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: 1031622
Sex: F
Age: 66
State: IN

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

Lab Data:

Allergies: Any sulfa products

Symptoms: Itching around the injection area and approximate 1 in diameter hardness with soreness

Other Meds: Amandine, Methimazole, Etodolac, Cetirizine

Current Illness: Bacterial Vaginosis

ID: 1031623
Sex: F
Age: 82
State: LA

Vax Date: 02/06/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Benedryl, Streptomycin, Penicillin

Symptoms: My left arm started to hurt during the night and when I got up on Friday, the 12th it was hard to move it without severe muscular pain. The pain has persisted into today, Monday, the 15th, but it is slowly getting better. The pain is localized to my upper arm, and depending on how I move it, can become worse. I am treating the symptoms with Tylenol and aspirin-containing creams.

Other Meds: General Vitamin pill and a Vitamin C pill

Current Illness: None

ID: 1031624
Sex: F
Age: 27
State: CA

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

Lab Data: n/a

Allergies: NKA

Symptoms: After receiving vaccine patient complaining of, nausea, dizziness, and back pain. Vital signs: B/P 110/82 Pulse-76 Respirations 20 Oxygen Saturation 100% Patient assessed by a provider, no further treatment necessary. Patient had family member come pick her up and drive her home. Advised patient if symptoms worsened to go to nearest hospital. 2pm vaccine administered 2:15pm Complaining of nausea, dizziness, back pain vital signs taken 2:20pm provider assessed patient 2:30pm provider cleared patient to go home no further treatment necessary 3:15pm patient sister arrived to pick patient up, patient symptoms improving no further complaints.

Other Meds: unknown

Current Illness:

ID: 1031625
Sex: F
Age: 42
State: NJ

Vax Date: 02/06/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital: Y

Lab Data: ANC 0 on admission and remains 0. Also with Hgb 8.8.

Allergies: bacitracin Bactrim sulfa

Symptoms: developed diffuse tender adenopathy, weakness and fevers. Admitted with severe neutropenia - ANC 0.

Other Meds: methimazole atenolol

Current Illness: Grave's disease

ID: 1031626
Sex: F
Age: 81
State: MD

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

Lab Data: None.

Allergies: Avelox

Symptoms: Soreness around the injection site (left deltoid), lasting about 36 hours.

Other Meds: Flecainide, aspirin, Culturelle, magnesium, Omeprazole

Current Illness: None.

ID: 1031627
Sex: F
Age: 76
State: AZ

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

Lab Data:

Allergies: Sulfa, cipro, codine, latex, kiwifruit

Symptoms: Red rash on arm that was injected. This began 8 days post injection.

Other Meds: Synthroid, benazopril, pepcid, zyrtec, Tylenol

Current Illness:

ID: 1031628
Sex: F
Age: 51
State: OH

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

Lab Data:

Allergies: Levaquin

Symptoms: Arm pain, next day fatigued, body aches and joint pain , headache, lightheaded, itching across chest and neck. day 3 prickly rash on chest . Day 4 rash on chest

Other Meds:

Current Illness:

Date Died: 02/11/2021

ID: 1031629
Sex: F
Age: 85
State: IA

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

Lab Data: No lab or other tests performed at request of family as patient was on hospice palliative care.

Allergies: GI upset from Fentanyl, No other food or drug allergies

Symptoms: Patient became nauseated about 10 minutes after vaccine administered, this subsided but returned several hours after the vaccine was given. She continued with intractable nausea and vomiting for about 24 hours. This patient was enrolled in hospice and she continued to decline and refused to eat or drink. She was taking Ibuprofen due to intractable back pain. Her emesis was coffee ground color. After this her condition continued to decline until her death

Other Meds: Amlodipine, Fentanyl Transdermal, Gabapentin, Lorazepam, Metoprolol, Morphine, Omeprazole, ONdansetron, Miralax, Tylenol, Ibuprofen

Current Illness: Compression fracture

ID: 1031630
Sex: F
Age: 48
State: HI

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

Lab Data:

Allergies:

Symptoms: 12 hours after second shot (1/29/2021): Chills for 5 hours, 101 fever; 24 hours after second shot (1/30/21): 99 fever and throbbing pain in left and right forearms. Took 1 Tylenol on 1/30/21 that relieved the fever but not the pain in the forearms. Pain in forearms stopped on 1/31/2021.

Other Meds: Methimazole, Vitamin D 2000 ICU

Current Illness:

ID: 1031631
Sex: F
Age: 48
State: NY

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

Lab Data:

Allergies: none

Symptoms: uticaria 2cm diameter, ipsilateral, distal to injection site

Other Meds: none

Current Illness: none

ID: 1031632
Sex: F
Age: 38
State:

Vax Date: 12/01/2020
Onset Date: 12/01/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: REDNESS AND SWELLING AT INJECTION SITE IN ARM, TREATED WITH BACTRIM FOR 1ST AND 2ND DOSE

Other Meds:

Current Illness:

ID: 1031633
Sex: F
Age: 80
State: CA

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

Lab Data: None

Allergies: Penicillin

Symptoms: red sore lump initially . Followed by red itchy patch approx 3x4 inches, Took Benydril. Currently, 2 weeks in, red patch has moved forward on the arm and rash has appeared on chest with dappled red spots on arms and thighs. Also my face is swollen .

Other Meds: Levothyroxine, Tramadol, Nexium, Restasis, Bystolic, Nortriptyline, Meloxicam, Lipitor, Losarton Potasium, Tizanidine HCL, Baby Aspirin, Multi-vitamin, Vitamin C, B-12, Calcium/D3, Calcium Citrate, D3, Probiotic, Prebiotic, Docusate Sodium

Current Illness: None

ID: 1031634
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: 1330- report received from RN. Patient continues to report itching on face, entire back and upper right arm, which has spread from initial mid back. Rash noted on chest, right arm, on face (specifically cheeks), and lower back. Patient states after receiving first Bendryl 25 mg dose given by RN, no changes or improvement noticed. Patient given Benadryl 25 mg PO. Doctor aware. 1345- BP 141/82 HR 90 RR 18 98% SpO2 on RA 1355- patient has new c/o dull headache. Doctor notified. Per Doctor, continue to monitor at this time. 1405- patient states feeling improvement with itching. "it's not as itchy as before". Will continue to monitor. 1430- patient states "just slight itching now". BP 127/76 HR 89 98% SPO2 on RA RR 18. Per Doctor, to educated patient before she can leave back to work. Patient educated on returning for care in ED or Urgent care if symptoms worsen. Patient agree to this. Patient discharged from the observation area at this time.

Other Meds:

Current Illness:

ID: 1031635
Sex: M
Age: 85
State: CA

Vax Date: 01/11/2021
Onset Date: 01/22/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: A few days after getting the vaccine, we had bad wind storm come in and I was without power for about a week. I was unable to shower and could not see my arm good. Around the 22nd I went over to my granddaughter's home to shower and noticed that my bicep was black, over the next week it spread to the left breast, collarbone to the elbow. The where the shot there is about a mark on the muscle where I got the shot. On 28th of January, I went to see my doctor, my shoulder was swollen and I could not raise my arm to about my shoulder level. When I try to move I could feel a pain up there. Doctor put ice on it and told me to take Aleve. Since the swelling has went down I am no longer putting ice on it, I am not using heat. I tried to put my arm in a sling but it is painful. The other pain I feel no pain in my arm is I sit on the couch and put my arm straight out and do not move. The black area on the bicep is almost gone, the darkened area up by my collarbone went away, most of the darkened area is on my left breast. If I rotate my arm counter clockwise or clockwise there is pain there and it feels like it is stretching the muscle. I have also seen Doctor on the 2nd or 4th of this month. I am thinking of going to see him again this week. My doctor thinks that the person who gave me the vaccine, hit a blood vessel and that is what caused the blackness on my arm. The pain is mainly in the collarbone area and in the bicep. Before this started, about the first of January I came home and went to put my keys up and went to reach up and had some pain in my arm, but the pain and mobility issues both went away before receiving the vaccine.

Other Meds: Provision with vitamins added 2 pills a day,

Current Illness:

ID: 1031636
Sex: M
Age: 60
State: NE

Vax Date: 01/26/2021
Onset Date: 01/31/2021
Rec V Date: 02/15/2021
Hospital: Y

Lab Data: EKG 1/31/21

Allergies: Strawberries

Symptoms: Patient developed SVT on January 31. He presented to the ER and received two doses of adenosine to convert back to a normal sinus rhythm.

Other Meds: None

Current Illness: None

ID: 1031637
Sex: M
Age: 75
State: NJ

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

Lab Data:

Allergies: SEASONAL ALLERGIES

Symptoms: 18 HRS AFTER VACCINATION PATIENT DEVELOPED MACULOPAPULAR RASH NON-TENDER, PURPLISH OVER LEGS, ABDOMEN, ARMS AND THORAX. PRESCRIPTION GIVEN FOR TOPICAL STEROIDS AND ANTIHISTAMINES (TOPICAL AND OPHTHALMIC)

Other Meds: NONE

Current Illness: NONE

ID: 1031638
Sex: F
Age: 54
State: MD

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pain and inflammation medial bicep Approximately 2x4 inches Resolving after 2 trails of Benadryl and heat compress

Other Meds:

Current Illness:

ID: 1031639
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-VAR not in front of me

Symptoms: Patient was inadvertently administered the Moderna vaccine before her 18th birthday. She and her parent reported no adverse reactions following vaccination.

Other Meds: Unknown

Current Illness: Unknown

ID: 1031640
Sex: F
Age: 72
State: MA

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

Lab Data: none

Allergies: PCN

Symptoms: 2 days of chills, weakness, profound fatigue & of course sore arm, starting about 4-5 hours after the shot and lasting for ~ 48 hours

Other Meds: Prozac, Gabapentin

Current Illness: None

ID: 1031641
Sex: F
Age: 65
State: CT

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None. Recuperated at home.

Allergies: Anaphylaxis to NSAIDs. Allergic to penicillin / amoxicillin, latex, tree nuts.

Symptoms: Approximately 10 hours after vaccination (Pfizer-BioNTech Covid-19), developed severe arm pain, fever of 101.5F followed by shaking chills,, then fever again. Experienced myalgia and severe migraine-like headache with light sensitivity. The arm pain from shoulder to mid-palm was so severe that I couldn?t lift my arm. This resolved by approximately noon on 02/10/2021. The other symptoms largely resolved by midday 02/11/2021 wit residual low-grade headache, dizziness, and unsteadiness on my feet. I woke up on 02/11/2021 around 7AM with left axillary lymphadenopathy approximately the size of a tennis ball cut in half with associated moderate discomfort. The discomfort resolved by 02/14/2021, but the lymphadenopathy remains at about half the mass noticed originally.

Other Meds: None.

Current Illness: None.

ID: 1031642
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies: Contrast dye

Symptoms: Patient complained of scratchy throat approximately 5 minutes after receiving vaccine. HX of anaphylactic reactions in the past with same onset of symptoms. Requested benadryl, 25mg of benadryl po administered. Symptoms resolved after 10 minutes. Pt monitored for 30 mins, VSS, asymptomatic, and was discharged.

Other Meds:

Current Illness: none

ID: 1031643
Sex: M
Age: 41
State: VA

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: 1/31: POC Blood glucose at home by paramedics prior to ER transport was 59 (likely due to nausea, rebounded to 116 after oral glucose). MRI Head, Neck, and Brain all negative. ESR, BMP, CBC with diff all in normal range and unremarkable. Only value out of range was RBC at 5.97.

Allergies: None

Symptoms: Intense vertigo with nausea and nystagmus started 3 days after injection (1/30). Couldn't walk or stand so went to Emergency Room on 1/31. MRI of head & neck done to rule out stroke. Meclizine 25mg & ondansetron 4mg ODT prescribed. Meclizine 25mg x 2-3 doses per day was needed for the next 7 days to perform daily activity. Was able to resume walking slowly with medication on 2/1, but could not look at a computer screen to work without meclizine due to nystagmus until 2/6. Symptoms did not improve enough to be cleared to drive until 2/9. Full symptom resolution by 2/11.

Other Meds: None

Current Illness: None

ID: 1031644
Sex: F
Age: 71
State: CT

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

Lab Data:

Allergies:

Symptoms: pain/itching at site, redness/flushed feeling, body aches, fatigue

Other Meds: Levothyroxine, multivitamins

Current Illness:

ID: 1031645
Sex: F
Age: 76
State: FL

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

Lab Data: Recommended she continue to take med of choice unless told by MD not to (Tylenol/ibuprofen/naproxen as labeled and or to alternate between ibuprofen & Tylenol at recommended intervals on label), take a cool bath/shower, use cool packs under. Recommended to stay away from heavy thick blankets and clothing. Recommended she drink plenty of fluids like water, Gatorade, Powerade, or Pedialyte to stay well hydrated, especially with a fever. Informed her the temperature may not go down to normal but it should trend down after 1.5hr of ingestion; verbalized understanding.

Allergies: none

Symptoms: Date and time of vaccination: (list both if they received both shots): 1-15-21 4:15PM MODERNA LOT # 012L20A, 2-12-21 4:15PM MODERNA LOT # 010M20A. Fever 104F, took one Tylenol.

Other Meds: simvastatin 20mg QHS, Zetia 10mg QHS, Nexium 40mg QHS

Current Illness:

ID: 1031646
Sex: F
Age: 66
State: CA

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

Lab Data:

Allergies: penicillin, codeine

Symptoms: My face became swollen and red. I called the Pharmacy when I got home and he told me to take a antihimstine within an hour my face was back to normal

Other Meds: None

Current Illness: High blood pressure, talking medication for it

ID: 1031647
Sex: F
Age: 52
State:

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

Lab Data:

Allergies:

Symptoms: Patient feels that her throat is closing started today after receiving 2nd dose of covid vaccine She was given Benadryl 50 mg po before coming to urgent care She received first dose of Pfizer vaccine and 12/22/2020 and had same side effects Denies chest pain, shortness of breath, rash States she was given steroid injection and Ativan last time which helped

Other Meds:

Current Illness:

ID: 1031648
Sex: M
Age: 4
State: NE

Vax Date: 10/30/2020
Onset Date: 10/30/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Egg

Symptoms: Patient had no adverse reactions.

Other Meds:

Current Illness:

ID: 1031649
Sex: F
Age: 72
State: MO

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

Lab Data:

Allergies: Sulpha. Gabapentin. Tanizine. Percocet. One of the blood thinners can?t remember the name. Tape. Enderol. Something they used for prepping on one of my surgery. Bee stings. Poison ivy. Not sure of food allergies

Symptoms: Light head mess and dizziness off and on but mild. Not having them now. Itchy arm immediately and day #2 red hot swollen and a small knot today I measured it at 2 inches in Diameter. It?s a tad better today. Very sore. And kind of a rash there but the rash is getting lighter. I have soreness throughout my body but mostly my right arm I am having spells of light nausea come and go. I didn?t have a headache but stiff neck and it?s starting to get better. But I just had a strange sensation for the first Three days in my forehead and didn?t hurt but annoying and it is not as noticeable today so maybe it is going away. No fever or anything else like flu none of that My arm at the site is still warm today. I am feeling ok other than that.

Other Meds: Metformin Lisinopril Metoprolol Omeprasol Myrtriq All taken at At9:00am taken

Current Illness: None

ID: 1031650
Sex: F
Age: 71
State: CT

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

Lab Data:

Allergies:

Symptoms: Pain and itching at site, redness and flushed feeling, with body aches.

Other Meds: Levothyroxine, multivitamins

Current Illness:

ID: 1031651
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies:

Symptoms: When asked, patient stated she had gotten the Pfizer vaccine for the first dose. Afterwards the vaccine card showed she had gotten the Moderna a month ago in another facility.

Other Meds:

Current Illness:

ID: 1031652
Sex: F
Age: 70
State: AZ

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: lots of airborne, penicillin, lactose intolerant

Symptoms: Day 2 sore arm, body aches, 99.8 temp, by evening large red spot around injection site Day 3 swing from chills to fever, red spot enlarges, is swollen and hot, tylenol helps temp down to 99.7 Days 3 - 7 arm gets hotter, stays swollen, hot and very red from above elbow to almost top of arm. Slowly dissipates. Blood Pressure spiked one day to 162/105 and saw doctor about that.

Other Meds: cymbalta, synthroid, menest, liprinisol, B12, nasacort, HyQvia, alprazolam, levocetirizine, restasis

Current Illness: Covid

ID: 1031653
Sex: F
Age: 80
State: MA

Vax Date: 02/01/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Sulfa, Quinine, procainamide

Symptoms: Covid Arm: Vaccination area became pink (half dollar sized), itchy, lump under skin. Lasted 2-3 days. Still itches occasionally.

Other Meds: Nadolol, L-Thyroxine, vitamin D3, CoQ10, Lomotil, Fluticasone, vitamin C

Current Illness: None

ID: 1031654
Sex: M
Age: 48
State: KS

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

Lab Data:

Allergies: penicillin

Symptoms: Patient received 0.3 mL of incorrectly diluted or undiluted Pfizer vaccine. When the nurse went to administer another 0.3 mL from the vial to the next patient, she noticed that there was insufficient volume. Only one vaccination was drawn from the affected vial, and that vaccination was given to this patient. Patient had left the facility at the time that the error was discovered, but he was contacted by telephone to be notified that he potentially received an improperly diluted or undiluted dose of Pfizer vaccine. Patient was notified that typical symptoms of immune response after being vaccinated, such as headache, fever, body aches, etc, may be exaggerated. Patient was instructed to use over-the-counter antipyretic acetaminophen according to bottle instructions, as needed for those aforementioned symptoms.

Other Meds:

Current Illness:

ID: 1031655
Sex: F
Age: 59
State: AZ

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

Lab Data: n/a

Allergies: shellfish

Symptoms: injection site pain - tiredness - headache - muscle pain - chills - joint pain - fever 101.9 - nausea - feeling unwell

Other Meds: n/a

Current Illness: n/a

ID: 1031656
Sex: F
Age: 73
State: AZ

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

Lab Data: None reported to doc today.

Allergies: Scopolamine Morphine

Symptoms: Extreme redness & soreness & swelling at site. All symptoms of Covid. Dizziness weak fatigued ache all over. Still day #5

Other Meds: Breo Paxil singular loserten multi Vit. Vit D C

Current Illness: None

ID: 1031657
Sex: F
Age: 73
State: OH

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

Lab Data:

Allergies: Allergic to grass, trees, dust, mold

Symptoms: Site of injection began to itch, redness, swelling, lump - this seems to be improving after about 3 1/2 days. Still have some itching, but the swellling is down and the lump seems to be dissipating.

Other Meds: Losartan Hydrochorothiazide Levothyroxine Pantoprazole Atorvastatin Montelukast Potassium

Current Illness:

ID: 1031658
Sex: F
Age: 67
State: OR

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

Lab Data: I called my doctor and asked for a platelet count.

Allergies: sulfa

Symptoms: Myalgias, fatigue, headache, weakness, nausea, chills, decreased appetite and easy bruising.

Other Meds: none

Current Illness: none

ID: 1031659
Sex: F
Age: 57
State: CA

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

Lab Data: None

Allergies: Sulfa drugs.

Symptoms: Allodynia, hyperalgesia, Universal joint pain, exaggerated symptoms of ongoing CRPS in all four extremities. Continued moderately severe pain almost 2 weeks out

Other Meds: Topiramate 125mg, duloxitene 60mg, sertraline 50mg, Magnesium, senna.

Current Illness: None

ID: 1031660
Sex: F
Age: 87
State: MI

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

Lab Data: Normal ECG, normal BMP, normal CBC, normal mag troponin, CXR - no acute process.

Allergies: Avelox [moxifloxacin] Not Specified Nausea And Vomiting Demerol [meperidine] Not Specified Nausea And Vomiting Fentanyl Not Specified Nausea And Vomiting Pentothal [thiopental Sodium] Not Specified Nausea And Vomiting Streptomycin Not Specified Unknown Per her ENT doctor Sulfa Only (sulfonamide Antibiotics) Not Specified Nausea And Vomiting Versed [midazolam] Not Specified Nausea And Vomiting Amoxicillin Low Rash Dyrenium [triamterene] Low Rash Edecrin [ethacrynic Acid] Low Rash Penicillins Low Rash Tetracyclines Low Palpitations

Symptoms: The patient had immediate dyspnea and dizziness. When there was no immediate resolution, she was taken to the ER on campus. She was released home following ER evaluation.

Other Meds: acetaminophen (TYLENOL) 325 MG tablet docusate sodium (COLACE) 100 MG capsule ferrous sulfate 324 mg (65 mg iron) TbEC fluticasone (FLONASE) 50 mcg/actuation nasal spray loratadine (CLARITIN) 10 mg tablet losartan (COZAAR) 50 MG tablet magn

Current Illness: n/a

ID: 1031661
Sex: F
Age: 60
State: WA

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

Lab Data:

Allergies:

Symptoms: Started getting very tired the evening of the vaccination (day 1), the next day (day 2) extreme fatigue, chills, headache and muscle ache, stomach ache through the day and that night. Felt much better the morning of day 3 with some residual stomach ache.

Other Meds:

Current Illness:

ID: 1031662
Sex: F
Age: 73
State: MI

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Penicillin and sulfur drugs

Symptoms: Developed rash around front neck area and below neck , sensitivity to touch. Lasted about 10 days with still some sensitivity today. Four days after the injection I had pain in lower jaw that at fist I though was a tooth ache. It was on the same side of my body as the shoot ( left side) . Lasted several days and on the sixth day after the shoot also hurt on the other side of my mouth(lower back teeth area) but milder and gone the next day. Spoke with my Doctor, she recommends the second shoot since my reactions were not severe.

Other Meds: Metoprolol suc er 1/2 of 25 mg 1x a day 600 mg calcium, 2000 iu vitamin raw D3, coenzyme Q10 22mg, omega3 565mg+70mgGLA and vitamin B12 1000 mcg. These I take every other day

Current Illness: None

ID: 1031663
Sex: F
Age: 66
State: MO

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

Lab Data: None

Allergies: penicillin

Symptoms: Two inch hard round red spot on left arm below where I received the shot.

Other Meds: metformin, Jardiance, lisinopril, atorvastatin, Zyrtec, Mylan brand levothyroxine.

Current Illness: None

ID: 1031664
Sex: F
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: 0830- Patient reports that her face / upper back and chest are itching. Red spots are appearing on her chest. No redness on face or back. Also reports itching of palate - no SOB / wheezing. VS - BP 147/81 HR 105 (pt reports that these are elevated from her normal) O2 sat 100% RR20 History of multiple allergies and anaphylaxis (to Humerma). Currently taking prednisone. Has taken Benadryl in the past for allergic reactions. 0832 - Benadryl 25mg PO given 0835 - no increase in sx 0840 - decreasing redness of chest, continued itching of face near hair line 0849 - feeling well, minimal itching. Offered Urgent Care of ER visit... Patient declines both. She is on her way to work and will continue to monitor for any increase in reactive sx. 0850 - left covid observation area by her own decision

Other Meds:

Current Illness:

ID: 1031665
Sex: F
Age: 62
State: MN

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On Day 8 following the initial dose of the Moderna vaccine for COVID-19, I began to experience itching and stinging on my left arm at the vaccine injection site and noticed a 2-1/2 inch diameter red rash at the injection site. My upper arm was swollen, too. I proceeded to seek medical consultation at Urgent Care Clinic the same day. On Days 7,8 and 9, I had some slight fatigue .Prior to this delayed adverse reaction event, I had only felt muscle soreness on the first and second days after receiving the vaccine.

Other Meds: Calcium supplement, 500 mg, with Vitamin D, 400 IU Vitamin D, 1000 IU

Current Illness: None

ID: 1031666
Sex: F
Age: 70
State: IL

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

Lab Data: None

Allergies: Sulfate base

Symptoms: Red, swollen spot about 2 inches below the injection site - minor pain, itches at time. Swelling lasted only the first night, but redness continues. About the size of a quarter or a little larger.

Other Meds: Trazodone 50mg, Spiriva 18mcg caps inhaler, Pantoprazole 40mg, chewable vitamin C 1000mg, vitamin D3 50mcg, vitamin B12 1000mcg, Calcium Citrate 800mcg, acidophilus probiotic, fish oil 1200mg

Current Illness: None

ID: 1031667
Sex: F
Age: 36
State: ME

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Medications: Benzodiazepines Food: Mango, Lamb. Mayonaise

Symptoms: bilateral lymph node swelling in axilla. Resolved after 1 week. today (2/15/2021) requesting I report this

Other Meds: Zyrtec 10mg PO Daily Multivitamin daily

Current Illness: None

ID: 1031668
Sex: M
Age: 61
State: NC

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

Lab Data:

Allergies: none

Symptoms: Second herpes zoster Shingrix, administered on 2/12/2021 to a 61 year old male, associated with palpable (2.5cm), sensitive lymph node (the size of an olive) in the arm pit on same side as the injection (for comparison: the first Shingrix 8 weeks prior was administered on the other side of the body caused no palpable swollen lymph nodes). Fever 2.9F above baseline 12 to 20 hours post 2nd injection, and the fever subsided after 36 hours (comparison: the first Shingrix fever was 1.7F above baseline 34 to 42 hours post injection). Noticed lymph node swelling 72 hours post 2nd injection. Attributed the symptom to the vaccination. Self reporting via VAERS.

Other Meds: Fish Oil, Vitamin-D3

Current Illness: none

ID: 1031669
Sex: F
Age: 59
State: PA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Monitor BP blood work CBC

Allergies: Bee stings

Symptoms: I woke up feeling ok just a little tired. When I got into the office I had low back pain, chills, abdominal pain, pain behind left ear, head ache. nausea. I got up and tried to shake it off, I got this sensation of weakness like I was going to pass out and laid myself on the floor everything got a little foggy and I don't remember everything because I passed out. The Doctors I worked with helped me up and called my husband, he took me to the ER and kept me there for a while, my BP was really low. They gave me Tylenol and IV fluids until my BP got better. I went home and felt wiped out, I was able to walk with assistance. The following day I was fine almost like it didn't happen or I was faking it. I didn't get an arm rash like the first dose.

Other Meds: Vitamin D B-12 Multi Vitamin Biotin

Current Illness:

ID: 1031670
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: Patient called today. She stated today she noticed a red, itchy, achy circle, about 4" round at the injection site. She stated vaccine was 8 days ago. She denies any fever today. RN advised her to call her provider for follow up. She stated no one is answering the phone today because of the holiday. RN Advised her to go to Urgent care today then to have it looked at. She stated understanding and stated will go in a couple hours after work. She denies any other side effects. She did call and report initial side effects soon after the vaccine, and Vaers form was also submitted at that time, too.

Other Meds:

Current Illness:

ID: 1031671
Sex: F
Age: 66
State: ID

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

Lab Data:

Allergies:

Symptoms: red rash on arm around injection site - appeared 10 days after injection

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm