30 minutes. Next day tingling and mild weakness in right leg

Other Meds: Vitamin C Zinc Vitamin D Calcium

Current Illness: No e

ID: 1028162
Sex: M
Age: 67
State: FL

Vax Date: 01/10/2021
Onset Date: 01/12/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: EKG

Allergies: Iodine

Symptoms: PVC?s

Other Meds: Multas 400mg bid, Losartan 50mg q day, Eliquis 5 mg bid, Zyrtec 1 tab q day

Current Illness: None

ID: 1028163
Sex: F
Age: 35
State: DC

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Body aches the day after second dose administration

Other Meds: Lexapro Flonase Biotin gummies Zyrtec Melatonin

Current Illness: None

ID: 1028164
Sex: F
Age: 40
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: Chemical allergies (perfumes, household cleaning supplies, cigarette smoke etc)

Symptoms: Severe arm/shouler pain. Started one day after vaccine. Severe enough that it is not dulled by 600 mg of ibuprofen. 4 weeks after vaccine(before second dose) range of mption of arm is still limited.

Other Meds: Hair vitamins, birthcontrol, metformin, loratidine, omeprazole

Current Illness: None

ID: 1028165
Sex: M
Age: 17
State: AZ

Vax Date: 01/09/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient was vaccinated with two parents during end of day waste avoidance protocols, on the 8th day of dispensing Moderna; patient returned for dose 2 with parents, where it was discovered he was not 18 years of age; Moderna Dr. was contacted and indicated he may be able to receive dose 2, if parents agreed to enter son into a Moderna clinical trial for adolescents; parents sais, "No" to the clinical trial and all departed without dose 2

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm