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: 1031522
Sex: M
Age: 67
State: MO

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

Lab Data: none to date

Allergies: None

Symptoms: About 30 hours after COVID19 vaccination, I experienced severe neck pain, fever, chills and weakness. The fever, chills and weakness has subsided but the neck pain continues in the are of my cervical spine.

Other Meds: Sulfameth/trimethoprim 800/160mg TB

Current Illness: BPH/ Prostatitis

ID: 1031523
Sex: F
Age: 71
State: MO

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

Lab Data:

Allergies:

Symptoms: The the day after receiving the vaccine my arm was sore in the upper arm. On the night of the 12th I noticed a rash. It was smaller then hives, 3inches above my elbow to my shoulder. It is itching and now my whole arm hurt. I put some Cortizone 10 on it last night but it did not help. It kept me up most of last night. I called my doctor this morning, and I spoke with Dr. nurse who told me to put cold compresses on it.

Other Meds: Dilitiazem CD 300 MG/24 once a day, HCTZ 12.5 MG once a day, Calcium 600 MG daily, Magnesium, and Aspirin, Fish Oil, Pravastatin 20 MG,

Current Illness:

ID: 1031524
Sex: F
Age: 51
State: IL

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

Lab Data:

Allergies: NA

Symptoms: 18 hours after dose, chills, low-grade fever, joint pain, arm soreness laying about 18 hours Treatment-Advil every 6 hours

Other Meds: NA

Current Illness: NA

ID: 1031525
Sex: F
Age: 53
State:

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

Lab Data:

Allergies: Tree nuts, ketoconazole cream

Symptoms: Sore arm, moderate fatigue, slight dizziness, lasting about 24 hrs.

Other Meds:

Current Illness:

ID: 1031526
Sex: F
Age: 66
State: GA

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

Lab Data: none

Allergies: augmentin, sulfa-based antibiotics, amoxicillin, quinolones

Symptoms: almost immediate sore throat. next day fever, nauseous, sore at injection site., and tiredness. I took two OTC Tylenol and DayQuil and went to sleep for three hours. I was back to normal within four hours after feeling ill. The sore throat lasted through the second day.

Other Meds: Nature's Bounty Hair, Skin & Nails Nature Made CoQ10 Heliocare

Current Illness: none

ID: 1031527
Sex: F
Age: 64
State: OH

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

Lab Data: Complete blood and urine lab and het and stomach X-Rays on 2/10/21.

Allergies: None known

Symptoms: Same day of vaccine about 8 hours later had stomach pain, severe nausea and vomiting. Unable to eat for 3 days with nausea and flu like symptoms(aches and pains al over body). Had to go to ER after 3rd day where they treat me for nausea and re-hydrated with IV fluids. Three days after ER am still having mild nausea and have no energy. Slow recuperation...

Other Meds: Gabapentin, Oxycodone, Zoloft, Triamterene,Levothyroxine, Zanaflex, Estradiol, Simvastatin, low dose Aspirin

Current Illness: None

ID: 1031528
Sex: F
Age: 69
State: FL

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: been throwing up yesterday and felt hot and cold Adverse events experienced and are they still occurring now: unknown--sleeping now--had a cup of tea and cereal this afternoon and tolerated it w/o vomiting

Other Meds:

Current Illness:

ID: 1031529
Sex: F
Age: 70
State: SC

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Allergic to Cipro antibiotic

Symptoms: Diarrhea lasting for a few days. Took Pepto-Bismol which didn't help. Had to take Immodium to check the problem. Also had a very sore shoulder/ arm for three days...could not lift my arm.

Other Meds: B-12 Elderberry lovastatin 20mg levothyroxine 75 mcg hydro chlorothiazide 12.5 mg lisinopril 40mg Caltrate

Current Illness: none

ID: 1031530
Sex: M
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: nausea, vomiting, fatigue

Other Meds:

Current Illness:

ID: 1031531
Sex: F
Age: 78
State: CA

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

Lab Data: None

Allergies: No

Symptoms: Over a 7 day period: Severe fatigue continual, headaches mild to moderate hourly, body chills continual.

Other Meds: Mertazapine 30mg, Valsartan 80mg, D3, EmergenC,

Current Illness: No

ID: 1031532
Sex: F
Age: 30
State: NJ

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

Lab Data:

Allergies: none

Symptoms: Vaccine recipient went to occupational health to report that they are experiencing left should pain following vaccination on 2/8/2021. They have a decreased range of motion and it was a shoulder injury resulting from vaccine adminstration.

Other Meds: birth control

Current Illness: none

ID: 1031533
Sex: F
Age: 17
State: OR

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

Lab Data:

Allergies: Unknown-do not have VAR in front of me

Symptoms: Patient received the Moderna vaccine before her 18th birthday.

Other Meds:

Current Illness: Unknown

ID: 1031534
Sex: F
Age: 63
State: WA

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: penicillin based antibotics

Symptoms: Red Rash around site injection, about 4 inches in circumference. Sightly hot to the touch.

Other Meds: High Blood pressure and Lipid meds

Current Illness:

ID: 1031535
Sex: M
Age: 21
State:

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

Lab Data: UA, CBC, CMP Showed TNTC RBC with few WBCs, trace bacteria. Nml CBC and CMP.

Allergies: none

Symptoms: gross hematuria the day following his second vaccination

Other Meds: none

Current Illness: none

ID: 1031536
Sex: M
Age: 82
State: CA

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I received my Moderna shot on Saturday 1/23/21 around 4PM. On Tuesday -- 1-26/21 -- AM I woke up with a slight pain on the side of my left foot. In the middle of the pain there was a small black dot . I am an unusually healthy 83 y.o. physical active, ex Marine, with a high tolerance to pain. So at first I paid no attention to this and went and played pickleball that very day. But the next day I awoke to find that the foot was not only bright red and swollen, but painful. I immediately called my doctor and the next morning I had a telephone conference with him. We discussed the possibility of what could have caused this problem. Although I am pre-diabetic (111) he ruled out diabetes. He also ruled out gout. This only left the possibility of an infection. But since I had not stepped on any nails, etc. the only possibility was a bug bite. So he prescribed an antibiotic, which I started taking that very day. After several days the foot got progressively worse and turned into a ulgy, oozing sore and redness grew to the whole left side of my foot. So I made an appointment with my doctor for a physical visit, however this was delayed until 2/5/21. By then the swelling and redness had subsided considerably and the wound was healing. He ordered lab tests to rule out the possibility of diabetes and gout. He also gave me a prescription for stronger antibiotic and antibiotic ointment. Unfortunately the lab was by appointment only and I did not get the tests done until 2/12/21.I would not even be writing this except for the fact that on 1/27/21 I also developed a rash all over on my back that was very itchy. This is when my attention turned back to my vaccine shot, and the reports that Maderna had a track record of rashes from their shots. So I thought I had better write to see if it would be safe for me to get my 2nd Maderna shot which is scheduled in just 6 days (2/20/21).I do have a history of occasional painful rashes since childhood and I am wondering if the Moderna shot could have possibly triggered one, or both, of these problems? If it will help I did have photos taken of my foot during this episode and will be happy to send them to you if you feel it necessary?Thank you for your immediate consideration and response.

Other Meds:

Current Illness: None

ID: 1031537
Sex: F
Age: 80
State:

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

Lab Data:

Allergies:

Symptoms: emesis

Other Meds:

Current Illness:

ID: 1031538
Sex: M
Age: 81
State: CO

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Nasal swab test for Covid 19 on February 1 was negative. Normal blood panel on February 5. Reduced kidney and liver function noted. Test run for polymyalgia rheumatic (PRM). Results negative for PRM. Another normal blood panel was run on February 8 which showed improving kidney and liver function noted. Received pneumonia booster at physical January 6.

Allergies: None

Symptoms: January 20 received first shot-Moderna 005J20-2A at the hospital. Arm sore for about a day c. January 22 onward-slight headaches January 26 began having severe chills. These lasted for about 4 days. They were most severe on January 29. Concurrent with chills was the onset of fatigue. c. January 29-severe pain in hips and shoulders rendering me almost immobile. It was very difficult to get out of bed and to walk. I used a cane for support. Also the onset of diarrhea and loss of appetite. Tried extra strength Tylenol, but it did not help. Never had a fever, respiratory symptoms, of loss of taste or smell. Had nasal Covid test of February 1 which was negative. Saw Doctor on February 4. He ordered blood tests, one of which was to check potential source of joint pain. The test was negative for that, but showed some lessening of kidney and liver function. February 8-blood test showed considerable improvement on kidney and liver function. All symptoms except the fatigue have gone away. I did lose about 5 pounds during this reaction period. The fatigue is improving.

Other Meds: Atenolol 25 mg HCTZ 25mg Losartan 100mg Allopurinol 100mg Colchicine 0.6 Fish oil Vitamin B VitaminD

Current Illness: None

ID: 1031539
Sex: F
Age: 50
State: ME

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

Lab Data: None

Allergies: None

Symptoms: First started feeling very cold, then had shaking chills/ rigors for about 2 hours. Before rigors stopped had onset of headache. Had the worst headache I?ve ever had with fatigue and nausea for the next 24 hours. Felt better with symptoms resolved in approximately 36 hours.

Other Meds: None

Current Illness: None

ID: 1031540
Sex: F
Age: 65
State: RI

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Augmentin, Levaquin, Doxycycline.

Symptoms: Patient developed increasing erythema, warmth, pruritus and tenderness on left upper arm starting 2/13/2021.

Other Meds: Synthroid D3

Current Illness: None

ID: 1031541
Sex: F
Age: 50
State: MI

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Morphine, Sulfa drugs, Flomax (Tamsulosin)

Symptoms: Dizziness and weakness; fever of 103.4; confusion/incoherent. Occurred exactly 24 hours post-vaccination.

Other Meds: metoprolol succinate-XL ( Toprol-XL) ; Omeprazole

Current Illness:

ID: 1031542
Sex: F
Age: 50
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Left arm soreness, Left sided neck and head pain, headache, itchy at site, a week and a half later- hives left side of body

Other Meds: Calcium + D, probiotic

Current Illness: None

ID: 1031543
Sex: F
Age: 53
State: VA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: chills, low grade fever, body aches

Other Meds: Tylenol, Metformin, albuterol, Dulera

Current Illness: none

Date Died: 02/14/2021

ID: 1031544
Sex: F
Age: 90
State: IA

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

Lab Data: Imaging 2/13-2/14

Allergies: Ibandronic acid- nausea and vomiting Sulfa- nausea and vomiting Risedronate Environmental- pollen Nitrofurantoin macro Ezetimibe-Simvastatin Codeine- anxiety Erythromycin- nausea

Symptoms: Patient family had been noticing onset confusion for a few weeks prior to vaccine and event. Patient was taken to ED when found unconscious and died of a subdural hemorrhage a few days after vaccine clinic at retirement home.

Other Meds: Alendronate 70mg tab Clopidogrel 75mg tab Donepezil 5mg tab Hydrochlorothiazide 12.5mg Lactobacillius tabs Levothyroxine 75mcg tab Lostartan 50mg tab Citrucel PO Metoprolol tartrate 25mg tab Pantoprazole 40mg tab Rosuvastsatin 10mg tab Tria

Current Illness: Diagnosed with subdural hemorrhage at time of incident

ID: 1031545
Sex: F
Age: 81
State: IN

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

Lab Data: Prednisone 20MG Tablets X 3 Daily;Physical Therapy;TENS UNIT NMES Twice Daily at Home

Allergies:

Symptoms: Bells Palsey Right side of face.

Other Meds:

Current Illness:

ID: 1031546
Sex: F
Age: 82
State: AZ

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

Lab Data:

Allergies: none

Symptoms: raised red circle on arm

Other Meds: Losartan, calcium,D3, magnesium,multi,b-complex,turmeric curcumin,red rice yeast

Current Illness: none

ID: 1031547
Sex: F
Age: 68
State: AK

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

Lab Data:

Allergies:

Symptoms: Nausea, diarrhea, fatigue, chills.

Other Meds:

Current Illness:

ID: 1031548
Sex: F
Age: 91
State:

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

Lab Data:

Allergies:

Symptoms: temp 100.6, generalized pain

Other Meds:

Current Illness:

ID: 1031549
Sex: F
Age: 73
State: NY

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

Lab Data: None at this time and date.

Allergies: medications Avelox, Cephalosporins, NSAIDS. Keflex, Latanoprost,,preservatives in any eye drops for Glaucome, Zithromax

Symptoms: Received vaccination at 10:36 am Saturday, 2/13/21. At approx. 9:15 pm began with headache, then ,rapid heartbeat...agitated thoughts; fears there were ''things in my room or on me'' ...chest tight to breathe. Chills.;did not sleep well. Sunday Next day, 2/14/....beginning 6am......awoke with body aches , joint pain, headache continued., weakness in limbs, extremely tired. Afternoon of 2/14/21...began runny nose, violent repeating sneezing spells ...chills ..By 5 pm on Sunday 2/14 symptoms were subsiding...slept better. Today 2/15 much resolved except for runny nose and some sneezing . No Fever was ever present.

Other Meds: Gabapentin 600 mg Miralax 17g dose daily Cetirizine Allergy tab, OTC/gen lidocaine HCI 4% topical cream Vitamin E 400 U. Cap

Current Illness: no illnesses

ID: 1031550
Sex: F
Age: 69
State: AL

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None yet

Allergies: Sulfa, Minocin

Symptoms: About a week after my first vaccine, I noticed a pain in my left shoulder near the injection site that felt similar to a shoulder injury I had 3 years ago when I tore my shoulder ligament resulting in a hairline fracture in my humerus. I thought it was just swollen from the shot in my muscle and would go away in a week or so. 5 weeks later, I am experiencing pain in my shoulder that feels exactly like my injury 3 years ago. Can't lift my arm, can't pull up my pants or put my seatbelt on, have difficulty putting my arm in a sleeve when dressing, have significantly reduced mobility in that arm and it has not gotten any better. Seems worse. Haven't seen a doctor yet. Still hoping it will get better and not sure which doctor to see. Trying to find out if this was caused by the vaccine injection before deciding if I should see my internist or shoulder doc.

Other Meds: Insulin, Atorvastatin, Losartan, Baby aspirin, Zyrtec, Vitamin D3, Vitamin B12

Current Illness:

ID: 1031551
Sex: F
Age: 68
State:

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

Lab Data:

Allergies:

Symptoms: temp 99.4

Other Meds:

Current Illness:

ID: 1031552
Sex: F
Age: 51
State: WA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received vaccine at around 1:40 and around 10:00 that night I developed a fever, headache, and chills. This lasted for about 24-30 hours.

Other Meds:

Current Illness:

ID: 1031553
Sex: M
Age: 58
State: OR

Vax Date: 01/08/2021
Onset Date: 01/21/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: 2/21/21 Ultrasound of the right upper extremity. - shows fully occlusive Deep Vein Thrombosis CT of chest and right axilla. - Shows fully occlusive Deep Vein Thrombosis CBC, CMP, PT/PTT - Normal PSA - Normal Full Thrombophilia work up - Normal

Allergies: None

Symptoms: Developed upper extremity Deep Vein Thrombosis (DVT) with complete occlusion of the Axillary and SubClavian veins of the right arm. Swelling, redness of the right arm and hand. Pain in the right axilla. Visibly distended veins near the right clavicle, upper arm, forearm and hand. This occurred 2 weeks following 2nd dose of COVID vaccine. Patient has no risk factors or other known causes of DVT.

Other Meds: Trazodone nightly

Current Illness: None

ID: 1031554
Sex: F
Age: 67
State: PA

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

Lab Data:

Allergies:

Symptoms: Rash at the injection site that started 10 days after vaccine.

Other Meds:

Current Illness:

ID: 1031555
Sex: F
Age: 47
State: IL

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Levaquin, Zithromax

Symptoms: Patient complained of new onset palpitations 3 days after the 2nd dose of vaccine. Has had intermittent episodes of palpitations since then. Also, has a history of GAD, so unsure if related to vaccine vs GAD.

Other Meds: Clonazepam, Allegra, Vitamin D3, Multivitamin

Current Illness: Tooth Decay

ID: 1031556
Sex: M
Age: 69
State: NV

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

Lab Data: none

Allergies: minor grass and sage pollen

Symptoms: Moderate soreness in left shoulder until Sunday after vaccination on Thursday. Cramping of the neck and upper back region for 36 hours after vaccination.

Other Meds: multi-vitamin, fish oil, Vitamin D, zinc, glucosamine-chondroitin

Current Illness: none

ID: 1031557
Sex: F
Age: 95
State:

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

Lab Data:

Allergies:

Symptoms: BA, temp 99.4

Other Meds:

Current Illness:

ID: 1031558
Sex: F
Age: 75
State: IL

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

Lab Data: None.

Allergies: Amoxicillin, Codeine.

Symptoms: The day after the injection, she had swelling and redness at the injection site to at least the size of a tennis ball or greater. It radiated to the lower part of the arm to midarm. The reaction is still present, it is diminishing. She took Tylenol and then Zyrtec. She called the PCP who told her to continue icing, taking the Tylenol.

Other Meds: Amlodipine, Eliquis, Tamikison, Alprazolam, Pantoprazole, Albuterol inhaler, Allertec, Lyrica.

Current Illness: None.

ID: 1031559
Sex: M
Age: 68
State: CA

Vax Date: 02/03/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, muscle ache, chills started 11 days after Dose

Other Meds: Trulicity, lantus, humalog, metformin, repatha, eliquis, lisinipril, Ranexa, Furosimide, allopurinal, potassium chloride, , baby aspirin, Sotolol, colchicine, atorvastatin, calcium, multivitamin

Current Illness: None

ID: 1031560
Sex: F
Age: 71
State: WI

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

Lab Data: 02.13.21-CT Scan & routine CBC and electolytes

Allergies: N/A

Symptoms: Morning-back of R side throat discomfort, R eye tearing, 24 hrs later- numbness of R side tongue, R side of lips and cheek lose of muscular control, R eyelid remains open. Evaluated in ER 48 hrs after start of symptoms. DX-Bells Palsy treated with Prednisone & anti-viral. Symptoms continue.

Other Meds: vitamin c, vitamin d, tumeric, thyroid supplement

Current Illness: N/A

ID: 1031561
Sex: F
Age: 82
State: NY

Vax Date: 01/17/2021
Onset Date: 01/25/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: no

Allergies: erythromycin

Symptoms: I woke up 8 days later and my left arm was itchy. I felt that it was very hot. It was swollen and the injection sight was raised. it was itchy hot and I iced it and it went away after about 2 days.

Other Meds: advil 3 times a day for my back pain fish oil vitamin D multivitamin calcium

Current Illness: no

ID: 1031562
Sex: F
Age: 37
State: MI

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: pcn, clindamycin

Symptoms: 8 days after injection developed redness and swelling and itching.

Other Meds: Adipex

Current Illness:

ID: 1031563
Sex: F
Age: 74
State: FL

Vax Date: 02/07/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1031564
Sex: M
Age: 57
State: CA

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

Lab Data: None, not indicated by the event.

Allergies: NKA

Symptoms: Patient was administered approximately double the dose of the Pfizer BioNTech COVID19 vaccine due to a dilution error by the nurse, 0.8 ml of the diluent was added instead of the correct 1.8 ml. There were no immediate adverse events after the injection.

Other Meds: Lasix, Lisinopril, Ferrous sulfate, Simvastatin, Metoprolol, Glipizide, Metformin, Lidocaine Patch,

Current Illness: None

ID: 1031565
Sex: M
Age: 23
State: NY

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

Lab Data:

Allergies: Allergic to penicillin

Symptoms: Really sore arm beginning around 2 hours post injection, worst at second day, resolved after fourth day.

Other Meds: Daily multivitamin, biotin, daily probiotics, vitamin D3 supplement

Current Illness: None

ID: 1031566
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: Penicillin

Symptoms: 14 weeks 1 day pregnant. Adverse event: headache, body aches, and fever of 101 lasting 16 hours.

Other Meds: Insulin, Aspirin, Metformin, Labetolol

Current Illness:

ID: 1031567
Sex: F
Age: 68
State: NJ

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Test for stroke, diabetes, UTI, COVID-19

Allergies: none

Symptoms: Have been feeling achy, weak, and lightheaded. Also experiencing tingling and numbness in fingers on both hands. Recent COVID test was negative. Went to urgent care on 2/14/2021 and they recommended I report my symptoms..

Other Meds: Synthroid, on-a-day vitamin, Metamucil (2 capsules)

Current Illness: none

ID: 1031568
Sex: M
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: migraine, GI upset

Other Meds:

Current Illness:

ID: 1031569
Sex: F
Age: 59
State: MT

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

Lab Data:

Allergies: Penicillin

Symptoms: Approximately 10 minutes following vaccination, I began feeling very itchy on arms, head, back of neck. No rash. Took Benadryl itching became better. After approx 3 to 5 days, began experiencing axillary lymph pain on side of vaccine (left arm) and continued to experience intermittent itchiness in various areas throughout body. On the evening of the 7th day, a raised red spot about the diameter of two quarters side by side appeared. Axillary pain continued. On 8th & 9th days, red spot was warm and increased in size, color has now become less bright. I continue to experience axillary pain and intermittent itchiness. Should I receive 2nd vaccine?

Other Meds: Synthroid 112 mcg

Current Illness:

ID: 1031570
Sex: F
Age: 33
State: WA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: A lot of cold sweats to point where I'd have change my shirt

Other Meds:

Current Illness:

ID: 1031571
Sex: F
Age: 73
State: OH

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

Lab Data:

Allergies: Morphine, all tape but paper, bleach, Talwin, band aid, Demerol, gabapentin. flu shot

Symptoms: Nausea and headache 48 hours ..doctor prescribed sophran

Other Meds: Lasix and Toviaz

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm