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: 1030274
Sex: U
Age:
State: CA

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

Lab Data:

Allergies:

Symptoms: Angioedema; A spontaneous report was received from a physician concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced angioedema. The patient's medical history was not provided. No relevant concomitant medications were reported. On 12 Jan 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 041L20A) intramuscularly for prophylaxis of COVID-19 infection. On 12 Jan 2021, after vaccine administration, the patient experienced a severe allergic event. The event was angioedema which required multiple epinephrine injections. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, angioedema, was unknown.; Reporter's Comments: This case concerns a patient, who experienced event of angioedema. The event occurred the same day after the first and last dose of mRNA-1273 vaccine administration. Based on the current limited available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded and the event is assessed as possibly related.

Other Meds:

Current Illness:

ID: 1030275
Sex: U
Age:
State: NJ

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

Lab Data:

Allergies:

Symptoms: patient had allergies; Initial information received on 27-Jan-2021 regarding an unsolicited valid non-serious case from physician. This case involves patient (unknown demographics) who had allergic reaction (Hypersensitivity), after receiving INFLUENZA USP TRIVAL A-B SUBVIRION NO PRESERVATIVE VACCINE [FLUZONE]. Medical history, medical treatment(s), vaccination(s), concomitant medication(s) and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA USP TRIVAL A-B SUBVIRION NO PRESERVATIVE VACCINE [lot number and expiry date not reported] via unknown route in an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a non-serious allergic reaction (Hypersensitivity) (Unknown latency), following the administration of INFLUENZA USP TRIVAL A-B SUBVIRION NO PRESERVATIVE VACCINE. No laboratory data reported. It was not reported if the patient received a corrective treatment. At the time of reporting, the outcome is unknown for the event. There will be no information on the batch number to be requested for this case.

Other Meds:

Current Illness:

ID: 1030276
Sex: M
Age: 73
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Right foot toe(next to big toe) turned bluish like a bruised toe. Showed Doctor she said that if it turned cold(which it hasn't) go to an emergency room. As of today 2/15/2021 it is still looking the same

Other Meds:

Current Illness:

ID: 1030277
Sex: F
Age: 43
State: IN

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itching started on my neck around 4pm. Then noticed after undressing that I had a rash with hives on my neck, torso, back, and upper thighs. Took benadryl 25mg x 1 dose and went to bed. Around 6am the next day the rash was completely gone.

Other Meds: Vit D 2000 IU daily

Current Illness: None

ID: 1030278
Sex: F
Age: 69
State: FL

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

Lab Data:

Allergies: Iodine

Symptoms: Patient reported tingling of her right hand right after she got her vaccine. Patient stated that the same happened when she got the first dose. At 94:43 am she stated she is feeling better and tingling is going away. She wants to go home. At 9:47 am patient stated she is going home, she is feeling ok now.

Other Meds: netoprolol, hydrochlorothiazide

Current Illness: hypertension

ID: 1030279
Sex: F
Age: 70
State: FL

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Reaction to Codeine

Symptoms: Redness, slight swelling and itchy at vaccine site

Other Meds: Armour thyroid , Ativan, Lisinopril, Tumeric, Black seed oil, papain, bromelain, Quercetin, Eldeberry, Sovereign silver

Current Illness: None

ID: 1030280
Sex: F
Age: 46
State:

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

Lab Data:

Allergies:

Symptoms: Severe back and abdominal pain, leading to emergency department visit

Other Meds:

Current Illness:

ID: 1030281
Sex: F
Age: 33
State: MI

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Fever 102, Nausea, and fatigue

Other Meds: none

Current Illness: NA

ID: 1030282
Sex: M
Age: 69
State: FL

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: not yet

Allergies: none

Symptoms: Fever 101 diharrea Sever Fatigue very week

Other Meds: Glyburide 2-1/2 mg twice/day Vitamin D3 50mcg once/day Metformin 500 mg twice/day Crestor 5 mg once/day Flomax .4 mg once/day Creon 24 - 3 caps with meals

Current Illness: Diabetes

ID: 1030283
Sex: M
Age: 73
State:

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

Lab Data:

Allergies:

Symptoms: Pt experienced lightheadedness, hypotension to 70's /30's, and coughing episode ~10-15 min after receiving dose of Pfizer vaccine. Pt appropriately waited in immediate waiting room and began to feel unwell. Patient taken to ED via EMS.

Other Meds:

Current Illness:

ID: 1030284
Sex: F
Age: 62
State: NC

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 8 days later, I experienced swelling at the injection site and I broke out in hives. The hives were mostly on my arms, but some were on my neck, face and stomach.

Other Meds: Dicyclomine Hcl 10mg Sulfasalazine 500 mg Castrate 600+D Equate extra care probiotic Multi-vitamin complete 50+

Current Illness: None

ID: 1030285
Sex: F
Age: 66
State: MI

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

Lab Data: none

Allergies: Indocine

Symptoms: Fever, headache. This started at 6pm Feb 5, 2021 and continued until Feb 7, 2021 at 1am.

Other Meds: Advair, calcium w/ D, allergy med, cholesterol med, baby aspirin, vitamin c, Vitamin D

Current Illness: none

ID: 1030286
Sex: F
Age: 38
State: PA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 3-5 min following second dose of daily/regular lamotrigine, blood pressure fell (to the level of being lightheaded almost passing out), rapid heart rate and tightness in chest and decreased ability to fully inflate lungs when attempting to take a deep breath. Symptoms began almost immediately following ingestion of lamotrigine and lasted approximately 5-7 min. Other symptoms include-fever (100.4), extreme body chills, swelling in left knee, extreme fatigue, painful muscles at site of injection. Symptoms began approximately 12 hours following injection. High fever and extreme body chills lasted approximately 3 hours, low grade fever and fatigue lasted ~24 hours after injection, swelling in left knee lasted ~ 4-5 days following injection.

Other Meds: Lamotrigine-200mg in morning, 200mg in evening. Typically taken at 5:30am and 8:00pm daily.

Current Illness: None

ID: 1030287
Sex: F
Age: 49
State: NH

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

Lab Data: None

Allergies: Ace inhibitor (mild angiodema in throat)

Symptoms: About thirty hours after receiving first dose I started feeling waves of nausea, 2 days later it has improved but not completely gone.

Other Meds: Atenolol

Current Illness: None

ID: 1030288
Sex: F
Age: 61
State: VA

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

Lab Data:

Allergies: None

Symptoms: Within 3 days large red rashy type patch around injection site much larger than original bandaid. Within 9 days mild itchy rash on neck and across back and a number of raised red bumps all over back-but back bumps not itchy. Rashes passed within a day. Rsised bumps still present to some extent.

Other Meds: OTC vitamins

Current Illness: None

ID: 1030289
Sex: F
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: After administering first covid dose, pt. began developing hives across chest and collar bone area. Patient declined shortness of breath, itching, GI upset, difficulty swallowing. Epi-Pen and 9-1-1 offered, patient declined. At this time, pt. stated about 15 years ago developed an idiopathic allergic reaction to an unknown allergen requiring epinephrine administration. The patient stated she does not carry an EpiPen nor does she have one at home. Patient declined 9-1-1 and EpiPen and stated she wanted to remain in observation area for a few more minutes. Patient remained in car in observation area for approximately 20 minutes longer and then choose to return home. At time of departure, patient did not have shortness of breath, GI upset, difficulty swallowing, itching and exited from drive thru site on her own.

Other Meds:

Current Illness:

ID: 1030290
Sex: F
Age: 77
State: FL

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

Lab Data:

Allergies: Penicillin, Sulfa, Cipro

Symptoms: hives

Other Meds: Rythmol, Sythroid, Lexapro, Calcium, Vitamin D, Multi Vitamin,

Current Illness:

ID: 1030291
Sex: M
Age: 61
State: FL

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

Lab Data: none

Allergies: none

Symptoms: Approximately 24 hours post injection-fever-102.4, and fatigue. Fever persisted for 24 hours then resolved. Fatigue persisted for 48 hours then resolved. Possible side effect-72 hours post injection-queasy stomach, malaise-Duration-approx. 6 hours all resolved. Also, cold sores erupted on lower lip for no reason. Being treated with Abreva.

Other Meds: Flecainide, metoprolol succinate, lovastatin, sildenafil, lovastatin, baby aspirin

Current Illness:

ID: 1030292
Sex: F
Age: 89
State: CT

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital: Y

Lab Data:

Allergies: none reported

Symptoms: Moderna COVID?19 Vaccine EUA Patient received her first dose of Moderna on 2/10/2021. On 2/11/2021 she developed chills and fever of 104. She was sent to Hospital. Was admitted and chest Xray showed patchy spots suspicious of pneumonia. She remained inpatient for two days with antibiotic treatment. Was discharged home on 2/13/2021 with oral antibiotic and follow up appointment with pulmonary. PCR and rapid COVID testing while inpatient was nagative for COVID-19

Other Meds: unknown

Current Illness: unknown

ID: 1030293
Sex: F
Age: 47
State: FL

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

Lab Data:

Allergies: Laytex, Penicillin

Symptoms: Unable to keep liquids and food down for over 11 days. Had to receive IV fluids and nutrients.

Other Meds: Pro air, Singulair, Symbicort, losartain, levetracian X-r, estradiol, vitamin d

Current Illness:

ID: 1030294
Sex: F
Age: 42
State:

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

Lab Data:

Allergies: seasonal

Symptoms: Started my period five (5) days early - have a very regular cycle Swollen lymph nodes under left arm - arm vaccine was given in

Other Meds: Magnesium

Current Illness: NA

ID: 1030295
Sex: M
Age: 80
State: MA

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

Lab Data: MRI BRAIN, CTA HEAD AND NECK, CT HEAD

Allergies: SERTRILINE

Symptoms: A few hours after receiving first dose of vaccine, developed extreme leg weakness (unable to stand). This persisted for two days and pt was sent to emergency room. Initial evaluation at ER revealed leg weakness only. After 24 hours observation, it was noted that the patient had left sided weakness and slurred speech. MRI confirmed acute infarct in right pons area.

Other Meds: SIMVASTATIN, ASPIRIN, WELLBUTRIN, GLUCOPHAGE, TIMALOL EYE DROPS, VIT D, VIT C, METOPROLOL, SYMBICORT, DIOVAN, DOXAZOSIN, ARICEPT

Current Illness: DEMENTIA, DIABETES, ATAXIA, DEPRESSION, HYPERTENSION, HYPERLIPEDEMIA, BIFASICULAR BLOCK, COPD

ID: 1030296
Sex: F
Age: 77
State: NJ

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Sulfa, tequin

Symptoms: Rash, swelling, itching, some lethargy and slight headache, Tylenol, Rash and itching diminishing, other symptoms gone

Other Meds: Nadalol Linsinopril/ hctz Asa Vitamin d3

Current Illness: None

ID: 1030297
Sex: M
Age: 30
State: NY

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

Lab Data:

Allergies: None

Symptoms: Chills, fever of about 100 degrees , fatigue, malaise.

Other Meds: None

Current Illness: None

ID: 1030299
Sex: F
Age: 78
State: IN

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

Lab Data: None

Allergies: Levoquin

Symptoms: Temp 101, chills freezing, body aches, nausea, arm at injection site hot & sore, inability to get warm

Other Meds: Meloxicam 15 mg. Omeprazole 20 mg aspirin 81 mg. Dicyclamine 20 mg

Current Illness: None

ID: 1030300
Sex: F
Age: 37
State: FL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Gallbladder removal on 1/8/2021

Allergies: None

Symptoms: Extreme nausea, which triggered gallbladder attack. Resulting in hospitalization for emergency gallbladder removal.

Other Meds: Vacyclovir Zyrtec Keaton capsule

Current Illness: None

ID: 1030301
Sex: F
Age: 87
State:

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches, cough - unclear if adverse reaction to vaccine or just symptom onset with some time proximity to vaccine administration

Other Meds:

Current Illness:

ID: 1030302
Sex: F
Age: 53
State: IN

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

Lab Data: None

Allergies: Aspirin

Symptoms: Headaches and Migraines and vomiting, Maxalt 10 mg Tylenol

Other Meds: Actos Topol xl Cozaar Gabapentin Iron

Current Illness: None

ID: 1030303
Sex: F
Age: 66
State: MA

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

Lab Data: none

Allergies: molds, fermented foods

Symptoms: Severe chills, unable to walk, unable to sleep, severe leg aches, severe backaches, unable to eat, symptoms lasted 32 hours. Fatigue continues. Husband had absolutely no symptoms.

Other Meds: Amoxicillin

Current Illness: none

ID: 1030304
Sex: F
Age: 50
State: TN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: 911, ER and anaphylactic protocols

Allergies: zofran, hydrocodone, scopolamine

Symptoms: Anaphylactic Reaction: itching, redness of skin, wheezing, esophageal spasms and constriction requiring 911, ER and anaphylactic protocols

Other Meds: none

Current Illness: none

ID: 1030305
Sex: F
Age: 26
State: MD

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

Lab Data: None

Allergies: None

Symptoms: Serve lip swelling and lip pain; Fever of 104; Chills; Aches; 3 days

Other Meds: IUD

Current Illness: None

ID: 1030306
Sex: F
Age: 54
State: NM

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

Lab Data:

Allergies:

Symptoms: Pain and soreness at injection site. Lightheaded for few hours following injection. Mild Fatigue several hours after injection. Occasional itching at injection site a few days after injection.

Other Meds:

Current Illness:

ID: 1030307
Sex: F
Age: 68
State: NY

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

Lab Data:

Allergies: sulfites, fluoroquinolone, ragweed/chamomille

Symptoms: 02/06/21 -- About five minutes after receiving the injection, I began feeling intense itching on my palms and the bottoms of my feet. In addition, post-nasal drip started. I waited at the facility for about 50 minutes. By then, the itching and the post-nasal drip seemed to have subsided, so I left. Later that night and the next day, the itching on the soles of my feet (particularly the right one) returned. By the third day or so, I had no more incidents of itching on my palms or the soles of my feet. I didn't require treatment. 02/07/21 -- I started experiencing soreness around the injection site. My arm is still sore to the touch, but I wouldn't otherwise notice the soreness. 02/14/21 -- In the evening, I began feeling an intense itching around the injection site. I looked and saw a red rash that extended across the width of my arm and about 3.5 inches long. To me, it looked similar to the arm rash that others have experienced from the COVID vaccine.

Other Meds: risendronate sodium 35 mg weekly, magnesium citrate, vitamin D3, vitamin C, cranberry pill

Current Illness: None

ID: 1030308
Sex: F
Age: 69
State: GA

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

Lab Data: 02/09/2021 CBC WBC 2,800, hgb: 7.9, HCT 27.5, platelets: 60,000 polychromasia, microcytes, elliptocytes, anistocytosis

Allergies: biaxin, bactrim, augmentin, avelox medrol dose pack, vibramysin, zithromax

Symptoms: Patient complained of sore tongue and tingling and burning sensation over all skin surface. No rash however. Starting several days after vaccine administration

Other Meds: Glyburide 1.25 mg daily; metformin 500 mg BID; lisinopril 5 mg daily; atenolol 25 mg daily; beconase nasal spray 50 mcg one puff BID

Current Illness: type 2 DM, essential hypertension,

ID: 1030309
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies: Fruit, all environment

Symptoms: Fever, body aches, chills, neck ache, fatigue, swollen lymph node under armpit, sore arm

Other Meds: D3 vitamin, mult vite, Xyzal, Singulair

Current Illness: NONE.

ID: 1030310
Sex: F
Age: 57
State: NC

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: One week after vaccine, injection site became itchy, swollen and warm to the touch.

Other Meds: Vitamin D and Calcium

Current Illness: None

ID: 1030311
Sex: M
Age: 40
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Headache, muscle ache, nausea got sick 8 hours afterwards of shot. Still ongoing

Other Meds: None

Current Illness: None

ID: 1030312
Sex: F
Age: 77
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Chest X-ray, blood work, EKG, Ct Scan.

Allergies: Ancef, bee stings, cephalosporin, fentanyl (nausea extreme)

Symptoms: I woke up the next morning and I was very short of breath much more then usual, by the next day it was even worse and everyday after. By Feb. 10, 2021 I had low fever and difficulty breathing so I went to Urgent Care, after blood work, received chest X-ray, EKG, CT scan. It came back with pneumonia. My biggest quest is can safely take the second one or a different one, with emphysema you need protection. Thank you

Other Meds: First of all I have severe emphysema, I take Advair, Spiriva, Cardizen, baby aspirin, multi vitamins, Zinc, vitamin C and Crestor because I have a stent to keep it clear it's not for High Cholesterol. Vitamin D, Allegra 1 Am & PM 12 Hr one

Current Illness: O

ID: 1030313
Sex: F
Age: 45
State: AL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: allergic to dairy seasonal allergies

Symptoms: Severe headache treated with ibuprofen and rest. Body aches, fatigue treated with rest and water. Low grade fever also treated with ibuprofen, rest and water.

Other Meds: Duloxeine 60mg Xyzal Lisohop/HCTZ 20-12.5 Sulfasalazin 500mg

Current Illness: ankylosing spondylitis fibromyalgia hypertension sinusitis

ID: 1030314
Sex: F
Age: 76
State: FL

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

Lab Data:

Allergies: none

Symptoms: less than 24 hours after shot was given, started to feel "crummy" and got worse as the day progressed. Right arm got very sore, to the point of not being able to move it for a day; fever of 101.2, chills, sweats, stayed in bed most of Tuesday (the day after the shot was given), and then symptoms subsided Wednesday, but was weak and fatigued enough to stay in bed all day. Thursday, tried a little physical activity, and after 30 minutes playing croquet, had to stop and sit down. Went hon=me and napped again. Friday, napped most of day, as on Saturday, and yesterday, Sunday. Today is one week after the shot and I'm still feeling weak - not my normal self.

Other Meds: omeprazole, losartan, prolia, atorvasatin, spironolactone, allegra, align, vitamin D, citrucucel, citracal

Current Illness: none

ID: 1030315
Sex: F
Age: 16
State: IN

Vax Date: 10/03/2020
Onset Date: 10/03/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Patient received vaccine intended for use in 18 y/o and older, she was only 16 yrs 11 mths at the time of vaccination. Patient has had no adverse events related to administration

Other Meds:

Current Illness:

ID: 1030316
Sex: F
Age: 35
State: IA

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Pfizer-BioNTech COVID-19 Vaccine Shortly after recieving the dose 1 of the Covid vaccine, the patient became slightly nauseated. After 15 minutes, the nausea became worse. Patient vomited a small amount of mucus. Patient was observed for an additional 15 minutes then taken to walk-in clinic for observation or about 1.5 hours. Nausea went away and patient went back to work at COVID vaccination clinic. It is difficult to tell if this was perhaps nausea with vomiting associated with anxiety surrounding the COVID vaccination or this may have been potentially a COVID vaccination side effect. It occurred relatively quickly but there are no signs of anaphylaxis. She was observed in the clinic for approximately 1.5 hours with no ill effects. Pt was strongly encouraged her to discuss the 2nd vaccination with her primary care physician as side effects may be more intense with the 2nd shot. 1/10/21: Pt received 2nd dose with no adverse effects.

Other Meds: Valacyclovir 1 g, 2 tabs O Q12h PRN cold sores Levonorgestrel IUD (Mirena) inserted 2018 Ibuprofen PRN

Current Illness:

ID: 1030317
Sex: M
Age: 54
State: NY

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Augmentin

Symptoms: 3 days after 1st dose of moderna began to have mild generalized pruritis and "prickly heat" rash after showers. Has persisted since 1/24. No anaphylaxis.

Other Meds: Losartan

Current Illness:

ID: 1030318
Sex: F
Age: 59
State: MD

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

Lab Data: N/A

Allergies:

Symptoms: Injection site pain, fatigue, fever, chills and hot flashes, muscle aches, headache and loss of appetite on 02/13/2021. Mild injection site pain, mild fatigue on 2/14/2021. Symptoms resolved by 2/15/2021.

Other Meds:

Current Illness:

ID: 1030319
Sex: F
Age: 49
State: OH

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

Lab Data: None.

Allergies: Minocycline

Symptoms: Within 5-7 minutes immediately after first injection of COVID vaccine, experienced a feeling of adrenaline 'rush', increased heart rate, elevated blood pressure (139/111, when typical blood pressure is 95/60), and dizziness/lightheadedness. These immediate symptoms resolved within about 30 minutes following no treatment. Two hours post injection, experienced extreme upper arm pain causing limited mobility, extreme fatigue, slight headache, muscle aches, and general malaise. These symptoms lasted about 36 hours.

Other Meds: Synthroid, 75 mcg Pegasys (interferon alpha 2-A) 45 mcg weekly, administered 12 hours prior to vaccine

Current Illness: None

ID: 1030320
Sex: F
Age: 73
State: CT

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

Lab Data:

Allergies:

Symptoms: I woke around 4:45 this morning and I noticed my arm was sore so I got out of bed and had the chills. I wrapped up and made some hot coffee, and then made some hot tea. I was also drinking water in between as I felt thirsty but you still could not warm. I was shaking and shivering from the chills. I took two extra strength Tylenol, and with 40 minutes I stopped shaking but I stayed wrapped up as I did not want to get cold again. I went and took my temperature and it was almost 102. I also have a headache, it was like shooting pains in my head and now it feels like a achy fever. I also feel tired.

Other Meds: Fluoxetine 40 MG one a day, Levothyroxine 137 MG one a day, Lisinopril 20 MG HCTZ 12.5 MG one a day, Simvastatin 20 MG one a day, Pioglitazone 50 MG one day, Metformin HCL 1000 MG twice a day, Iron, Vitamin D, Lansoprazole OTC acid reducer

Current Illness:

ID: 1030321
Sex: F
Age: 53
State: IA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Ceclor - rash

Symptoms: Pfizer-BioNTech COVID-19 Vaccine Employee complained of feeling hot, tongue felt swollen, and weak. Patient was taken to Clinic for evaluation at onset of symptoms, approx 12 minutes after distributing vaccine. At Clinic, patient states her symptoms have improved. She states she thinks she got a little anxious and feels comfortable driving home at this time. Patient denies oral/throat/tongue/lip edema. No headache, vision changes, difficulty swallowing, difficulty handling oral secretions, chest pain, palpitations, shortness of breath, nausea/vomiting. No pruritus. Patient is siting comfortably in the chair and drinking water without difficulty. Discussed ED precautions. Patient verbalized understanding. Advised patient to follow up with her PCP to discuss the second dose of the covid vaccine. Patient agreed to the plan. Patient ambulated out of clinic without difficulty. 1/1/21: Pt received 2nd dose of vaccine. Experienced some dizziness and slightly high BP. Both symptoms resolved within 30 minutes and patient was discharged home.

Other Meds: Probiotic Formula PO Daily Zyrtec 10 mg PO Daily Atorvastatin 40 mg PO Daily Levothyroxine 100 mcg PO Daily Omeprazole 40 mg PO Daily Ropinirole 0.5 mg PO TID Trazodon 50 mg PO QHS Venlafaxine 75 mg PO BID

Current Illness:

ID: 1030322
Sex: M
Age: 56
State: FL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever,chills, fatigue, body aches Tylenol and alieve

Other Meds:

Current Illness:

Date Died: 02/05/2021

ID: 1030323
Sex: M
Age: 66
State: WI

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: 2/3 labs potassium 4.5, sodium 137, CO2 29, hgb 9.7

Allergies: Niacin

Symptoms: Patient had COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he reported to the RN that he had fallen on thursday 2/4 due to "getting up fast" did not hit head or hurt anything per RN discussion. Began treatment without difficulty. About 3/4 way through treatment was talking with staff and became unresponsive - code was called and pt expired after 30 minute resuscitation efforts.

Other Meds: Albuterol Alirocumab Asprin Atrorvastatin Calcium Budesonide-Formoterol Fumarate Calcitriol Calcium Acetate Carvedilol Clopidogrel Bisulfate Erogcalciferol Ezetimibe Fluticasone-Salmetrol Lasix Glucagon Hydralazine Insulin Ipratropium inhal

Current Illness: Asymptomatic COVID Hospital for Polymosis January

ID: 1030324
Sex: F
Age: 71
State: FL

Vax Date: 02/06/2021
Onset Date: 02/01/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Mussels

Symptoms: Extreme pain and swelling at injection site started within hours after getting first dose. Most recently large cutaneous red blotch in area of injection extremely painful to touch. Some fatigue and general feeling of malaise to today?s date.

Other Meds: Bit-D, Calcium.

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm