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: 1029813
Sex: F
Age: 68
State: CO

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

Lab Data:

Allergies: Peppers, injection dyes

Symptoms: Rash on upper left arm

Other Meds: Synthroid,

Current Illness:

ID: 1029814
Sex: F
Age: 82
State: AK

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

Lab Data: Transferred to the ED and then to Med-surg, currently receiving treament.

Allergies: codeine bactrim

Symptoms: Systolic bp's in the 180-200;s HR in 60's Ox sat in the 70, RR of 30 labored.

Other Meds: Sinemet Coreg Lexapro miralax oxycontin Vitamin C Centrum silver Ferrous sulfate gabapentin megace seroquel senna-docusate

Current Illness:

ID: 1029815
Sex: F
Age: 68
State: OK

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Penicillin, cephlasporins, sulpha drugs, iodine

Symptoms: A rash appeared on right arm at the injection site. It is red, warm to the touch, and itchy... sore to the touch. My arm was sore for a few days right after the vaccine, but no rash. The rash began one week from time of vaccination.

Other Meds: Welbutrin, Synthroid, Estroidal, Omega 3, Kelp

Current Illness: two weeks prior to vaccine i had a small bowel resection. Surgeon supported my decision to get vaccine.

ID: 1029816
Sex: F
Age: 25
State: UT

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: 1 previous pregnancy, estimated deliver is September.

Other Meds: Prenatal vitamins

Current Illness:

ID: 1029817
Sex: M
Age: 46
State: IL

Vax Date: 01/31/2021
Onset Date: 02/08/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None as symptoms spike I took Benadryl 3 doses over day 3 I know I am slightly allergic to gabapentin but it helps with my neuropathy but have temporarily discontinued usage. I am suffering with increased numbness and pain.

Allergies: tulips floral perfume some. sulfate antibiotic

Symptoms: Itchy spot 4 inches diameter on injection site. Intensified for 3 days to a slight bump 1 inch wide day 5 has gotten better. Day 6 even better.

Other Meds: Multi- Vitamin B12 metformin insulin metrapol gabapentin ibuproprofin asrtovostatin fish oil

Current Illness: high blood pressure hypertension high cholesterol high triglyceride heart disease diabetes

ID: 1029818
Sex: F
Age: 46
State: UT

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Hives on body ( face neck abdomen chest back both arms, ) for 4 days

Other Meds: None

Current Illness: None

ID: 1342694
Sex: U
Age:
State: PA

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2/6/21 - flu like symptom x 24 hours. 2/12/21 - 2/13/2021 fAciAL Nerve INflAmAion R side of fAce.

Other Meds:

Current Illness:

ID: 1342706
Sex: M
Age: 44
State: CA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: UA + urine culture (pending)

Allergies:

Symptoms: 1. L arm- redness, heat, ache, + itching 2. Gross hematuria that has persisted x 2 d

Other Meds:

Current Illness:

ID: 1342709
Sex: F
Age: 76
State: IN

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

Lab Data: Dr. recommends waiting 2-3 months for second vaccine-

Allergies: Acetaminophen

Symptoms: -swelling (5" x 3") red, sore for 7 days - chills and temperature 2/2/2021 starting at 4:00 p.m. and lasting approximately 12 hrs. Temperature 101.2 reduced with Ibuprofen

Other Meds: losartan, gabapentin, lexapro, Aromasin, Xanax, singular, allegra, calcium vitamins

Current Illness: none

ID: 1029819
Sex: F
Age: 38
State: CA

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID arm, red splotchy rash around injection sight about 3 inches, hard at first and warm to touch

Other Meds: Omeprazole LO loestrin

Current Illness:

ID: 1029820
Sex: F
Age: 29
State: MN

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

Lab Data:

Allergies: Penicillin, Sudafedrin, oxycodone

Symptoms: Fever of 99.1 when normal is 97.1, headache, dizziness, chills, and nausea started 24 hours after shot. Tylenol did not help.

Other Meds: Megace, pepcid, tylenol

Current Illness:

ID: 1029821
Sex: F
Age: 70
State: CA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Sulfa, amoxicillin, augmentin,

Symptoms: Sore arm w/in 2 hours. Lasted 24 hrs Fatigue, w/in 2 hours, lasted 24 hrs Muscle aches, began in 12 hrs, lasted 12 Headache, began in 12 hrs, lasted 6

Other Meds: Valcyclovir 500mg Multi vitamin Vit D Vit k Fish oil Red yeast rice Coq10 Circumin

Current Illness:

ID: 1029822
Sex: F
Age: 37
State: OH

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/15/2021
Hospital: Y

Lab Data: While admitted she had an extensive evaluation including DAT which was negative and testing for PNH, and peripheral blood flow cytometry which was negative. Her peripheral smear was reviewed with no schistocytes. G6PD was sent and high in the setting of active hemolysis and transfusion. B12, folate, and iron studies were normal. DAT (-) work up was sent to lab and resulted as negative. Below is her hemoglobin trend and dates from our hospital. Results from the referring hospital are no available in detail. 1/27/2021 17:53 - 7.4 g/dL 1/27/2021 17:53 - 7.5 g/dL 1/27/2021 23:36 - 7.3 g/dL 1/27/2021 23:41 - 7.3 g/dL 1/28/2021 12:13 - 8.2 g/dL 1/28/2021 18:24 - 8.3 g/dL 1/28/2021 23:51 - 8.1 g/dL 1/29/2021 04:55 - 8.1 g/dL 1/29/2021 17:26 - 8.8 g/dL 1/30/2021 03:52 - 9.1 g/dL 1/30/2021 17:28 - 9.3 g/dL 1/31/2021 05:18 - 9.7 g/dL 2/1/2021 04:52 - 10.4 g/dL

Allergies: None.

Symptoms: This is a 37 y.o. woman who developed an episode of acute self-limited hemolysis just over a week following her second injection of the Pfizer COVID-19 vaccine. She has been treated with ciprofloxacin and phenazopyridine immediately prior to the episode for a urinary tract infection. She had no history of hemolysis prior to this episode. She was in her usual state of health and received COVID-19 vaccines on 12/24 and 1/14 with the Pfizer vaccine and had no serious side effects at that time. She then developed dysuria and was seen by telehleath by her primary care physician who prescribed ciprofloxacin and phenazopyridine for her for 3 days ending 1/22. She took these and her dysuria resolved, however the day after developed what appeared to be blood in her urine. Then in the following 2 days which were a weekend this worsened and she started feeling poorly. She also noted that she appeared yellow. On Monday 1/25 her boyfriend took her to urgent care and she was subsequently sent to an ER at the hospital that referred her to our hospital. There she was evaluated for gross hematuria with no evidence of urinary bleeding and found to be anemic due to hemolysis. Her hemoglobin was in the 5's and she received 2 units of PRBCs. She was transferred here to Medical Center for further management. After the initial transfusion she did not require blood transfusion and her hemoglobin continued to increase until it was 10.4 on 2/1 which was the day of discharge. At a follow up appointment on 2/8/2021 she was recovering and feeling well. Her jaundice had resolved. No treatment was given from the hemolysis aside from the blood transfusion and it was self-limited. It is most likely that her acute hemolysis was due to the phenazopyridine as this agent is known to cause hemolysis and she took it for 3 days prior to the onset of hemolysis. She has no prior history of drug induced hemolysis and had not taken this medication previously. As this occurred just over a week following her second vaccination I cannot exclude that is could be related to the vaccine.

Other Meds: Bupropion XL 150 mg PO daily escitalopram 20 mg PO QHS Fexofenadine 180 mg PO daily Montelukast 10 mg PO QHS Multiple Vitamin 1 tablet PO daily Norethin Ace-Eth Estrad-FE (BLISOVI FE 1.5/30 PO) 1 PO daily

Current Illness: None.

ID: 1029823
Sex: F
Age: 30
State: CA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: Approximately 1 week after vaccine injection, I have developed redness, swelling, calor, itchiness, tenderness, and slight soreness with movement just below original injection site.

Other Meds: N/a

Current Illness: N/a

ID: 1029824
Sex: F
Age: 46
State: OK

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, body aches, sweating, redness and swelling at injection site

Other Meds:

Current Illness:

ID: 1029825
Sex: F
Age: 52
State: CA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: yes

Symptoms: Hot to touch, pain and swelling, redness, next day after injection 02/09/21. pain is worse and redness spreading down from shoulder to antecubital area, hurts to move arm 02/10/21. was sent home from work on 02/11/21 due to the symptoms I was having and couldn't perform job. 02/12/21 went to urgent care for evaluation. informed by urgent care MD I was having reaction to Moderna vaccine. place me on 800mg Motrin TID for 5 days. 02/13/21 still painfull but went back to work. 02/14/21 still going to work and pain is lessening.

Other Meds:

Current Illness: no

ID: 1029826
Sex: F
Age: 35
State: AR

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Pain and swelling at the injection site

Other Meds:

Current Illness: None

ID: 1029827
Sex: F
Age: 74
State: CA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None done

Allergies: Allergic to vyox a drug related to Celebrex Had anaphylactic reaction to it

Symptoms: I am the patient. No treatment. Will my doctor tomorrow

Other Meds: Too anti histamine two hours before. Benadryl During week b12 d3 biotin ginger tea green tea

Current Illness: No but in cancer treatment. Last September took tagresso and other medications I take diltisen. Heart meds; omeprosol; and synthriod

ID: 1029828
Sex: F
Age: 29
State: CA

Vax Date: 01/20/2021
Onset Date: 02/03/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Itchy, dry, scaly, swollen, hot-to-the-touch ears increasing in severity over several days. Histamine reaction spread to ears, scalp, neck, face, back, chest, arms, legs after 7 days of initial symptoms. Prednisone (20 mg) prescribed 3x/day for 1 week, 2x/day for 1 week.

Other Meds: None

Current Illness: None

ID: 1029829
Sex: F
Age: 41
State: OR

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

Lab Data: None. Feel better today with exception of red marks in arm and pain in arm and arm pit.

Allergies: Macrodantin causes hives

Symptoms: Temp of 103.5, joint pain, nausea, red splotch on arm, severe pain in arm even in arm pit, slight headache, fatigue. I had a clue shot on January 11 don?t know the lot number in the same (left) arm. I can?t input the info on next page because I don?t know it. First Covid shot in right arm.

Other Meds: None

Current Illness: None

ID: 1029830
Sex: F
Age: 27
State: NY

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Allergic to wool and seafood

Symptoms: Exactly 7 days from receiving the moderna vaccine on my left arm, I developed an itchy red rash/lump below the injection site. This reaction is currently ongoing.

Other Meds: Birth control and women's vitamins

Current Illness: N/A

ID: 1029831
Sex: F
Age: 54
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: N/A

Allergies: None to date

Symptoms: Day 1: 6:00 PM - arm soreness began, had great pain when reaching overhead. Subsided by noon 2/12/2021 8-8:30 PM - chills began, no fever. Day 2: 7:45 AM - woke with moderate headache; not a migraine. Treated with twice throughout the day with 1-500 mg ES Tylenol; 2-200 mg ibuprofen. Was gone at approx. 5 PM Day 3: 10:00 PM - Discovered rash under breast area, all around lower abdominal area, into upper thighs. Did not itch, but once clothing was removed, the swelling began and my clothing became an irritant. Thinking it was a food allergy, I treated with 2-25 mg Benedryl. Continued into Day 4. Day 4: AM/PM - still very red and swollen causing discomfort, no itching or burning. still treating off and on with Benedryl and added Cortisone Ointment. The rash has spread but not near as bright red or mass like, found on back of thighs, down inside of arms, behind knees. Also took Colloidal Oatmeal bath, with minimal affect.

Other Meds: 1 each - Daily multivitamin, B12, Hair/Nail blend supplement.

Current Illness: None

ID: 1029832
Sex: F
Age: 74
State: IL

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Sulfa Pennicillin MSG Garlic Onions

Symptoms: Extensive Rash 4 days after 1 st shot. Took Benadryl. Got headache. Sleepy. Rash ongoing

Other Meds: Synthroid Losarten Pepcid Vit D Tylenol

Current Illness: None

ID: 1029833
Sex: F
Age: 65
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Injection site soreness; headache (front of forehead across top of head all the way back to ears); sinus ache under eyes; muscle ache across shoulders; hint of nausea; early morning awoke to profuse sweating; tired.

Other Meds: Vitamin D3, multi-vitamin, 81 mg aspirin, Co-Q 10, eye vitamin, 5 mg cholesterol med, Heliocare, keratin hair vitamin

Current Illness: None

ID: 1029834
Sex: F
Age: 29
State: IL

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Augmentin

Symptoms: Left arm soreness 1-2 days following injection. Red itchy welt 9 days after injection. Large red lesion 10 days after injection, no longer itchy. Not painful. No treatment for symptom. Currently pregnant. Due date 07/01/2021.

Other Meds: Prenatal vitamin

Current Illness:

ID: 1029835
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies: None

Symptoms: Rashes/hives on left wrist, left elbow crease, upper right collar bone, right bicep, right elbow crease, back of the neck, various locations on the back, largest rashes on left and right inner thighs.

Other Meds: Multi-vitamin, vitamin C

Current Illness: None

ID: 1029836
Sex: F
Age: 20
State:

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine I had a rash show up 8 days after my vaccine right around the area of the site of injection. It continued to grow over the weekend and is now covering a large part of my arm. I looked it up and it matched the pictures of ?COVID arm?

Other Meds: Loryna birth control, lexapro, probiotic, vitamin b, vitamin d, vitamin c, allergy medicine

Current Illness:

ID: 1029837
Sex: F
Age: 68
State: MI

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None.

Symptoms: Maybe 5:00 a.m. woke up and needed to use the restroom, got up slowly and walked to the Bathroom slowly; I passed out and fell on the floor; not sure if my head hit the floor or just the trash barrel. I fell on my right side and the bathtub was at my back. When I realized where I was, I knew I still needed to use the restroom; I meneuvered myself slowly and carefully; I did use the restroom and then I carefully went back to bed.

Other Meds: None.

Current Illness: None.

ID: 1029838
Sex: F
Age: 58
State: CA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Toradol

Symptoms: Developed a lump in left axilla(lymph node?) about golf ball sized. Lasted about 24 hours before began to resolve. Over next 48 hours resolved completely. Extreme discomfort!

Other Meds: Cimetidine, maxzide, vit c, turmeric, magnesium, vit d, albuterol and Alvesco inhalers

Current Illness: None

ID: 1029839
Sex: F
Age: 34
State:

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Wheat and dairy

Symptoms: Arm soreness 2hrs after shot administered; subsided by hour 36 Fatigue 24hrs after shot administered lasting at least 24hrs Slight loss of hearing in left and then right ear 48hrs later, restored 12hrs later

Other Meds: Vitamin D, Cal/Mag/Zinc

Current Illness:

ID: 1029840
Sex: F
Age: 72
State: NY

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

Lab Data:

Allergies: sulpha

Symptoms: Pain for 2 days. On second day red rash and swollen and a bit itchy

Other Meds: methimazole metoprolol hctz vit b vit d

Current Illness: none

ID: 1029841
Sex: F
Age: 50
State: MS

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: NONE

Allergies: NO KNOWN ALLERGIES

Symptoms: ABOUT TWO DAYS AFTER THE VACCINATION, I NOTICE SMALL ITCHING SPOT ALL OVER MY BODY. TOP LIP WAS THE MOST BOTHERSOME. BOTH MY FEET FELT LIKE NEEDLES FOR ABOUT 2HOURS. BUT EVEN TODAY, 2/14/2021, THE ITCHING HAS CONTINUED. DOES NOT ITCH TO THE POINT THAT MAKES ME WANT TO SCRATCH; BUT NOTICEABLE. BOTH ARMS AND LEGS MOSTLY. I HAVE NOT NOTICED A RASH. I HAVE NOT TAKEN ANY MEDICATIONS FOR THIS ITCHING. I AM HOWEVER WORRIED ABOUT TAKING THE 2ND DOSE. AS A MATTER OF FACT, I AM LEANING AGAINST TAKING THE SECOND DOSE.

Other Meds: SYNTHYROID, LISINOPRIL-HCTZ, PROPRANOL, CABERGOLINE, PHENTERMINE

Current Illness: KNOWN - WAS ON MENSTRUAL CYCLE

ID: 1029842
Sex: M
Age: 72
State: MP

Vax Date: 01/13/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital: Y

Lab Data: Daily CBC w/diff. Chem-7/12 + liver panel PT/INR 2/13/21=10.8/1.07 aPTT 2/14/21= 23.9 Platelets: 2/13/21= 3k; 2/14/21= 9k; 2/15/21 = 21k HepB Sur face Antigen, HIV, Lupus, Hepatitis C, ANA reflex panel scheduled to be drawn on 2/16/21

Allergies: no known allergies

Symptoms: Patient at primary care provider's office on 2/13/21 for workup before planned intervention for PVD. Lab results from 2/12 blood draw showed platelets=15k. Unexpected thrombocytopenia. Patient had NOT had URTI/cold/flu symptoms. No bleeding. No blood in stool. No tarry-black stools. No fever or chills. No headache. Provider sent patient immediately to the emergency room for a repeat CBC. Platelets=3k (1 day after the result of 15k). Patient admitted to hospital. Hematologist consulted. Dexamethasone 40 mg po q day prescribed (to take 2/13-2/17). Discharged from hospital 2/15 as platelets had risen to 21k. Expected follow up with hematologist (Dr.) within a few days.

Other Meds: Levimir 50 units AM & PM; Novolog sliding scale; Aspirin (dose/frequency not specified); Lisinopril q day (dose unknown); Some additional meds but patient does not know names or doses

Current Illness: none

ID: 1029843
Sex: F
Age: 41
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Fatigue 9pm Chills 10pm Headache, dry mouth, body aches 1am woke me from sleep Headache, nausea, fever, sweating, body aches, tingling 8am Slept 30 hours and then felt better just very mild fever and left sided neck pain

Other Meds: Methimazole, propranolol

Current Illness: Hyperthyroid

ID: 1029844
Sex: F
Age: 56
State: CA

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

Lab Data: N/A

Allergies: None

Symptoms: I was very sick with all the regular symptoms for 2 days; headache, all over pain, nausea, fatigue, extremely cold feet, chills. In addition to symptoms above, I also loss part of my vision. I couldn?t read because I couldn?t see the entire print. I did not go to hospital or call doctor. I went to bed because I felt so bad. The next morning my vision was back to normal.

Other Meds: Levothyroxine

Current Illness: None

ID: 1029846
Sex: F
Age: 35
State: MD

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

Lab Data: Ekg feb 5th normal Covid test feb 5th negative

Allergies: None

Symptoms: 10:30pm to midnight of feb 1st- chills, fever- extremely high- didn?t get out of bed to take temperature, extreme pain under left armpit, nausea Fevers up to 101.5 nausea, loss of appetite, headache until February 4th. February 5th- dehydration, tachycardia, shortness of breath- lasting entire day. Better by February 6th

Other Meds: Melatonin Albuterol

Current Illness:

ID: 1029847
Sex: M
Age: 71
State: PA

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: simvastatin, pravastatin, cialis

Symptoms: fever (102.4), chills

Other Meds: rosuvastatin, acetaminophen, mesalamine, lisinopril, finasteride, melatonin

Current Illness:

ID: 1029848
Sex: F
Age: 29
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Coconut products

Symptoms: Blotchy redness at and around vaccine site, soreness on vaccine arm, fatigue

Other Meds: Spironolactone, metformin, escitalopram, ethynyl-estradiol

Current Illness:

ID: 1029849
Sex: F
Age: 79
State:

Vax Date: 01/20/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had shingles which took a year to resolve and was fully better December of 2020 before she had the first inoculation of Covid. On 1/20/21 had the Pfizer jab and on 2/9/21 the shingles rash had returned in the same area as before. Redness, edema, and complaint of itchy patch.

Other Meds:

Current Illness:

ID: 1029850
Sex: F
Age: 78
State: KS

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: nothing yet, just started today.

Allergies: to many to mention

Symptoms: Face swollen on right side, itches, feel nauseous, tired, weak.

Other Meds: Keflex 500, Hydrocodine10/325, ToprolXL 50mg

Current Illness: PKD, Diabetes 2

ID: 1029851
Sex: F
Age:
State: AZ

Vax Date: 02/08/1942
Onset Date: 02/08/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Intense itching over entire body. including but limited to scalp, face, eyes, ears , extremities for past 8 days

Other Meds:

Current Illness: Multiple sclerosis

ID: 1029852
Sex: F
Age: 70
State: FL

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

Lab Data: none

Allergies: Sular

Symptoms: Covid "arm'. I am 13 days out from 1st injection. Arm is redish about 4x6 inches. Still tender to touch and warm to touch.

Other Meds: Pantoprazole, Losartan, Gabapentin, Levothyroxine, Atoravastin, Escitalopram, Temazepam, Vitamin C, Calcium, Iron, D3

Current Illness: None

ID: 1029853
Sex: M
Age: 75
State: CA

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

Lab Data: none. Clinic not available except via ER, didn't go.

Allergies:

Symptoms: normal arm soreness, then weakness, aches, chill, no sleep, night sweats, then no energy all next day. Continued aches, headache. Other aches and pains throughout body. about 10pm took Tylenol, some sleep night 2, - up at 11am, seemed ok, then later at 6pm started aches in joints again. More Tylenol. went to bed and tried to sleep. FIled this info 1am Monday 15th

Other Meds:

Current Illness:

ID: 1029989
Sex: M
Age: 38
State: GA

Vax Date: 01/29/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Blood work

Allergies: Penicillin

Symptoms: Redness and pain

Other Meds: None

Current Illness: None

ID: 1029993
Sex: M
Age: 66
State: TX

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Tetnus

Symptoms: Fever 101.8,chills, treated with Tylenol, lasted 2 days

Other Meds: Lithium bicarbonate, tegretol, wellbutrin, toprol, Benicar HCT, lipitor, Tylenol, Naproxen

Current Illness: none

ID: 1029994
Sex: F
Age: 33
State: AL

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

Lab Data: Eye exam; doctor says eye is inflamed and mucas is bumpy instead of smooth

Allergies: NA

Symptoms: Won't let me type everything. Long story short. Face tingled for a few days after shot, forehead skin got tight and dry, now I've lost vision in my right eye! Today is exactly 2 weeks after 1st vaccine and sight in my right eye is worse and painful

Other Meds: birth control

Current Illness: seasonal allergies maybe

ID: 1029997
Sex: F
Age: 78
State: NY

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 9 days after shot left arm vacc site appeared red, warm in strip about 3" wide and sore to touch. (Initial soreness had disappeared 2-3 days after shot). Had virtual visit w primary's NP, site viewed. Determined to be "Covid arm" since no other symptoms present. Ice pack used. Redness slightly increased but lighter in color on 2/15.

Other Meds: CoQ10, omega 3+D 2000mg, milk thistle, magnesium taurate 125mg, b12, b6, curcumin, aspirin 2 81mg, Rosuvastatin 20mg, Melatonin 4mg,

Current Illness: Cardiovascular disease, osteoarthritis

ID: 1029999
Sex: M
Age: 61
State: WV

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

Lab Data: Na

Allergies: Na

Symptoms: Nasty headache which remained after acetaminohen/ibuprofen, congestion, fever, felt like my hesd was on someone else's body, aloofness, etc.

Other Meds: Losartan 75mg, Aspirin 80mg, Centrum, Fish oil, Turmeric, iron, Vitamin D, Magnesium

Current Illness: Na

ID: 1030003
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 07/20/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: received the first GARDASIL 9 dose in 2014 on an unknown month; Information has been received from a pharmacist concerning a 21-year-old female patient. The patient's concurrent conditions, pertinent medical history, drug allergies/drug reactions and concomitant medications were not provided. It was reported that on unspecified day in 2014, the patient was vaccinated with her first dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) (dose, route, Lot # and expiration date not reported) and on 20-JUL-2020 the patient was vaccinated with the second dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) (dose, route, Lot # and expiration date not reported) by another health care professional for prophylaxis.

Other Meds:

Current Illness:

ID: 1030004
Sex: U
Age:
State: IL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: improperly stored vaccine was administered on 25-JAN-2021; Information has been received from a Registered Nurse (R.N.) concerning a patient of unknown age and gender. The patient's concurrent conditions, pertinent medical history, drug allergies/drug reactions and concomitant medications were not reported. It was reported that on 25-JAN-2021, the patient was vaccinated with a dose (1 injection) of rotavirus vaccine, live, oral, pentavalent (ROTATEQ) (dose, frequecny and route were not provided) (Lot # 1688504, expiration date 19-NOV-2021 (also reported as 18-NOV-2021)) for prophylaxis. It was reported that the vaccine was improperly stored above 9 Celcius degrees (13.4 ?C) for 2 hours and 9 minutes. There was no previous temperature excursion and it was stated that the call was made because of a Digital data logger (Yes). This is one of several cases from the same source (US-009507513-2101USA013389).; Sender's Comments: US-009507513-2101USA013389:

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm