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: 1032829
Sex: F
Age: 60
State: VA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Felt like tongue was swelling. EMS evaluated. Given 10more minutes to wait instructed if gets worse to go to ER. Can take benadryl. If uses epi pen need to go to ER. Hx of having in past.

Other Meds:

Current Illness:

ID: 1032830
Sex: F
Age: 65
State: VA

Vax Date: 02/14/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Sulfur hives

Symptoms: Loss of tast; Covid-19 Vaccine EUA

Other Meds:

Current Illness:

ID: 1032831
Sex: F
Age: 45
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Fever - 100.4 (Tylenol), achy all over, sore throat, injection site warm and sore, trouble sleeping, headache

Other Meds: Levothyroxine, Bupropion, Lexapro, Allegra

Current Illness: None

ID: 1032832
Sex: M
Age: 52
State: MI

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: NA

Allergies: NKDA

Symptoms: pt came to Vaccination clinic to get second dose of covid vaccine. Pt had gotten Moderna for the first vaccine and checked the box for Moderna. It was missed by vaccine administrator, she thought that all were confirmed Pfizer second vaccines on this date. Pt received Pfizer vaccine as second dose. Notified that patent was administered Moderna vaccine on 1/15/21 and Pfizer on 2/13/21. Patient was given the wrong 2nd vaccine. Chart review states given by Immunization Clinic staff.

Other Meds:

Current Illness:

ID: 1032833
Sex: M
Age: 47
State: PA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: I am seeing my orthopedic doctor on Wednesday 2/17/2021

Allergies: none

Symptoms: Nurse injected me avoid the deltoid muscle. She injected me in the shoulder capsule. I could not lift my arm for the first 4 days. Now I have clicking and swelling in my left shoulder joint when I use it.

Other Meds: daily vitamins.

Current Illness: none

ID: 1032834
Sex: F
Age: 43
State: VA

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Pain at injection site a week after shot. Pink rash that is warm, hard, and itchy

Other Meds: Synthroid, Metoprolol, Wellbutrin XR, Vitamin D, methylfolate, B-12, Zyrtec, Fish Oil

Current Illness: None

ID: 1032835
Sex: M
Age: 72
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Significant fatigue, slight head ache, lump and itchy arm at point of vaccination.

Other Meds: Losartan, statin

Current Illness: None

ID: 1032836
Sex: F
Age: 59
State:

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left arm vaccination site with redness and swelling burning sensation warm to touch started on 2/13/21.

Other Meds:

Current Illness:

ID: 1032837
Sex: F
Age: 46
State: OH

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: N/A

Allergies: SULFA MEDICATION

Symptoms: 02/12/2021 8:00 AM INJECTION OCCURED. 9:00 AM DEVELOPED HIVES ON TORSO THEN PROGRESSED WITHIN THE HOUR TO ENTIRE BODY. AT THE SAME TIME LEFT DELTOID BECAME INFLAMED AND SWOLLEN TO THE SIZE OF A SMALL ORANGE. 9:15 AM SELF ADMINISTERED TWO Diphenhydramine 25 MG CAPSULES AND TWO Hydroxyzine Hydrochloride 25 MG TABLETS. REPEATED EVERY 4 HOURS FOR THE NEXT 3 DAYS. 02/15/2021 SELF ADMINISTERED ONE Diphenhydramine 25 MG CAPSULE AND ONE Hydroxyzine Hydrochloride 25 MG TABLET EVERY 6 HOURS.

Other Meds: Glycopyrrolate 1 MG DAILY AM, Nexium 40 MG DAILY AM & PM

Current Illness: NONE

ID: 1032838
Sex: F
Age: 48
State: PA

Vax Date: 01/17/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: ED Stroke protocol -- CT scans / X-rays -- follow up with MRI and neurology

Allergies: None

Symptoms: 01/25/21 developed "Covid Arm" rash, heat, itch continued for ~3 days - treated with antihistamine. 02/15/21 experienced a TIA - no know risk factors prior to this event.

Other Meds: None

Current Illness: None

ID: 1032839
Sex: M
Age: 69
State: SD

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: slight blistering of lips - no anticipated need for treatment

Other Meds: none

Current Illness: none

ID: 1032840
Sex: F
Age: 84
State: IL

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: Leg/foot edema. Furosemide dose increased and if no significate improvement by today, will call into doctor by afternoon today for further instructions.

Other Meds: Amlodipine, oxybutinin, imdur, furosemide, robaxin, welchol, repatha, aspirin, metoprolol, Vitamin D, magnesium, lisinopril, nexium, potassium

Current Illness: kidney stones - ESWL performed on Jan 18, 2021

ID: 1032841
Sex: F
Age: 72
State: FL

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Penicillin Septra

Symptoms: One week after receiving the injection I started having itching at the injection site. Within two days I had a large red swollen area surrounding the injection sight. This lasted for one week and then gradually resolved.

Other Meds: Pravastatin Fish oil supplement Vitamin D Calcium Myrbetriq

Current Illness: None

ID: 1032842
Sex: M
Age: 79
State: FL

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: office visit 2/16

Allergies: NKDA

Symptoms: maculopapular rash started after January 14th vaccine progressed became widespread after February 11th vaccine. Itchy uncomfortable but no dyspnea Fever or mucosal lesions. Predominantly trunk proximal arms and legs. No genitalia or mucosal surfaces involved. office visit February 16th. Oral antihistamines topical steroid cream prescribed.

Other Meds: Current Outpatient Medications: ascorbic acid, vitamin C, (VITAMIN C) 500 mg tablet, Take 1 tablet (500 mg total) by mouth 2 (two) times a day. With Feosol Carbonyl Iron, to improve absorption of iron, Disp: 1 tablet, Rfl: 1 ? B complex-vi

Current Illness: none active

ID: 1032843
Sex: M
Age: 53
State: FL

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Feb 15 Covid tested @ 11:45 am

Allergies: codeine Demerol mild latex...leads to rashes

Symptoms: Feb 12 left arm spelled up and was red and hot Feb 14 Low grade fever that woke me up at 2am Feb 14-15 fever persists off and on all day and sleep escapes me Feb 15 Diarrhea starts around 930 am and persists till 1230pm Feb 14-16 general aches and pains with fatigue

Other Meds:

Current Illness: Shoulder Sprain

ID: 1032844
Sex: F
Age: 85
State: FL

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: No

Allergies:

Symptoms: Within hours I experienced dizziness, chills, and extreme fatigue, in addition to muscle pains. The worst has been the increasing tremors in my head and hands. This is what I am most concerned about. I have a history of tremors, but since the vaccine, there has been a marked increase in the tremors. I did not report this right away because I thought it would go away, but now on the eve of my second shot I am very nervous that it will get even worst. My physician encourages me to continue and get through the side effects than to get COVID with my underlying lung condition. I want to take the vaccine but am nervous that I am experience so much shakiness even a month after the first shot. Would you advise me to take the second shot? My shot is scheduled for tomorrow, February 17.

Other Meds: Gabapentin 600 mg 3 times a day, dexilant 60 mg 1 times a day, synthroid 25 micrograms 1 times a day, azithromycin 250 mg 2 times a day, ethambutol Hcl 400 mg 2 times a day, rifampin 300 mg 2 times a day (every other day) lorazepam 1 mg 3 o

Current Illness: MIA Macro bacterial lung infection

ID: 1032845
Sex: M
Age: 71
State: NE

Vax Date: 06/19/2019
Onset Date: 06/22/2019
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Left neck, head, shoulder pain starting 3 days after vaccination that started suddenly. Area felt like it was on fire, sensitive to touch. Worse with movement. No swelling, redness, or warmth. Pain was constant for a couple of weeks, then started to resolve. Pt now has intermittent pain lasting 30 minutes to an hour about 3 times a week. Pain is milder and located left shoulder, clavicle, throat, posterior neck. Some radiation to right clavicle.

Other Meds: flonase, allegra, lisinopril 10 mg, atorvastatin, oxybutynin, ASA , fish oil

Current Illness:

ID: 1032846
Sex: F
Age: 53
State: MO

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: 02/16/2021- 7:00 AM - ITCHING AT THE INJECTION SITE. SLIGHT SWELLING .REDNESS OCCURRING AND SKIN IS VERY WARM. THIS IS FISRT AND ONLY REACTIONS SO FAR.

Other Meds: LEVOTHYROXINE 0.75MCG- QD. VENLAFAXINE XR 75-BID. OMEPRAZOLE 40MG BID. VIT D 1000 -OTC. SYMBICORT 160/80MCG BID.

Current Illness: NONE

ID: 1032847
Sex: F
Age: 25
State: PA

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: N/A

Allergies: DIPHENHYDRAMINE HCL - Hives / Urticaria IODINATED CONTRAST MEDIA - Hives / Urticaria KIWI (ACTINIDIA CHINENSIS) - Hives / Urticaria PROMETHAZINE - Hives / Urticaria TUBERCULIN, PURIFIED PROTEIN DERIVATIVE - Other (document details in comments),Hives / Urticaria

Symptoms: 1. Local injection site reaction to vaccines received here on 2/11. - No signs of infection. - Reviewed the difference between local injection site reaction and generalized allergic reaction. - Ice vs heat, on for 20 minutes, off 2 hours, repeat, may alternate ice and heat or stick with 1 or the other. - Tylenol/ibuprofen if needed, follow directions of package. - Recommend getting vaccines in separate locations in the future and/or separate vaccines by several weeks. - Follow up if new or worsening symptoms or failure to improve over the next 1-2 weeks.

Other Meds: N/A

Current Illness: N/A

ID: 1032848
Sex: F
Age: 40
State: VA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Multiple allergies including bee stings. Carries epi pen.

Symptoms: Vaccine given at 1745. In observation at 1803 began c/o "throat closing" feeling, similar to early onset allergic reactions. Pt requested to start w/50 mg Benadryl po d/t being able to control airway and denies sob/wheezing. Benadryl given at 1805. Confirmed 95% relief of throat feeling at 15 min s/p med admin. Further c/o throat scratchiness left over and continued to monitor her for symptoms for a total of 40 mins s/p vaccine. Pt left at 1842 w/only c/o throat scratchy-1%. She will monitor for s&s tonight and seek emergency care if they reappear. 1803 p86, r16 ; 1824 bp 133/84 p70; 1835 124/84

Other Meds: Unknown

Current Illness: Unknown

ID: 1032849
Sex: M
Age: 35
State: TN

Vax Date: 01/22/2021
Onset Date: 01/26/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Nurse/PA/MD have all evaluated the swelling. Next step is to get a referral to an ophthalmologist once the offices open.

Allergies: NKA

Symptoms: Swelling of the R eyelid started 5 days post-vaccine. Initially thought to be a Sty. First tried conventional warm compress multiple times a day. That did not help. Started to use Raw Honey and Hot Black Tea bags on eye, that brought the swelling to a head (pimple), and started to drain at week 2. Then the docs prescribed erythromycin opthamolgic ointment and I had an adverse reaction to that which increased the swelling again. Now going on the 4th week, the swelling is still present and not showing any improvement. Is it possible it's related to the vaccine??

Other Meds: concerta, 18mg/PO/Daily

Current Illness: none

ID: 1032850
Sex: F
Age: 25
State: GA

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

Lab Data:

Allergies: Cefzil

Symptoms: I?m currently pregnant with my second baby. I?m 19 weeks pregnant due on 07/10/2021. My first dose of covid vaccine I had a tingling tongue and face and just took some Claritin and Pepcid. The second time around my entire mouth went numb and it felt like there was something in my throat. My airway was not impacted but it felt off. I was given 25mg of Benadryl and monitored for half an hour with vitals every 5 minutes. I?m 14 hours out from the reaction and I feel fine now.

Other Meds: N/A

Current Illness: N/A

ID: 1032851
Sex: M
Age: 60
State:

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: seasonal allergies

Symptoms: soreness at injection site. fever for 8-12 hours. chills.

Other Meds: high cholesterol medication

Current Illness:

ID: 1032852
Sex: F
Age: 69
State: GA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: nickle (contact dermatitus)

Symptoms: 2/14/21: 10:30pm - 1:00am chills 2/15/21: 3:00am fever, 102.5 2/15/21: 7:30am and 12:45pm fever, 99.8

Other Meds: Ciclopirox 8% nail lacquer

Current Illness: none

ID: 1032853
Sex: M
Age: 36
State: WI

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

Lab Data:

Allergies: amoxicillin

Symptoms: Fatigue, body aches, head ache, chills. On 2/16/2021 at 8am. Low grade temp of 99.0 degrees

Other Meds: no

Current Illness: no

ID: 1032854
Sex: F
Age: 49
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: Penicillin

Symptoms: I was overly tired. Around 8:30 pm I started to feel very tired. I rested for the night and woke up at my normal time 6:00am. I was still very tired when I woke. I ended back in bed at 9:30am till 2:30pm. Once I was up again I was still tired. I did complete daily activates as normal. Went to bed at my normal time 10:00pm Saturday night and woke 6 am Sunday. Felt great and well rested.

Other Meds: Citalopram 40mg, Omega 3 2000mg, Baby aspirin 81mg ,Mulite Vitamin, Vitamin C 1000mg

Current Illness: None

ID: 1032855
Sex: F
Age: 37
State: PA

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: I am currently waiting for a callback from my PCP on advice for what I should do.

Allergies: Doxycycline, contrast iodine

Symptoms: Left arm became very sore after about 8 hours after each dose. After the 2nd day after each injection, a wave of exhaustion hit me. About 10 days after the first injection, I felt a tingling in my lip and a cold sore erupted. Then another! I've never had 2 at the same time. One on the top lip and one on the bottom. I haven't had a cold sore in 15 years. I had my 2nd titer on February 3rd. On February 15th I had another eruption of another cold sore. I didn't think the first recurrence of a cold sore was linked to the vaccine, but the timing of the 2nd one is beyond coincidental, which is why I'm reporting it. Abreva is not helping too much. I haven't had a herpes breakout since 2006.

Other Meds: Topiramate 150mg 1x daily, Adderall 20mg 2x daily, Montelukast 10mg 1x daily, Flovent 220 mcg 2x daily, Albeuterol PRN, Tumeric herbal supplement, Spironolactone 25mg 2x daily

Current Illness: Tested COVID-19 Positive October 8th

ID: 1032856
Sex: M
Age: 67
State: FL

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

Lab Data: none

Allergies: Valium

Symptoms: Woke up at 3:30 AM with Chills and fever of 99.9 had body aches took tylenol and when I woke up at 6:15 felt better no fever since

Other Meds: Eliquis, Synthroid, one a day, vitamin D, CoQ10, Bystolic, Red Yeast Rice, Fish Oil, Lisinopril, Vitamin C, B12

Current Illness: None

ID: 1032857
Sex: F
Age: 29
State: OH

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None.

Allergies: Amoxicillin (hives reaction)

Symptoms: Moderate neck pain for over 72 hours. No relief from rest, towel neck roll, ibuprofen /tylenol/naproxen. Pain is present in base for head/neck area whenever I move my head slightly to the left or right, and then when I lower my chin.

Other Meds: Lexapro 10, Jolessa birth control, multivitamin, fish oil, biotin, zyrtec, probiotic

Current Illness: No illnesses

ID: 1032858
Sex: F
Age: 27
State: NY

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: The next day, I experienced terrible body aches, slight headache, low grade fever (100.4), and the worst chills I?ve ever experienced in my life. Intense chills and teeth chattering that lasted about an hour. Felt like I couldn?t breathe/ catch my breath. I was in bed all day, sleeping on and off.

Other Meds: None

Current Illness: None

ID: 1032859
Sex: F
Age: 75
State: VA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: C/O earache in temple area bilateral. Improved. BP 130/78

Other Meds:

Current Illness:

ID: 1032860
Sex: M
Age: 78
State: MI

Vax Date: 02/08/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: pain in right leg calf & thigh having trouble walking

Other Meds: Aspirin=81mg cetirizine=10mg metformin=500mg doxazoin=4mg

Current Illness: Diabetes high blood preasure

ID: 1032861
Sex: F
Age: 68
State:

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: n/a

Allergies: nkda

Symptoms: injection site swelling, axillary swelling, headache, chills

Other Meds: amlodipine, atenolol, atorvastatin, vitamin D3, irbesartan, Metformin, omeprazole.

Current Illness: n/a

ID: 1032862
Sex: M
Age: 72
State: IN

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: coricidin

Symptoms: Fever, Chills, joint and muscle ache, headache nausea. Fever through the night. Treated with ibuprofen fever came down by noon and chills and headache continued throughout the day. These symptoms started 2 days after the shot and have continued for 2 days and it is unknown at this time how many days the symptoms lasted.

Other Meds: Valsartan/Hctz, Hydralazine ,Amlodipine, Klor Con , vytorin, isosorbide, flomax, multi vitamin, calcium, B complex, asa 81mg, vitamin e, Prilosec, claritin

Current Illness: None

ID: 1032863
Sex: F
Age: 42
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Several hours after vaccine #2, developed severe headache, myalgias and vomiting. Seen in ED on 2/3/21 and admitted to hospital for pain and nausea control.

Other Meds:

Current Illness:

ID: 1032864
Sex: F
Age: 88
State: CA

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Patient reported that she was treated and released from the local Emergency Room, although is not aware of final diagnosis and will be following up with her PCP next 1-2 days.

Allergies: NKA

Symptoms: Physician, patient's son, and husband standing at patient's side throughout event. Within 5 minutes of receiving the 2nd COVID 19 vaccine, the patient began to report that she was feeling sharp shooting pains in her legs, arms and chest. The patient reported feeling anxious prior to the injection. Within 6-7 min, the patient began to experience difficult breathing at which time 911 was called. The patient was given 1 dose of Epi and one dose of Benadryl IM, which eased severity of the symptoms. The patient's vital signs remained within normal limits until time of transport to local hospital.

Other Meds: Lantus Solostar 100 UNIT, Isosorbide Mononitrate Er 30mg,

Current Illness:

ID: 1032865
Sex: F
Age: 70
State: GA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: CT scan(1/30/2021) Partial barium swallow test (1/31/2021)

Allergies: None

Symptoms: 4am (1/29/2021) extreme sweating to the point of soaking the hair on head; extreme dizziness with vertigo and inability to stand up or walk straight leading to nausea and vomiting 11am( out of bed) needed assistance to chair bc of vertigo and vision impairment; spent most of day seated; cont to require assistance with any walking 9pm to bed 8am(1/30/2021) Wake up and all symptoms worse. Unable to walk without assistance and had a severe body lean to left. Husband called doc and they suggested calling 911 to get to ER ASAP 1130 Arrived at hospital ER and was subsequently diagnosed and admitted with a cerebellar stroke

Other Meds: Biotin Ocuvite Aspirin Calcium vit D Atorvastatin(Lipitor) Meloxicam(Mobic) Telmisartan(Micardis) Cyanocobaltamin(B12)

Current Illness: None

ID: 1032866
Sex: F
Age: 54
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: Penicillin

Symptoms: Employee received Covid19 vaccine on 01/13/2021 at 8:30 am and at 9:30 am she began having, pain and burning to her left arm at the sight of the vaccine. Two days later she was unable to lift her left arm due to the severe pain which continues until now.

Other Meds: no

Current Illness: none

ID: 1032867
Sex: F
Age: 45
State: MI

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Was seen in clinic and orthopedic center. First Dr was worried about shot given too high in shoulder and told to rest it. When didn't clear up after a week went to orthopedic dr. X ray completed. Diagnosed with plexus neuritis and told to return in 2 weeks for steroid shot and possible physical therapy

Allergies: Sulpha and Penicillin

Symptoms: Frozen shoulder, nerve issues including numbness in pinky and right finger and middle two right toes which over weeks has progressed to sensitivity to touch and achy joint pain when used.

Other Meds: A multi vitamin

Current Illness: None

ID: 1032868
Sex: F
Age: 35
State: NC

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Chest x-ray, blood work, EKG in ER, urinalysis, pregnancy test. Doctor reported everything checked out ok with exception of having elevated WBC count.

Allergies: None

Symptoms: Developed nose bleed around 8am, took 18 minutes to completely stop (held pressure x8 min, then clot dislodged, held pressure again x10 min). Got lightheaded, heart rate increased to 120 bpm, felt palpitations, got I-watch and took EKG. Then felt stronger palpitations, had to sit down, 2nd EKG read 172bpm. 911 called, felt very dizzy, laid down in floor with legs up, pursed lip breathing. Ambulance arrived and had SBP of 100. HR in ambulance on way to hospital was around 120.

Other Meds: Multivitamin, Enbrel, Xulane

Current Illness: None

ID: 1032869
Sex: F
Age: 33
State: CO

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Sulfa allergies, causes hives Milk and egg, causes GI upset

Symptoms: Rash above arm where shot was given that spread to my right neck, then spread to my chest, then up my left neck side. Congestion. Rash is itchy. Have tried taking benadryl and rash will not go away even after 2 weeks.

Other Meds: Implanon; Fluoxetine

Current Illness: None

ID: 1032870
Sex: F
Age: 62
State:

Vax Date: 01/21/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sfever and incontinent during the fever.

Other Meds:

Current Illness:

ID: 1032871
Sex: F
Age: 49
State: FL

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: fever, aches, pain, headache

Other Meds: Armour, vitamin D, multi vitamin

Current Illness: none

ID: 1032872
Sex: M
Age: 77
State: CO

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: dizziness and vomiting for a period of about 2 hours on Saturday afternoon

Other Meds:

Current Illness:

Date Died: 02/15/2021

ID: 1032873
Sex: M
Age: 92
State: FL

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: He had rigors starting 6 pm the day after the vaccination. He was treated with one 500 mg tylenol. He had increased wheezing but did not complain of SOB. At 0400 the next morning, he died.

Other Meds: Aspirin, Lipitor, Calcium, Plavix, Cardura, Finasteride, Prozac, Metoprolol, Sinemet, Januvia, Flomax, Vitamin B12, Vitamin C, Vitamin D3

Current Illness: Had Covid 19 in Dec. 2020, Tested negative at beginning of Feb. 2021. No other illness.

ID: 1032874
Sex: F
Age: 68
State: OH

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Keflex-rash-head and neck, numbness upper lip Nsaids-stomach pain Vicodin-feeling faint

Symptoms: 1. Left side of face became partially numb while driving home from pharmacy-lasted 20-30 minutes. 2. Insomnia returned as well as some nausea and pain left, back of head during the night.

Other Meds: Crestor, Baby ASa, fish oil, calcium, vitamin C, Benadryl

Current Illness: none

ID: 1032875
Sex: M
Age: 32
State: AL

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

Lab Data:

Allergies: None

Symptoms: a loud ringing in my right ear that started 3 hours after shot and is still ringing the next day

Other Meds: Adderall, fish oil, CoQ10

Current Illness: None

ID: 1032876
Sex: F
Age: 44
State: MO

Vax Date: 02/16/2020
Onset Date: 01/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: I went to UC for evaluation. They thought it could be a delayed reaction to the vaccine. I also sent pics to my primary doctor so she could look at it. I will be making another appointment today because I am running out of the steroid and it is not gone.

Allergies: Sulfa, bananas, honeydew, avacados

Symptoms: I received my first COVID Vaccine at the hospital I work at on 12/23/20. About 2 weeks after I developed a rash that looked unusual over my whole back. My throat was itching at times. The rash faded. I did not think it was from the vaccine due to being two weeks later. However, after my second dose 2-3 weeks later I developed the same exact rash but worse. I am on steroids and it helps slightly but not taking it completely away. It burns and itches. It has now moved to my right foot and left arm.

Other Meds: Multivitamin

Current Illness: None

ID: 1032877
Sex: F
Age: 39
State: MI

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs

Symptoms: Swelling and itching at vaccine point on arm, similar to bug bite style reaction. Appeared six to seven days after vaccination.

Other Meds: Mirena, Ketoconazole, multi-vitamins, melatonin, Flonase, Allertec, Zaditor

Current Illness:

ID: 1032878
Sex: F
Age: 28
State: NY

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Several Allergies, patient was not able to tell me at time of encounter

Symptoms: throat closing, peri-oral tingling, and erythema on chest

Other Meds:

Current Illness: No acute illness reported

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm