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: 1031672
Sex: F
Age: 81
State: FL

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

Lab Data: none

Allergies: tetracycline (and all derivatives), macadamia nuts, poppy seeds

Symptoms: My entire body really ached. I was freezing. I was feeling absolutely miserable. Very physically uncomfortable. No appetite whatsoever. I was feeling close nauseated. I almost felt shaky. I took an Advil about four hours later and I felt a little better. I had diarrhea that afternoon. I turned up the heat and started drinking chamomile tea to warm up. I didn't eat anything anything until about 6:00, when I had toast and banana. Feelin 95% better by Monday.

Other Meds: None

Current Illness: None

ID: 1031673
Sex: F
Age: 42
State: OH

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

Lab Data:

Allergies: none

Symptoms: A large, itchy, red rash appeared on the vaccine injection site approximately 10 days after the vaccine was given. It measured around 5" in diameter, was slightly raised and was not painful.

Other Meds: Synthroid

Current Illness: none

ID: 1031674
Sex: M
Age: 71
State: NC

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

Lab Data: Ultrasound of left arm and hand for clot. Negative.

Allergies: None

Symptoms: Early morning of the 3rd day, Friday, the left wrist and hand became inflamed, swollen and movement became restricted in both the wrist and fingers. Pain was associated with movement. Symptoms increased through the weekend.. Video consult with Dr. Monday AM and advised to take Zertac and elevate arm. Tuesday, no relief. Advised to continue for several days and monitor. Wednesday, sought help at Mt. View Urgent care. Did Ultrasound for possible clot. Negative. Advised as to possible options. Decided for a single does steroid injection. Thursday, some relief in swelling and pain. Friday was give a 6 day treatment pack of Prednisone Oral. Hand and wrist swelling are down, pain almost gone. Movement of

Other Meds: Vitamin B-12

Current Illness: None

ID: 1031675
Sex: F
Age: 62
State: NY

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

Lab Data: NONE

Allergies:

Symptoms: I ALREADY FILLED OUT ONE PRIOR FORM CONCERNING MY REACTION REGARDING THIS INJECTION. MY NECK AND NECK NODES ARE STILL ENLARGED AND TENDER,IT IS MY SCAPULAR REGION AND POSTERIOR NECK REGION. THIS IS NOT NORMAL . I'M NOT SURE I REPORTED RIGHT ARM TENDERNESS AND ERYTHEMA. IK HAVE A PHOTO. I ALSO EXPERIENCED TINGLING AROUND LIPS BUT THOUGHT I WAS GOING TO GET A COLD SORE, BUT TALKING TO PEOPLE SAID I SHOULD REPORT THIS AS WEL SINCE I DIDN'T GET A COLD SORE. I HAVE INCREASED FATIGUE SINCE INJECTION.

Other Meds: Vitamin D, magnesium, vitamin C , iodine, zinc

Current Illness: No

ID: 1031676
Sex: F
Age: 51
State: MA

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

Lab Data: None as of yet

Allergies: Morphine, Demerol, ibuprofen

Symptoms: Within minutes, pain, tingling, and numbness spread down my arm into my fingers, up into my neck, and into my back and shoulder blades. Over 3 hours later, fingers still feel cold and tingly, and my shoulder and elbow joints hurt deeply. I have limited movement of my left arm and shoulder. My neck is very stiff and sore.

Other Meds: Metformin 1000 mg 6 hours prior, Clonazepam .5 mg 2 hours prior.

Current Illness: None

ID: 1031677
Sex: M
Age: 29
State: WA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Mild pain at injection site, which lasted two days. 1st day after 2nd dose, fever of 101.5 F and mild headache. Fever lasted about 24 hours. 2nd day after, no fever but body temperature remained at 99.5 F for approximately 18 hours. Fatigue for both days.

Other Meds:

Current Illness:

ID: 1031678
Sex: F
Age: 40
State: LA

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

Lab Data: COVID test - January 9th -negative result

Allergies: no

Symptoms: I had pretty bad arm pain; some redness and some swelling that lasted about three days. January 6 - I noticed frequent PVC's with my heart all day long. January 7 - I didn't notice anything different. January 8 - things got intense: my right arm when I got to work; it was tingling and I was real shaky. I was administering vaccines that day and I had issues with my hand shaking really bad. I ate chocolate to see if that would help and it didn't go away. A few hours later - I left work at 2:30 - my left arm went numb and started tingling, too. I had a lot of discomfort in my chest and heart area. I didn't feel right. I tried to take a nap - but it felt like impending doom; I had extreme chills but I had no fever - like I was going to have a heart attack. I called my husband. I took an Ativan (I had some that was five years old). I went to sleep. I woke u next morning and felt extremely ill and felt very fatigued. January 9th, I went to Urgent care - to get a COVID test and it was negative. The issues with my heart was a reason for me not to get the 2nd dose of the vaccine. My Dr (at the Urgent Care) palpated my thyroid and said it was enlarged and I never have had an issue with my thyroid. Follow up on the 25th with my primary care doctor for my thyroid because they couldn't do blood work at Urgent Care. Since I've had the vaccine, I have been having bad reflux and I've had to take medicine for it and I've had pain in my hands (with the joints) - like arthritis. When I'm holding my phone, for example, my hands hurt.

Other Meds: Aldactone

Current Illness: no

ID: 1031679
Sex: F
Age: 30
State: NJ

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

Lab Data:

Allergies: Sulfa allergy: hives

Symptoms: itchy red rash on arm developed 8 days after vaccine.

Other Meds: ortho tri-cyclen low oral contraceptive daily, omeprazole occasionally. has taken 5 times since vaccination

Current Illness: none

ID: 1031680
Sex: F
Age: 32
State: OR

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

Lab Data: N/A

Allergies: Accutane bee sting allergy (no anaphylaxis)

Symptoms: Burning feeling in the left arm, patchy feeling of numbness of the left arm, feeling lightheaded, nauseated, chills.

Other Meds: Omeprazole, Plaquenil, spironolactone

Current Illness: N/A

ID: 1031681
Sex: F
Age: 62
State: MA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: pain at site of injection at 24 hours post injection. Nausea, diarrhea, headache 24 through 48 hours post injection.

Other Meds: Voltaren Oral 6am and 6pm for arthritis

Current Illness: none

ID: 1031682
Sex: F
Age: 64
State: MI

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

Lab Data:

Allergies:

Symptoms: Patient received Moderna vaccine on 2/12/21 at 3pm. She sat in our waiting area under observation for 15 minutes (she reported no allergies, prior issues with vaccination such as fainting/anaphylaxis). Once she was home, she started feeling nauseous (and vomiting), severe joint and body pain, headache (reports feeling like, "her head is going to explode). These issues were worst over Friday/Saturday but improved over Sunday and today, Monday. Patient stayed home over the weekend and did not contact emergency services. Patient contacted her doctor on Monday to report the events of the weekend. At this time, her doctor has not recommended any treatments or issued prescriptions, and their plan is to have the patient follow up with the office should things worsen or change.

Other Meds:

Current Illness:

ID: 1031683
Sex: M
Age: 75
State: IA

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

Lab Data: N/A

Allergies: unknown

Symptoms: PATIENT STATED LEFT JAW SWELLING STARTED TODAY, 02/15/2021.

Other Meds: unknown

Current Illness: unknown

ID: 1031684
Sex: M
Age: 38
State: KS

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

Lab Data:

Allergies:

Symptoms: Subjective; Patient is a 38 yo male who was seen at COVID Vaccine Clinic today for his second dose of the COVID 19 vaccination. He was given the Moderna vaccination in the right deltoid muscle. During his 15 minute waiting period after the injection, the patient began to experience lightheadedness and diaphoresis, chest tightness that is reproducible by provider with palpation. He denied difficulty breathing, wheezing, throat tightness and dizziness. This provider was notified of patient reaction and he was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality , rapid progression of symptoms, respiratory distress and vomiting. During monitoring, patient complains of shortness of breath and chest tightness. SpO2 100% room air, blood pressure elevated at 152/104 at 0840, 147/112 at 0900. Patient is alert and oriented. O2 per NC placed at 0900, SpO2 at 100%. Patient was able to eat and drink during monitoring. Blood glucose is 107. BP at 0910 150/93. He is not on any prescribed medications. He denies past medical history. Patient to go to ER for further evaluation of chest pain. ALLERGY REVIEW OF SYSTEMS: Patient complains of chills, chest tightness and shortness of breath Pain behind both eyes: Pt once in bed, reported worsening chest tightness/sob. stabilized symptoms during his stay.: Nausea: lightheadedness: Previous Reactions: First dose of Moderna with headache, nausea, fatigue x 2 days. Objective Vitals Vitals: 02/09/21 0830 02/09/21 0842 BP: (!) 164/85 (!) 152/104 Pulse: 73 72 Temp: 98.8 ?F (37.1 ?C) SpO2: 100% Blood Sugar 107 collected at 0838 Physical Exam Eyes: Extraocular Movements: Extraocular movements intact. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Comments: Hyperventilating at times. Chest: Chest wall: Tenderness present. Abdominal: Comments: Periods of belching Musculoskeletal: Right lower leg: No edema. Left lower leg: No edema. Neurological: General: No focal deficit present. Mental Status: He is alert and oriented to person, place, and time. Gait: Gait normal. Psychiatric: Mood and Affect: Mood is anxious. Speech: Speech normal. Thought Content: Thought content normal. Cognition and Memory: Cognition normal. Judgment: Judgment normal. Assessment/Plan Treatment included: water, snacks and Pepcid, Tylenol Follow up response to treatment: good. Patient discharge: Transported to ED by ambulance. Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Red flag symptoms (CP, SOB, NVD, Visual/Neuro concerns) Patient transported to ED. ER notified of patient's coming.

Other Meds:

Current Illness:

ID: 1031685
Sex: F
Age: 33
State: NY

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Fruits, vegetables, nuts, seeds, cipro

Symptoms: 3 inch long, two inch wide, raised itchy rash. Appeared 8 days after 1st shot and lasted about 4 days. Reappeared 2 days after 2nd shot.

Other Meds: Topamax, Bupropion, Zoloft, Norethindrone, Singular, pantoprazole

Current Illness: None

ID: 1031687
Sex: F
Age: 38
State: MO

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

Lab Data:

Allergies: Naproxen

Symptoms: Round swelling: red and itchy at injection site 6ish days after injection

Other Meds: N/A

Current Illness: N/A

ID: 1031688
Sex: F
Age: 67
State: WI

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

Lab Data: None

Allergies: None

Symptoms: No adverse event reported. Patient incidentally received air instead of vaccine.

Other Meds: None

Current Illness: None

ID: 1031689
Sex: F
Age: 48
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Facial Numbness and tightness in the temple

Other Meds: None

Current Illness: None

ID: 1031690
Sex: M
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 present

Symptoms: Patient was inadvertently administered the Moderna vaccine before the age of 18. Patient and parent did not report any adverse effects following vaccination.

Other Meds: Unknown

Current Illness: Unknown

ID: 1031691
Sex: M
Age: 89
State: NE

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
Hospital: Y

Lab Data: 2/7/21, 2/8/21 - Hematology and chemistry unremarkable. 2/7/21 - negative rapid covid test. 2/8/21 - Clear UA result, no culture indicated.

Allergies: Penicillin, sulfa

Symptoms: Pt brought to ER by son on 2/7/21 after noting increased confusion. Patient states he is going to visitor or do things that have not been around for years. Son reports onset was 24 hour prior. Pt does have some cognitive decline historically but current behaviors are a sudden change. Patient admitted observation to hospital and then discharged to local nursing home.

Other Meds: No known medication

Current Illness: No known illnesses

ID: 1031692
Sex: F
Age: 42
State: ID

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

Lab Data: none

Allergies: NKA

Symptoms: Inflamed, red, warm, and extremely painful right arm around injection site. Chills, fever, nausea, fatigue, muscle aches, headache, and all of my skin hurt... weirdest feeling

Other Meds: none

Current Illness: none

ID: 1031693
Sex: F
Age: 71
State: FL

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

Lab Data: Pt was advised to rest, continue taking Benadryl and Tylenol as directed on the packaging, and if the symptoms worsen or if they do not subside by 02/15/2021 to contact primary HCP and seek medical care. Pt was also advised to still receive second dose and bring company along to the appointment to driver pt home. PCI was consulted and Dr. notified.

Allergies: latex, lanolin, penicillin, bromocryptine, dilantin, clindamycin, tetracycline, metronidazole (Flagyl), clarythromycin (Biaxin), Zoledronic acid-mannitol-water (Reclast), Denosumab (Prolia), erythromycin, fish oil omega-3.

Symptoms: Lips tingling and disorientation: started 02/12/2021 @ 12:00 - ended 02/12/2021 @13:00 Headache, low-grade fever 99F, slight chills, and night sweats: started 02/12/2021 @ evening - currently experiencing

Other Meds: Levothyroxine, Lorazepam PRN, oxycodone/acetaminophen (Percocet) PRN, Pantoprazole, Famotidine PRN, and Estradiol.

Current Illness:

ID: 1031694
Sex: F
Age: 42
State: WA

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

Lab Data:

Allergies:

Symptoms: Chills/Fatigue/Fever/Headache/Muscle Pain/Nausea/Pain at the injection site

Other Meds:

Current Illness:

ID: 1031695
Sex: M
Age: 83
State: PR

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had shingles a year ago, two days later, and exacerbation occurred and he started to have shingles symptoms again.

Other Meds:

Current Illness:

ID: 1031696
Sex: F
Age: 77
State: CA

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

Lab Data: None done

Allergies: Gluten, dairy and nuts, Demerol

Symptoms: Because of reaction on the first shot, when I got home after getting second shot I took a Benadryl. In the early afternoon I began to feel shortness of breath, breathing not normal and it steadily increased towards early evening when I took 2 more Benadryl which then quieted down the breathing reaction. Also that day I experienced a sore arm. The next day, breathing problems were almost all gone but decided to take 1 more Benadryl. During the day I felt flu like symptoms. The third day I feel like myself again.

Other Meds: Vitamin C, Fish Oil, digestive aid, Vit. D, Niacinamide, Hawthorn, Tylenol, Red Rice Yeast

Current Illness: None

ID: 1031697
Sex: F
Age: 69
State: CA

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

Lab Data: None

Allergies: NKA

Symptoms: I?m not entirely sure if what?s going on with me is in fact from my vaccine, but feel it is. I did get the rash at the injection site and a sore arm but not severe. It?s what started 2 days later and continues now 8 days later. I woke with red itchy pimple like sores on both upper legs, they have now come on both legs, my neck and cheek along with my arms & torso. Some seem like water blisters and others more welts Holiday weekend & haven?t heard from my MD I?ve read some who have Covid19 have presented with such sores but would like to know are others having my symptoms? Should I be worried about 2nd dose

Other Meds: Lisinopril 10mg po QDRO Levothyroxine 110 po QDRO Metformin 500mg po qd

Current Illness: None

ID: 1031698
Sex: F
Age: 65
State: WA

Vax Date: 01/29/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Ceclor, ciprofloxacin, morphine, penicillins

Symptoms: On 2/11/21, red rash appeared at injection site

Other Meds: Azelastine, Zyrtec, Estradiol, progesterone, Vit D3, melatonin, CoQ10, Vit C, fluticasone, Biosil, lorazepam, metoprolol

Current Illness:

ID: 1031699
Sex: F
Age: 62
State: MA

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

Lab Data: none

Allergies: none known

Symptoms: Extreme fatigue, chills, headache, joint and muscle aches, nausea.

Other Meds: Voltaran Oral am and pm

Current Illness: none

ID: 1031700
Sex: F
Age: 44
State: NY

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

Lab Data: A CT was does with and without contrast - they were checking for kidney stones and diverticulitis- both were negative. They ran a full blood panel and urinalysis. They didn't find anything and I was released. They said it was most likely muscle pain.

Allergies: None

Symptoms: 8 hours after the shot I had body aches and fever and soreness on site. This lasted for approximately 30 hours. At about 50 hours after i had the second dose i got immense shooting pain up and down my left side (flank). It was centered near my hip/kidney area. I was unable to stand. The intense pain lasted about 2-3 hours i took Tylenol which helped. The pain became manageable but continued and the following day - February 14 I went to the ER.

Other Meds: Effexor Lotensin Toproxl Vitamin b12 Vitamin d Vitamin c Apple cider vinegar

Current Illness: None

ID: 1031701
Sex: F
Age: 44
State: GA

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

Lab Data:

Allergies: unknown

Symptoms: Report taken 2-11-2021 @ 15:33 Patient reports that she had itching at the site immediately flowing the vaccine, she advised that 3 days out she had 3 inches in diameter redness and hot to touch 4th day was better but then on 2/8/2021 she advised site was 6 inches in diameter and the temperature at the site was 101.9. She advised that she has taken Benadryl and applied ice. I encouraged patient to seek care. Update: 2-15-2021 15:28 Spoke with patient who advised 3X3 area on arm purple in color much better no temperature at site, she did not seek care but just continued with Benadryl.

Other Meds: unknown

Current Illness: unknown

ID: 1031702
Sex: F
Age: 33
State: CA

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

Lab Data: none at this time

Allergies: Latex, fluconazole

Symptoms: Patient was vaccinated and I do not have access to the Lot number. Patient reports sudden onset of linear, hyperpigmented, flat rash on middle of chest and down right breast. It is sensitive feeling like a mild sunburn. It started approx 60 hours after her COVID Moderna Vaccine dose #2. She was assessed over a video visit today and is having an in-office evaluation tomorrow morning. She had the typical low grade fever and fatigue for the first 48 hours after the vaccine and that has since resolved.

Other Meds: At the time of the COVID vaccine she was taking a prenatal vitamin. She took tylenol for the 48 hours after the covid vaccine.

Current Illness: none

ID: 1031703
Sex: F
Age: 73
State: PA

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

Lab Data:

Allergies: None

Symptoms: Pain at injection site later became a white spot surrounded by a red raised hard circle

Other Meds: Ibandronate sodium tablet 150 mg Levothyroxine 50mcg Metoprolol 50 mg Atorvastatin 40 mg Spironolactone 25 mg

Current Illness: None

ID: 1031704
Sex: F
Age: 60
State: GA

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

Lab Data: None

Allergies: Sulfa drugs, codeine, Z-Pak

Symptoms: About 30 hours after vaccine I had bumps on my shoulder blade on left side where I received the vaccine - a rash that itched. It lasted about 4 or 5 hours - I put Calamine lotion on it and that soothed it. I also experienced a little itching of eyes and a slight itching in mouth. About 9:30 pm I had a rapid heartbeat for about 30 or 40 minutes. The itching sensation continued off and on the next day but bumps weren't visible any longer. The itchy eyes continued off and on for the next day as well.

Other Meds: Estradiol, testosterone cream, nexium, vitamin B12, D, folic acid, vitamin E

Current Illness: None

ID: 1031705
Sex: F
Age: 57
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None.

Allergies: Tetracycline, latex, Augmentin, sulfa drugs, zinc, watermelon, Codeine.

Symptoms: On 1/11/21, the next day the arm was swollen, hot, bruised, and so swollen that she had to use an XL shirt, wears M. Had red splotches on it, pain and swelling for 7 days after the vaccine. There was red splotches on the arm, but now 2/15/21 there are now white dots where the red lines used to be. Did not take anything for it, as she did not know what to do. She called her doctor, but they did not address the problem. When she went to work on 1/12/21 had another lady that is a corporate nurse and told her that it was bad. Arm is still hurting, and is in the process of recovering. If she pushes on the location of the vaccine it does hurt. She has not and will not take the 2nd vaccine.

Other Meds: None.

Current Illness: None.

ID: 1031706
Sex: F
Age: 65
State: PA

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

Lab Data:

Allergies: None

Symptoms: Delayed large red rash, soreness, and itchiness around injection site

Other Meds: Vitamin D

Current Illness: None

ID: 1031707
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient verbalized history of dizziness with fainting/falling to floor after receiving flu vaccine. At 1056, Pt complained of dizziness. Placed into wheeled chair, and brought to private holding room. transferred to gurnee. At 1057, B/P 146/71, heart rate 68bpm, Pulse ox 98%. Pt stated Dizziness 8 out of 10, with mild pain to forehead. Seated with head of bed up at 30 degrees. Offered both juice and water to drink At 11: 02, BP 148/76. Heart rate 71 bpm, 95% pulse ox. Pt states dizziness now 6 out of 10. At 11:18, B/P 135/74, Heart rate 65 bpm, 96% pulse ox. Dizziness 4 out of 10 At 11:29 BP 129/76. Heart rate 64 bpm, 95% Pulse ox. Dizziness one out of 10. Patient states minimal pain to forehead. Sat to edge of bed, without incident. Patient brought to standing position, shifted weight from side to side multiple times, and ambulated around holding room without incident. Stated feeling able to return home, and dizziness gone. Left to home with husband at 11:31

Other Meds:

Current Illness:

ID: 1031708
Sex: F
Age: 70
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Red rash at injection site with tenderness, warmth and itching

Other Meds: None

Current Illness: Nonr

ID: 1031709
Sex: F
Age: 74
State: TN

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

Lab Data: None

Allergies: Grapefruit, Penicillin

Symptoms: Redness and chills for 48 hours. Then February 14 redness 4X5 inches at injection site

Other Meds: Dificid , Clonazepam , Baclofen, Tylenol

Current Illness: C Diff

ID: 1031710
Sex: F
Age: 64
State: NY

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

Lab Data: 2/5/21 seen by MD, given claratin

Allergies: Penicillin, Keflex, Morphine, Sulfa, Cinnamon, Pineapple

Symptoms: first 48 hours fatigue, nausea, headache Day #9 post vaccine rash on Left upper arm and upper chest Day #18 rash on Right arm

Other Meds: BREO inhaler, Spiriva inhaler, Irbersartan, Atrovent nasal spsray, zyrtec, Caltrate, Vitamin D, magnesium, melatonin, Gammagard Liquid IVIG, Estradiol cream, estrace vaginal ring

Current Illness:

ID: 1031711
Sex: F
Age: 55
State: VA

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

Lab Data:

Allergies: flu shot Cipro

Symptoms: cleared by PCP to receive dose # 2 as she had rash on face after 1st vaccine. She took 25mg benadryl at 2pm Had vaccine at 2:45pm. at 3:30pm started "itching all over." Dr present and gave order for hydrocortisone IVP. this was administered at 4:15pm. at 4:45pm itching greatly diminished. Refused ER for observation so was released to home and OK'd per MD. Reports mild fever 100.1 on 2/13 and fatigue. reports continued itching today but manageable with OTC Benadryl. She will f/u with her PCP before any further vaccines.

Other Meds:

Current Illness: no

ID: 1031713
Sex: F
Age: 65
State: LA

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

Lab Data:

Allergies: Amoxycillin, Metformin, Hydroethidine, Lisinopril

Symptoms: arm soreness at vaccination site, flu like symptom-fever, body aches, chills, warm sensation

Other Meds:

Current Illness:

ID: 1031714
Sex: F
Age: 47
State: IL

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

Lab Data: n/a

Allergies: sulfamate, penicillin

Symptoms: cold shivers, headaches, dizziness, nausea, temperature

Other Meds: metformin

Current Illness: diabetes

ID: 1031715
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies: None

Symptoms: Rash appeared near injection site approximately 7 days after vaccination. Rash was oblong, about 3" long, and slightly itchy. Not painful.

Other Meds: levothyroxine (50 mcg/daily), doxycycline (40 mg/daily)

Current Illness: None

ID: 1031716
Sex: F
Age: 100
State: CT

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

Lab Data: N/A

Allergies: Sulfadiazine and amoxicillin

Symptoms: Patient was erroneously given a third dose of the Pfizer Covid-19 vaccine, instead of the recommended 2 doses.

Other Meds: Unknown

Current Illness: Unknown

ID: 1031717
Sex: F
Age: 51
State: OH

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: All blood work so far is in the normal range.

Allergies: Amoxicillin causes a rash

Symptoms: Acute inflammatory eye disease, vasculitis, iritis The first signs showed up the morning of 02/07/2021. I went to the eye doctor on 02/08/2021. Symptoms kept getting worse and I was referred to a retina specialist on 02/10/2021. I go back on Wednesday 02/17/2021. The retina doctor and family doctor have talked and they are recommending that I do not get the second dose at this time because I could be at risk of vision loss.

Other Meds: Multivitamin B12 Vitamin D Claritin Lo Loestrin FE

Current Illness: none

ID: 1031718
Sex: F
Age: 42
State: NJ

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

Lab Data:

Allergies: No

Symptoms: Fever 101.5 Body aches , muscle pain, joint pain Palpitations Headache Started about 12 hrs after dose (worst the first night) and continued for about 24-48 hrs Improved after acetaminophen 500 mg followed by ibuprofen 200 mg 6 hours later

Other Meds: None

Current Illness: Iron deficiency anemia

ID: 1031719
Sex: F
Age: 50
State: OH

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

Lab Data: None

Allergies:

Symptoms: - Got the vaccine in the afternoon and by evening her arm was sore for several hours, about 6-7 hours post her shot she was fatigued. -She then experienced light headedness and headache roughly 10 hours or so after the shot, she had chills but no fever. She went to sleep. -Pt went took Tylenol around 11pm for headache and join pain. Woke up the next morning and took Tylenol again, she had some severe dizziness around 0730 next day that was made her feel like she was fainting and panicking, she took her BP and it was 76/40. She then took it 20mins later it was back to normal at 116/80. She spoke with her PCP over the phone and they advised her to continue to observe herself at home and go to hospital if it happens again. -On 2/14/2021 at 2pm, her joints are still aching and hands are swollen/itchy/red on the backs of her hands. Followed up later on 2/14/2021 Follow up attempt: Spoke with patient and she is doing better, symptoms are resolving. Ibuprofen taken recently, just managing joint pain and headache with OTC meds. Hand swelling resolved. Advised caller to call us back with further questions or concerns as needed, seek medical attention if dizziness or hypotension occurs

Other Meds: Vitamins, birth control

Current Illness:

ID: 1031720
Sex: F
Age: 38
State: MN

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

Lab Data:

Allergies: Penicillin, sulfa drugs, bees, pollen

Symptoms: Arm soreness, tired, itchy, body fatigue , head ache

Other Meds:

Current Illness:

ID: 1031721
Sex: F
Age: 53
State: FL

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

Lab Data: NA

Allergies: LatexRash MorphineSwelling MorphineShortness of Breath DoxycyclineSwelling TramadolOther (See Comments)

Symptoms: Rash, lightheadedness, weakness and tingling, throat closing, elevated blood pressure

Other Meds: Multiple Vitamin (MULTI-VITAMIN PO) CALTRATE 600+D PLUS 600-400 MG-UNIT PO TABS

Current Illness: NA

ID: 1031722
Sex: F
Age: 66
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/30/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Approximately 10 days after vaccination, I developed an itchy, red, swollen, hot circle near the vaccination site. It resolved in 36 hours.

Other Meds: Metformin, Valsartan, Rosuvastatin, Sertraline. folic acid, vitamins D and B12, fish oil, iron and Nexium

Current Illness: none

ID: 1031723
Sex: F
Age: 67
State: NE

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

Lab Data:

Allergies: align (bifidobacterium infantis); bactrim; benzocaine, iodinated contrast media, macrobid; multihance; nickel; penicillins; strawberry; sulindac; imitrex; prolix; shellfish containing products; topamax; zoledronic acid- mannitol-water.

Symptoms: At 8pm arm started to swell up to shoulder; at 11:30 pm neck became numb up to jaw top of chest, arm was hard and soar to wrist. couldn't make fist. joints throbbing. foot swollen and couldn't lift up arm. Feeling like getting flu. Most symptoms lasted 1 week- last reported 2/11/2021.

Other Meds: ALBUTEROL 5mg/3.5mL for inhalation; albuterol HFA; albuterol-ipratrorpium; allopurinol; alprazolam; apixaban; calcium citrate; cholecalciferol; cyanocobalamin; docusate sodium; duloxetine; esomeprazole, fluticasone propionate; furosemide; g

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm