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: 1031925
Sex: M
Age: 71
State: OH

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: MRI/MRA/EKG

Allergies: none

Symptoms: On 2/9/2021 experienced headache, chills, and sore arm 0n 2/10/2021 still experiencing similar side effects but know light headed On 2/11/2-12: 930AM experienced a TIA . I totally believed it was a by product of the Covid shot - 1st dose. Had to go to ER and go through series of tests. Now on blood thinner. Since this occurred i know of 2 people that had similar results and experienced a stroke with 2 of them experiencing major stroke and died. people had similar results Now I don't think I will take second dose - very scared NOTE: I was in great shape prior to this vaccine

Other Meds: metformin simvastatin vitamin D3

Current Illness: none good health

ID: 1031926
Sex: F
Age: 37
State: OK

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Large knot under left arm discovered on Wednesday night after receiving vaccine on Monday. Area appeared to increase in size over next 4 days.

Other Meds: Crestor Vitamin C Vitamin D

Current Illness: None

ID: 1031927
Sex: F
Age: 61
State: OH

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

Lab Data:

Allergies: penicillin - hives, codeine - biliary sphincter pain, morphine - biliary sphincter pain

Symptoms: diffuse red macular rash on face, chest, arms; eyelid swelling. describes as burning. appeared gradually after receiving injection 18-24 hours

Other Meds: levothyroxine, aspirin, calcium, potassium, zinc, coQ10, omega 3

Current Illness: none

ID: 1031928
Sex: F
Age: 87
State: OH

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

Lab Data: None

Allergies:

Symptoms: The night she received the shot she developed pain, tenderness, redness and swelling at the injection site. The next morning had headache, chills, heart felt loud and fast, could not think, could not remember even normal things like how to turn on TV, insomnia. Went to store and became weak and breathing hard with minimal activity, had to sit down and rest before leaving. Symptoms lasted about 3-4 days and at this point have resolved.

Other Meds: vitamine D3, valsartan, chlorthalidone, atorvastatin, guanfacine, metoprolol, tylenol, eye vitamin, iron, b complex , biotic, baby aspirin

Current Illness:

ID: 1031929
Sex: M
Age: 63
State: OH

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Covid Flu blood work

Allergies:

Symptoms: I just had pain and swelling at the injection site that lasted over three days. On the 7th Thursday night, I developed a fever 101.5 and took Friday the 8th off of work. I also got a Covid test that came back negative and saw my PCP also tested for Flu A and B, tested negative. I felt lousy, has chills, aches, sinus head aches, I was miserable. My fever went away the afternoon of the 8th and I did not have a fever after that. On the 11th I saw my PCP and he referred me to an ENT and I saw the ENT on the 13th. I also called off work 14th-29th. I was admitted at the Hospital on the 14th with a code and had two surgeries and Gallbladder removed. I was in the Hospital for 5 days. I had my 2nd shot on the 5th with approve from Medical Dr.s with a little swelling but no other symptoms.

Other Meds:

Current Illness: Yes, I was having sinus issues. On and off fevers, about every other week.

ID: 1031930
Sex: M
Age: 47
State: CA

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

Lab Data: No medical tests were done other than I went to Urgent Care to have it checked out.

Allergies: None

Symptoms: Shortly after the shot I began to feel itchiness in my right eye through out the day. The next day 2/13/21 I woke up with blood in my right eye. I did not have any itchiness, pain, or teary eye. On 2/14/21 the blood now was in 75% of my right eye. Today on 2/15/21 I went to urgent care to have it checked out and they told me I had a ruptured blood vessel. My entire eye is now covered in blood. I had not experienced any vomiting or had any cough of any type, or hit my eye anywhere for this to happen.

Other Meds: Multivitamin, Ginkgo Biloba, D3, and Fish oil vitamins

Current Illness:

ID: 1031931
Sex: M
Age: 36
State: IN

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

Lab Data:

Allergies:

Symptoms: Severe chills. Recurrent High grade fever, not responding much to ibuprofen and Acetaminophen. Mild chest pain Nasal congestion and post nasal drip

Other Meds:

Current Illness:

ID: 1031932
Sex: F
Age: 40
State: IL

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

Lab Data: None,

Allergies: NKA

Symptoms: Arm pain started within 2 hours of receiving injection. Same side neck pain started within 4 hours. Neck stiffness was noted within 8 hours. Within 12 hours, all-over body aches and non-fever related chills began. These persisted for 24 hours. Injection site was visibly swollen by hour 48. This last symptom dissipated within the week post injection. The body aches and chills were temporarily relieved with the use of acetaminophen; multiple doses were required.

Other Meds: None

Current Illness: None

ID: 1031933
Sex: F
Age: 50
State: NY

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

Lab Data: EKC, CBC, BMP,CT of Head.

Allergies: Cipro

Symptoms: 02/06/21-Received the vaccine . 02/08/21 -(48hrs post vaccine)developed severe head ache,brain fog, muscle pain,electric sensation across hands and legs, nausea,chills,tiredness, severe fatigue. Treating self wit tylenol.Symptoms continue to persist. 02/09/21-patient visited urgent care.BP-159/100.Continued to have severe Headache,Numbness and feeling of heaviness to Right side of the face,insomia, photo-phobia, dizziness. Treated with IV Tylenol 1gm, IV Magnesium 2gm, IV Raglan 10mg and IV IL NS bolus. (at D/C-bp-140/73.)pt d/c home. Cont on next page. 02/11/21-Pt visited Urgent care.BP-157/99,Pulse-82 sao2 100%-C/O insomnia,muscle twitching,headache. Treated with Toradol 30mg IM given. PRN Imitrex, Ativan,0.5MG for insomnia and d/c home. 02/15/21-Patient visited urgent care for Jaw pain and hypertension. BP-181/109,hr-88, RR-18,sao2 99%. PT,APTT, CBC, EKG performed.Received IV solumedrol, ativan, ketorolac, MG sulfate, reglan. d/c to home.

Other Meds: Synthroid 100mcg once daily,Propranolol10mg 4times a day.

Current Illness: Migraines,Hypothyroidism,High Cholesterol,Hypertension

ID: 1031934
Sex: F
Age: 51
State: IL

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

Lab Data: none so far.

Allergies: Penicillin

Symptoms: Approximately 30 hours after receiving the first dosage, area around the injection site became sore, a few hours later the same area began to swell. The third day after injection, you could visible see that my muscle was very swollen from the shot and the area was red and sore. By the 5th day, the swelling was not as bad but now my arm has a very large red rash, still tender to touch and it feels itchy, like an allergic reaction. I took Benadryl at night on the 6th day and I woke exactly 4 hour after and my arm felt no better. I contact the dr.'s office that prescribes my medicines and they said to see a local dr if the red area grows any larger over night. I work at a school and the school nurse said that the health department didn't want to give me any suggestion except to delay my second dosage.

Other Meds: Humira, methotrexate, hydroxychloroquine, Dr. prescribed Iron & Folic Acid, Vitamin B-Complex, Vitamin K and Vitamin D

Current Illness:

ID: 1031935
Sex: F
Age: 54
State: UT

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

Lab Data: None

Allergies:

Symptoms: 3 hive like spots on the arm of injection not at the site.

Other Meds:

Current Illness:

ID: 1031936
Sex: F
Age: 41
State: SD

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

Lab Data:

Allergies: N/A

Symptoms: Employee reported fever, body aches and arm rash post-vaccine administration, which lasted for about 48 hours. She was seen at the urgent care clinic due to spread of the rash into her forearm and development of sudden onset chest pain. X-rays and EKGs were negative, as per employee, and she was started on antibiotics.

Other Meds: N/A

Current Illness: N/A

ID: 1031937
Sex: F
Age: 79
State: IN

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

Lab Data: None. My mother was evaluated today (02/15/2021) by a home healthcare nurse and she recommended reporting. But no actions taken.

Allergies: None

Symptoms: A red colored rash developed on inner thighs with 24 hours of injection. There was mild itching; rash resolved itself the following day.

Other Meds: Insulin, blood thinner

Current Illness: None

ID: 1031938
Sex: F
Age: 52
State: PA

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

Lab Data: 2/11/21 Covid testing-- Negative 2/13/21 Covid testing-- Negative

Allergies: Naproxen Seasonal allergies

Symptoms: 12 hours after recieiveing the shot I had chills, body aches and headache which lasted approximately 12-15 hours. The next day I felt fine. At approximately 6pm on 2/10/21 I went to eat something and realized that I could not taste it. I reported the symptoms to my hospital employee health and the suggested I get tested for Covid. When that was negative they made me get a second test which was also negative. This delay caused me to miss 3 work days.

Other Meds: Zyrtec Vitamin D

Current Illness: None

ID: 1031939
Sex: F
Age: 56
State: CA

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

Lab Data: N/A

Allergies: Severe hives caused by plasma infusion

Symptoms: 1/21/2021- First Dose- Following day mild muscle soreness at site, ongoing fatigue, never feels rested or wants/needs to sleep, a lot. Noticed abdominal pain, but did not connect the two. 2/11/2021- 2nd dose- Two hours later (approx) moderate pain at site, my head/mind felt "off", out of sync like one side of brain slower, affected balance. It was strange, and unpleasant. 2/12/2021- Groggy, face/eyes swollen, did not feel well, but not so bad I could not go to work. It was a 50 mile drive, and as I drove the same feeling of not thinking straight did not want to drive. The feeling of being unwell escalated quickly. Congestion, muscle aches throughout, sore throat, chills, and a need to catch my breath caused dizziness. I pulled over, called work, and made my way home where I went directly to bed. My head ached, abdominal (sharp) pains, especially after ingesting fluids. or food similar to gall bladder pain, but not close to its worse intensity still, continues. 2/15/2021- Update- Nearly 96 hrs. passed: What remains is: Feeling exhausted, need to sleep, more frequent and intensifying abdominal pains, headaches, pain in left lung/easily winded, and site pain expansion. Injection arm (left) pins & needles, and fingers ice cold, neck pain (stiffness).

Other Meds: N/A

Current Illness: N/A

ID: 1031940
Sex: M
Age: 67
State: GA

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

Lab Data: C=reactive protein Comprehensive metabolic panel Complete Blood Count Erythrocyte Sedimentation Rate

Allergies: None

Symptoms: Right facial weakness, difficulty with speech and swallowing, bell's palsy

Other Meds: None

Current Illness: None

ID: 1031941
Sex: F
Age: 17
State: OR

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

Lab Data:

Allergies:

Symptoms: Patient was administered the Moderna vaccine prior to her 18th birthday.

Other Meds:

Current Illness:

ID: 1031942
Sex: F
Age: 91
State: PA

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital: Y

Lab Data: MRI Brain Feb 6, Ophthalmic doppler Feb 6, carotid doppler Feb 6, Mri of brain, orbits w and wo contrast Feb 7, MRI angiogram brain Feb 7, OCT optic nerves OU Feb 10, OCT retinas Feb 10, Fluroscein angiogram retina Feb 7, all 2021

Allergies: Canola Oil,Flu shot(severe arm swelling) ( difficulty breathing) Advil and Aleve (hives)

Symptoms: Significant loss of vision R eye-awoke on Feb 6 and noted splotches in vision of R eye. Workup suggests compromised blood flow to that eye

Other Meds: Amiodorone 200 mg, Oxcarbezapine400 mg, Aspirin 81mg, Vitamin D 1000Units, Levothyroxine 25 mcg

Current Illness: Non

ID: 1031943
Sex: F
Age: 79
State: CO

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: PCN, Pecans, Walnuts, Pine trees/needles

Symptoms: Itching, rash on arm (vaccine site R arm initially), rash now on torso and Left arm. No fever. Slightly raised, circular (about 7mm in diameter) reddish rash. Still present.

Other Meds: Metoprolol 25 mg., Sertraline 50 mg

Current Illness:

ID: 1031944
Sex: M
Age: 73
State: TX

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

Lab Data: N/A

Allergies: Codeine

Symptoms: Hard 1/2? lump rt side stomach below ribs

Other Meds: Vitamin, vitamin B 12, iron, aspirin 81 mg, omeprazole, doxasozin, sim Assistan, lasik, gabetpatine,azathioprine, losartan, fish oil, metoprolol, bupropion

Current Illness: None

ID: 1031945
Sex: F
Age: 33
State:

Vax Date: 01/30/2021
Onset Date: 02/04/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Penicillin: Hives Amoxicillin: Rash Pineapple: Itching

Symptoms: A patient received a Pfizer covid-19 vaccination (lot number: EL3249) on 01/30/2021. This was her second dose (first dose: 01/08/2021). The patient reported no history of serious adverse events following vaccine administration during her vaccine screening. After receiving the vaccination, the patient developed cellulitis on her arm and chest. Based on my chart review, the patient does not have an encounter documenting the reaction, and no antibiotics were prescribed. The ADR report has a severity of harm ? temporary, intervention needed, but I do not see a documented intervention in EPIC. It is unclear how long after the immunization that the patient developed cellulitis.

Other Meds: None

Current Illness: None

ID: 1031946
Sex: F
Age: 80
State: PA

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

Lab Data: None

Allergies: Too many to list. I also have Eczema which comes intermittently, with either itching and rash or both. I experienced only mild itching from the day after the vaccine, 2/12/21, which may or may not have been caused by the gel used when I had a heart echocardiogram on 2/12/21. I came home and showered, but that did not resolve the itching. The itching is better now, but it is still there today, 2/15/21. I have been using a Rx cream, Betamethasone Diproprionate 2x day to relieve the itching. Not sure whether this is from the vaccine or the gel or my on/off issues with eczema. Also had mild diarrhea on 2/14/21--unrelated?

Symptoms: Please see details on previous page regarding itching and mild diarrhea. I also had a slightly sore arm at the injection site, but not until 9 hours after the injection at 11 PM. Itching may be due to my occasional eczema--I still have it, or it may have been triggered by the gel used for my heart echocardiogram on 2/12/21 or possibly by the vaccine. The mild diarrhea was only on 2/14/21 and resolved with OTC medication.

Other Meds: Too many to list, but I've been taking them for years....nothing new has been added. Eliquis, Starlix, spironolactone, Synthroid, to name a few.

Current Illness: None

ID: 1031947
Sex: F
Age: 66
State: MO

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

Lab Data:

Allergies: Lexapro, Sulfa, Prozac, Cobalt, Biaxin, Macrobid, Erythromyacin, Oxybutynin, Pristiq, Tylenol

Symptoms: Woke up itching 2/14/2021. I took Benadryl.

Other Meds: B12, Calcium, Omega 3 Krill Oil, Metformin Hydrochloride, Sertraline, Kirkland Adult Multivitamins Gummies, L-Thyroxine, Lamotrigine, Metamucil

Current Illness: Migraine 2 weeks ago

ID: 1031948
Sex: F
Age: 35
State: NY

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

Lab Data: The recipient reported the sensation of a rapid heart rate and not feeling well. She was taken to the ER for medical evaluation and treatment.

Allergies: Unsure. The recipient did not identify any allergies that would be contraindicated to receiving the COVID vaccine.

Symptoms: The recipient reported the sensation of a rapid heart rate and not feeling well. She was taken to the ER for medical evaluation and treatment.

Other Meds: Unsure

Current Illness: Denied any acute illness.

ID: 1031949
Sex: F
Age: 67
State: FL

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

Lab Data:

Allergies: none

Symptoms: Moderna 2nd shot. one week later I had pain in joint near knuckle of my ring finger in left hand. For the next two days the pain was so bad, swelling near knuckle, that I could not use my hand. Also in my palm about half inch under the ring finger I can feel a small bump in the palm like a nodule. I called doctors office to ask for recommendation for hand specialist but i would wait to see if it improved after weekend. I took advil then switched to aleve on 3 rd day of pain. The next day it was much better, only slightly swelled and painful. Today is 5 th day since pain began but much better but not normal yet.. I never had this before. so i thought i should report this. Two days after injection I did have a rash that was warm at injection site but it went away the next day.

Other Meds: none

Current Illness: none

ID: 1031950
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:

Symptoms: Patient was administered the Moderna vaccine prior to her 18th birthday.

Other Meds:

Current Illness:

ID: 1031951
Sex: F
Age: 56
State: IL

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

Lab Data: Routine blood work; monitored vitals

Allergies: Soy, corn, honey

Symptoms: Numbness lower face; swelling lower face and tongue; lump in throat (throat closing); extreme thirst

Other Meds: None

Current Illness: None

ID: 1031952
Sex: F
Age: 70
State: MI

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

Lab Data: SEE ABOVE

Allergies:

Symptoms: AFTER RECEIVING THE VACCINE, SHE COMPLAINED OF A HEADACHE. ONSITE EMS WAS REQUESTED. HER BP WAS 134/82 AND HR WAS 82 THE HEADACHE SUBSIDED, AND SHE WAS RELEASED TO HOME

Other Meds:

Current Illness:

ID: 1031953
Sex: M
Age: 38
State: OH

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

Lab Data: N/A

Allergies: PCN, SSRIs, Statins

Symptoms: About an hour post injection my arm became sore (remained sore for 4 days). The following day about 20 hours post injection I felt chills and tiredness. About 25 hours post injection I felt extreme fatigue and my whole body ached (this lasted for about 1 day). On day 3 post injection, I had a headache with nausea and motion sickness. Day 4 and beyond I have felt fine, no more symptoms of any sort. Chills were not treated. Body aches and headache were treated with ibuprofen and sleep.

Other Meds: Venlafaxine, Metformin, Allegra, Ezitimbe, Levothyroxin, Glipimeperide, Victoza, Lantus Solostar insulin, fenofibrate, Daily men's vitamin

Current Illness: none

ID: 1031954
Sex: F
Age: 42
State: AZ

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

Lab Data: None

Allergies: Penicillin

Symptoms: 2/12/21. Vaccine at 5:30 AM Symptoms started same day. ~12 PM: Sore arm. ~4 PM: Light headed and headache. 6 PM: Loss of appetite. 8 PM: Achey + feverish (took Tylenol) 2/13/21. 2 AM: Feverish, aches, chills, headache, stomach ache (took more Tylenol). 8 AM: All symptoms persist, loss of appetite continues, spent day in bed, taking Tylenol every 6-8 hours. 8 PM: Starting to feel a bit better. Hungry for first time. 2/14/21. 8 AM: Woke up feeling fairly normal. More tired than usual during the entire day. Appetite gradually returned over course of day.

Other Meds: None.

Current Illness: None

ID: 1031955
Sex: F
Age: 67
State: IN

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

Lab Data: PO Benadryl 50mg

Allergies: shellfish, PNC, Sulfa, codeine

Symptoms: hives 15 minutes after vaccine

Other Meds: statin

Current Illness: none

ID: 1031956
Sex: F
Age: 39
State:

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

Lab Data:

Allergies:

Symptoms: Patient is a 39 year old female presents with Reaction from COVID vaccine #2 Shot was given at 15:23 Reaction Started 15:43, throat irritation first then vomiting . No shortness of breath or rashes No fever/chills Patient had a plastic procedure, injecting filler into her oral lips yesterday.

Other Meds:

Current Illness:

ID: 1031957
Sex: F
Age: 51
State: ME

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None. Just reporting for data purposes.

Allergies: Shellfish allergy, reaction to Flexeril

Symptoms: Flu like symptoms including body aches, exhaustion, and fever (100.8 F).

Other Meds: Paxil, Nifedipine, tums, ibuprofen

Current Illness:

ID: 1031958
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:

Symptoms: Patient was administered the Moderna vaccine prior to his 18th birthday.

Other Meds:

Current Illness:

ID: 1031959
Sex: F
Age: 41
State: NV

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

Lab Data:

Allergies: N/A

Symptoms: Light headed, nausea, headache, chills.

Other Meds: Toujeo Humolog Rosuvastatin Crestor

Current Illness:

ID: 1031960
Sex: F
Age: 40
State: IL

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

Lab Data: None

Allergies: NKA

Symptoms: Arm pain began within 2 hours. Within 4 hours neck and back pain began. Within 24 hours, all over body aches began (mostly noted in back, chest, thighs and toes). These were not relieved by acetaminophen. The symptoms (minus the arm pain) were resolved within 24 hours of onset. The arm pain dissipated within 4 days.

Other Meds: None

Current Illness: None

ID: 1031961
Sex: F
Age: 87
State: CO

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

Lab Data: no

Allergies: no

Symptoms: Patient stated her arm was very sore, tender and has a knot around the injection site. She developed a headache and was extremely tired so she slept the next day. She still has a sore arm with a small knot around the injection site but is feeling better.

Other Meds: Xarelto, meloxicam, vitamins

Current Illness: no

ID: 1031962
Sex: M
Age: 80
State: MO

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

Lab Data:

Allergies: STATINS LIKE LIPITOR

Symptoms: DID NOT HAVE ANY AS OF TODAY, 02/15/2021. TRIED TO USE VSAFE, BUT DON'T HAVE TEXT PHONE. SO I REPORTED HERE. I WON'T USE AGAIN UNLESS I GET A BAD EFFCT.

Other Meds: IRBESARTAN 75MG; PHENYTOIN SODIUM 100MG; VITAMIN D 2000 IU

Current Illness: NONE

ID: 1031963
Sex: F
Age: 78
State: FL

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

Lab Data: CAT scan in emergency room 1/30/2021 - advised concussion Echo cardiogram 2/2/2021

Allergies: Tobradex eye drops

Symptoms: 30 Hours after the shot without any warning or ill effects, I suddenly collapsed from my chair at the dining room table. Fell on the floor unconscious and ended up in the Emergency room with a broken nose ,concussion, and no memory of the episode. Hospital did a CAT scan which did not show indication of a stroke but did verify concussion and broken nose. Later saw personal physician and heart monitor was placed on my body, and echo cardiogram scheduled. Echo cardiogram did not indicate any blockage. Results from heart monitor not available at this time. I am a perfectly healthy individual - walk 3-4 miles every day, swim, play golf, eat a keto diet and have never had an episode like this. An hour before it oc Apple watch 6 texted a message that read: "are you okay or should we call 911". I was perfectly fine and just thought the message was a fluke - replied I am fine. An hour later the episode occured. I am not used to taking vaccines - no flu shots, no shingles shots - only keep up my tetanus. The only vaccine I have had recently was in 2009 - yellow fever shot so I could travel to. I have never had a reaction like the one after the Moderna vaccine.

Other Meds: Propranolog 120 mg; Amlodi[ine Besylate 5 mg.

Current Illness: None

ID: 1031964
Sex: F
Age: 43
State: CA

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

Lab Data: No testing has been done

Allergies: None I'm aware of

Symptoms: The second day toward the evening I had an elevated heart rate for most of the night. The worst symptom and that I had a feeling like I had a sun burn on the lower part of my face with a burning sensation. It went away after an hour but come back in all the parts of my upper body, My neck, arms and back that that burning sensation feeling. It felt like I had a sunburn and laid down on a warm heating pack. The heat was just so uncomfortable. My nose was red and my ears too, I could feel heat coming from my nostrils but I never had a fever. I checked my temperature several times throughout this experience. I also felt extreme thirst and I kept drinking water constantly. This heating sensation kept me from sleeping , in a two day period I had gotten maybe 6 hours of combined sleep. This burning sensation started on my lower face (cheeks) about 30 hours after I received my vaccine. It started to feel better Thursday morning, which was 3 days after my vaccination. I have not had any rashes, hives or skin issues, it was just internal heat without a fever.

Other Meds: None at vaccine time day/time.

Current Illness: None that I'm aware of

ID: 1031965
Sex: F
Age: 30
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: About 19 hours after vaccine until hour 36 after vaccine- fever - 101. body aches; chills; fatigue - I took Acetaminophen which didn't really help. Sept 15, 2021 - estimated date of delivery Pregnancy history - first pregnancy; it's been normal and healthy so far.

Other Meds: prenatal vitamin

Current Illness: no

ID: 1031966
Sex: F
Age: 72
State: FL

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

Lab Data: I have had no medical tests related to the adverse events.

Allergies: Diovan, amlodipine, macrobid, penicillin, sulfa drugs, hrydoclorothiacide, tetracyclineHBP

Symptoms: Shortly after leaving vaccine site, my tongue began to tingle, and I became having nausea. I was extremely. Tired. On 2/5/21 I began having muscle and joint pain. Tylenol helped with the symptoms. Nausea has continued off and on up to today. Today, 2/15/21 I noticed the area around the injection site was red and quite hot. I began to itch. I have a call into my doctor but still no response. The itching has lessened but the arm area is still red and hot.

Other Meds: Lutien 6 mg Lisinopril 20 mg one daily each

Current Illness: none

ID: 1031967
Sex: F
Age: 64
State: FL

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

Lab Data:

Allergies: food with citric

Symptoms: 1 Petechiae spot on forearm of arm that was injected with vaccine

Other Meds: Vitamin D3, one a day vitamins and sometime 7 in 1 immune

Current Illness: minor itchy rash on back.

ID: 1031968
Sex: F
Age: 74
State: NJ

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

Lab Data:

Allergies: no

Symptoms: None stated.

Other Meds: Cozaar; metoprolol ER, minocycline; vitamins B12, C, and D3

Current Illness: no

ID: 1031969
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1031970
Sex: M
Age: 65
State: TX

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

Lab Data: none

Allergies: penicillin (hives) finasteride (anaphylaxis) iodine

Symptoms: nonmigrating, localized rash on both hands, red flushing face, no chestpain , pressure, or shortness of breath, starting to resolve at 12:33 p,m 12:28 pm oxygen saturation95% blood pressure 170/89 heartrate 68 12:45 pm blood pressure 159/87 heartrate 64

Other Meds: metformin metoprolol levothyroxine jardiance losartan

Current Illness: none

ID: 1031971
Sex: M
Age: 71
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none. Platelet count in Nov 2020 was 122,000. Labs ordered for 2/16/21 and 2/23/21 --second Covid dose scheduled for 2/22/21

Allergies: Percocet (hives); shellfish (anaphylaxis)

Symptoms: Excessive bleeding from 3-5mm cut/scratch on scrotum during the night. Site was still bleeding upon awakening--taking @10 minutes of direct pressure. Time that bleeding started is unknown. Patient woke in small pool of blood that saturated bottom sheet, mattress cover and top sheet (area of 6x3 inches)

Other Meds: omeprazole (Prilosec )20 mg capsule 1 qam beginning 12/6/20 ( prior?bid 2 months vitamin D2 (ERGOCALCIFEROL) capsule 50,000 IU 1 capsule every 14 days omega-3 acid ethyl esters capsule (LOVAZA) 1gm 1 capsules bid rosuvastatin (CREST

Current Illness: none

ID: 1031972
Sex: F
Age: 63
State: WI

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

Lab Data: none

Allergies: None

Symptoms: Severe Headache, body aches

Other Meds: Tylenol Metoprolol 12.5mg Atorvastatin Calcium 40 mg

Current Illness: None

ID: 1031973
Sex: F
Age: 23
State: IN

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

Lab Data: N/A

Allergies: N/A

Symptoms: 3 inch in diameter, raised, red, hot injection site , sharp shooting headache, fever. Have stayed on ibuprofen /acetaminophen and iced the injection spot but the redness and heat has not subsided.

Other Meds: Citalopram, Allegra, WelButrion XL

Current Illness: Being of a common cold

ID: 1031974
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies:

Symptoms: Injection site pain, body aches, lightheadedness, chills

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm