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: 1033345
Sex: F
Age: 38
State: NM

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Lab tests all completed on 1/14/21: CBC- WNL; CMP-WNL; thyroid- WNL; Vitamin D level 22.8-insufficiency 1/15/21: Chest x-ray- normal; 1/19/21: mammogram-incomplete. Dense breast tissue. asymmetric rounded lymph node in axilla. Obvious calcifications. Radiology recommendation of US of axilla lymph nodes/breast. 1/21/21: Ultrasound of head/neck soft tissue- 1.1 x 0.6 cm normal appearing lymph node. Several adjacent small lymph nodes; 2/16/21: Ultrasound of axilla lymph nodes. Scheduled at 1400- not yet completed-no results

Allergies: none

Symptoms: 1/3/21: Supraclavicular lymph node swelling on right side, side of vaccine 5 days after the 1st vaccine. 1/14/21: Went to PCP 16 days after 1st vaccine, 11 days from the first onset of event. Supraclavicular lymph node swelling has now persisted for 7 weeks since first vaccine.

Other Meds: Vitamin C, B complex, Zinc

Current Illness: none

ID: 1033346
Sex: F
Age: 71
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Redness and swelling at vaccine site and shoulder Swollen glands same side 7 days after dose 10 days later reduced redness after administering cold compresses and taking Advil and Benadryl

Other Meds: Telmisartin Metoprolol Potassium Atorvastatin Hydrochloride

Current Illness: None

ID: 1033347
Sex: M
Age: 67
State: AK

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

Lab Data: None

Allergies: None

Symptoms: Cold - Chills - 48 hours No sleep - 48 hours No strength - 48 hours No Appetite - 48 hours

Other Meds: Amoxicillin, 3/day; Hydrocodone, as needed; Chantix, 1/day.

Current Illness: Infection from tooth being pulled.

ID: 1033348
Sex: F
Age: 74
State: FL

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: No known drug allergies

Symptoms: Diffuse mild swelling of Left upper arm down into hand. Onset 4 days after Moderna vaccine. Continues to have swelling today (11 days after vaccine).

Other Meds: Amlodipine 5mg, Aspirin 81mg, Vitamin D3 2000units, Losartan 50mg, Metformin 1000mg, Bystolic 10mg, Pravastatin 40mg

Current Illness: none

ID: 1033349
Sex: F
Age: 70
State: IN

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

Lab Data: + DVT u/s RLE

Allergies: propoxyphene

Symptoms: Pt initially had diffuse joint pain, then worsening pain and swelling in RLE. Had DVT u/s + for DVT No history of blood clots, no prior risk factors Cannot be certain that she did not have clot prior to vaccine, although she never had pain or swelling to this degree (1-2 mo prior thought skinny jeans were slightly tighter on R than L, but no visible swelling. Now with RLE 2x size LLE)

Other Meds: alendronate

Current Illness: none

ID: 1033350
Sex: F
Age: 50
State: NY

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

Lab Data:

Allergies:

Symptoms: Achy, lethargic, headache, increased heart rate--felt like it was racing all night after receiving vaccine. This employee has a hx of SVT. Also mentioned that she lost her sense of smell 2/14 for 8 hours-covid test (-)

Other Meds:

Current Illness:

ID: 1033351
Sex: M
Age: 74
State: CA

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Amiodorone Flouroquinolones

Symptoms: Severe headache and malaise. Question if it is related to hardware in the brain

Other Meds: Buproprion Sinemet

Current Illness:

ID: 1033352
Sex: F
Age: 67
State: MO

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

Lab Data:

Allergies:

Symptoms: Beginning the evening after the injection (2/12/21), she experienced soreness in the left arm (site of injection) as well as warmth and swelling in her left hand. She tried acetaminophen for pain and ice. She called the pharmacy and spoke with me on 2/15/21. At that time, her arm was not sore but her hand was still sore and swollen. I notified her doctor who also recommended she use ice and heat and notify the clinic if not improved in the next several days.

Other Meds:

Current Illness:

ID: 1033353
Sex: M
Age: 0
State: IA

Vax Date: 10/07/2020
Onset Date: 10/13/2020
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: Abdominal US and air enema both 10/13/20

Allergies: None

Symptoms: Intussusception of small bowel - presented 10/13/20 to Hospital ED with lethargy, vomiting, and no bowel movement x 2 days. Diagnosed with intussusception in ED on abdominal US and was reduced successfully with air enema.

Other Meds: None

Current Illness: None

ID: 1033354
Sex: F
Age: 68
State: IL

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

Lab Data: none

Allergies: sulfa, duck

Symptoms: 48 hrs p injection, injection site bright red, hot (about 2.5" x 2.5") faded to pink after day 5 - night of day 7, had some itching - woke up day 8 post injection to recurrence of bright red, warm itchy 2.5" by 2.5" area at site of injection

Other Meds: anastrozole

Current Illness: none

ID: 1033355
Sex: F
Age: 62
State: VA

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

Lab Data:

Allergies: penicillin

Symptoms: Muscle aches, queasy, chills, & fever (100.2) from 8:30pm Feb. 11 until around 2:00am Feb. 13. Mild sore throat Feb. 13 & 14. Pain at injection site Feb. 11 - 14. Moderate fatigue Feb. 12 - 14.

Other Meds: xiidra 5% eye drops, simvastatin 20 mg, aspirin 81 mg, acyclovir 400 mg, tretinoin cream 0.025%, ipratropium nasal spray 0.06%

Current Illness:

ID: 1033356
Sex: F
Age: 21
State: CA

Vax Date: 10/03/2015
Onset Date: 10/04/2015
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Shellfish, sensitive to egg

Symptoms: I got injected on a Saturday, while going home on my Drive I felt extremely nauseated to the point of having to pull over on the freeway to take a breather. I then proceeded to drive home and feel extreme flu like symptoms. I projectile vomited two times after arriving to my house.

Other Meds: N/a

Current Illness: N/a

ID: 1033357
Sex: F
Age: 47
State: WV

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

Lab Data:

Allergies:

Symptoms: This was my second dose. I experienced fever (101.9), chills, body aches, slight runny nose, headache, and severe right arm pain - began around 1am on 2-13-21 and continued throughout the day. On 2-14-21 at around 10:00 am, I got undressed to take a shower and discovered I was covered in a red rash. It was on all of my body with the exception of my legs and face, though it was along my hairline in the face area. I contacted the school nurse (received my vaccine through the school system) and she said to go to the doctor. I went to the Hospital and was prescribed Vistaril. I was told I may need to take Benadryl before any future COVID boosters that may be needed. They also told me to log my reaction on this site. Today, 2-16-21, I am still unusually tired and have only trace amounts of the rash remaining. My arm is still very, very sore. I feel the soreness is different than it has ever been with any vaccine I have received - more intense. My left arm where I received the first dose still feels tender though I did not have any of the other issues with the first dose other than extreme arm pain. I do have photos of the rash.

Other Meds: Vitamin D

Current Illness:

ID: 1033358
Sex: F
Age: 65
State: FL

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

Lab Data: NA

Allergies: none

Symptoms: Rash on left and right upper arms. Redness and irritation

Other Meds: Alieve,fish oil, magnesium,esomeprazole,vitamin D, Vitamin B12

Current Illness: none

ID: 1033359
Sex: M
Age: 56
State: MA

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

Lab Data:

Allergies:

Symptoms: 45 minutes later, developed angioedema of face and lips. Airway patent. Rash on left flank. Was given 50 mg of Benadryl PO and sent out 911. Returned with orders for Prednisone 50 mg for 5 days.

Other Meds:

Current Illness:

ID: 1033360
Sex: F
Age: 75
State: RI

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

Lab Data: no

Allergies: latex generic ibuprofen

Symptoms: I feel like I am coming out of a Novocain feeling. my face was numb and in my ear, jawline, nostrils, left eye... everything feels numb.

Other Meds: vit d3 vit b12 metoprolol propafenone femotidine eliquif

Current Illness: no

ID: 1033361
Sex: M
Age: 37
State: AZ

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

Lab Data: None

Allergies: none

Symptoms: Fever from 100 to 103 for 12 hours, Aches, Swollen Lymph nodes armpit and neck area (2 days), headaches (1day), and chills (1 day)

Other Meds: Skyrizi

Current Illness: no

ID: 1033362
Sex: F
Age: 60
State:

Vax Date: 01/01/2021
Onset Date: 01/31/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed a rash on both arms, actually a larger patch on the arm that did NOT receive the vaccine. Rash NOT near injection site. Because it was so odd, I looked it up on CDC site and it is similar to rash for those getting the inflammatory syndrome (dermatitis pictures). Not hot or hard, sometimes itchy, and it has been appearing and going away again over the last 2 weeks. There is no other obvious explanation as I have not been exposed to anything, and I have never had this in the past. I think this is important for you to know as I think in the long run more will be learned about how the shot is affecting our immune systems, etc.

Other Meds: Vitamin D

Current Illness: None

ID: 1033363
Sex: F
Age: 77
State: GA

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Latex, cats, Demerol, Vicodin

Symptoms: 02/11/21: Left TMJ pain 02/12/21: Left TMJ pain; erythema, edema, itch Left upper arm at injection site 02/13/21: increasing left TMJ pain; increasing erythema, edema, itch left upper arm 02/14/21: decreased range of motion mouth, unable to eat, pain TMJ; left upper arm problems resolving 02/15/21: to dentist - no diagnosis, source of TMJ problems. Prescribed Flexeril, Medrol dose pak, but did not take as symptoms began to resolve. 02/16/21: no TMJ pain, normal ROM, just sore. Not sure if related to vaccine, but thought I should report.

Other Meds: Omeprazole; Centrum Silver Ultra Women; Calcium 500+D,K; Benefiber; Red Yeast Rice Last Prolia injection 08/20/20 First COVID-19 vaccine: 01/11/2021 - no reactions

Current Illness: None

ID: 1033364
Sex: M
Age: 78
State: LA

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data:

Allergies: ACE INHIBITORS; BENAZEPRIL; LEVOFLOXACIN

Symptoms: Pt received vaccine on 1 Feb and presented to the ED on 3 Feb with Abdominal pain, epigastric; Acute pancreatitis without infection or necrosis, unspecified pancreatitis type; Hypertension, unspecified type; SOB (shortness of breath). He was discharged on 6 Feb 2021

Other Meds:

Current Illness:

ID: 1033365
Sex: F
Age: 34
State:

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: ~5-10 min after receiving first dose of Pfizer COVID-19 vaccine, patient started feeling dizzy/lightheaded/nauseous/iron metallic taste in mouth but did not pass out; RRT called at 1440 and transported via wheelchair to ER triage for assessment. Patient d/c'ed home alert & oriented x 4 in NAD and ambulating with steady gait.

Other Meds:

Current Illness:

ID: 1033366
Sex: M
Age: 44
State: MA

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

Lab Data:

Allergies:

Symptoms: Felt warm first, and began vomiting. Then became cold and was shivering

Other Meds:

Current Illness:

ID: 1033367
Sex: F
Age: 34
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient saw blood, complained immediately of feeling dizzy, sweaty and nauseous. States that she wanted "to curl up." Borout via wheelchair to cot, took vital signs, all within normal limits. Reports no breakfast, gave some water. Vitals rechecked 15 minutes later, normal remained stable. Discharged to home with husband.

Other Meds:

Current Illness:

ID: 1033368
Sex: U
Age: 92
State: CA

Vax Date: 01/15/2021
Onset Date: 01/27/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Radiology, laboratory and cardiac monitoring including CT chest, renal ultrasound, EKG.

Allergies: none

Symptoms: Patient received a first dose of the vaccine on 01/15/21. Reported to PCP on 1/22/21 that on 1/17/21 patient developed sore throat and mild cough, then loose stools. Patient developed worsening of symptoms on 1/23/21 and was admitted to Hospital on 01/27/21 for weakness, renal insufficiency, Pneumonia, anemia, diarrhea and COVID-19 infection. Patient was discharged home after 3 days.

Other Meds: Aspirin, carvedilol, Eliquis, losartan, amiodorone, atorvastat

Current Illness: persistent left leg and knee pain

ID: 1033369
Sex: F
Age: 71
State: CA

Vax Date: 01/30/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: no known allergies

Symptoms: At site of injection, 3 red spots appeared on Day 5, grew larger for 2 days , looked like a rash (maximum size 3 x 5 inches), then dissappeared within 24 hours. Arm and all upper arm muscles noticeable sore for 48 hours, then better and then got sore again and felt hot during the time the rash was visible. Sorness left when rash dissappeared.

Other Meds: HCTZ (low dosage), Estrodial (low dosage), Progesterone (low dosage)

Current Illness: chronic sore throat (no other diagnosed illnesses)

ID: 1033370
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient received first dose of COVID-19 vaccine on Friday, January 15th. When the patient returned for her second dose on February 12th, she was given P instead of M.

Other Meds:

Current Illness:

ID: 1033371
Sex: F
Age: 76
State: IL

Vax Date: 02/03/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None.

Allergies: No med allergies. Cats. Certain autumn pollens. Some asthma now and then, but only 6-7x a year.

Symptoms: Itchy, red area about 3x3 at site. Developed a couple days ago. I did not have any side effect when the injection given, other than a bit of soreness at site. Will follow. Read about others having this issue when I checked the websites. Will go ahead and have the scheduled second injection in a couple weeks. Suppose just a good sign my immune system is working? But thought any reactions should be shared with CDC or Maderna as part of their ongoing research.

Other Meds: 1) gabapentin 300 mg 3Xdaily (not for seizures..for nostalgia paresthetica probably. itchy back not related to skin issues. referred to neurologist by dermatologist. maybe nerve impingement. await MRI) 2) Benadryl 12.5mg at night for itch a

Current Illness: None. Basically healthy.

ID: 1033372
Sex: M
Age: 79
State: MI

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

Lab Data: TREATED WITH BENEDRYL, PER WIFE

Allergies: KNA

Symptoms: REPORT GIVEN BY HIS WIFE. DAY ONE: ITCHING IN ODD AREAS OF BODY (UNDER ARMS AND BACKSIDE). NEXT DAY FEELING TIRED. FRIDAY HE DID FEEL WELL AND O2 LEVEL 91% - 88% THEN A RASH WAS NOTED FROM NECK DOWN TO LEGS. WIFE TOOK HIM TO THE HOSPITAL SATURDAY MORNING. IN ER FOR ALLERGICE REACTION, BUT THEN TOOK A TURN FOR THE WORSE AND WAS PLACED ON BI PAP MACHINE FOR ABOUT 5 HOURS. DISCHARGED AFTER 5 DAYS IN HOSPITAL. ALLERGIST CALLED I N TO CONSULT-

Other Meds: 2 INHALORS, BLOOD PRESSURE MEDICATION

Current Illness: DENIES

ID: 1033373
Sex: F
Age: 55
State: NJ

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

Lab Data: None

Allergies: Iodine, shellfish, watermelon, zucchini,avocado, pecan nuts

Symptoms: Felt week, trembling, felt like passing out, palpitations, bp 144/98, pulse 96

Other Meds: Metoprolol 12.5mg daily Plavix CoQ10 Folic acid Vitamin b Protonix

Current Illness: None

ID: 1033374
Sex: F
Age: 26
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: Covid after first dose of vaccine, tested on 1/4

Other Meds: Unknown

Current Illness: Unknown

ID: 1033375
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient received Moderna COVID vaccine on 1/14/2021 and was monitored for 15 minutes. Patient reports 25 minutes after receiving vaccine she felt numbness on her cheek. She took diphenhydramine and reports the numbness resolved the next day. Patient reports speaking to her PCP and allergist who recommends her taking Zyrtec prior to the 2nd COVID vaccine dose. Patient has not received 2nd COVID dose yet. Per patient she reported this reaction to the "CDC".

Other Meds:

Current Illness:

ID: 1033376
Sex: F
Age: 48
State: PA

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: amoxicillin reaction

Symptoms: sore at site of shot; red; itchy; warm to touch

Other Meds: zoloft, zyrtec, sudephedrine

Current Illness: none

ID: 1033377
Sex: F
Age: 69
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache; tired; fever 100.6; chills; body aches

Other Meds:

Current Illness:

ID: 1033378
Sex: F
Age: 72
State: WA

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: COVID Arm. Deep red, itchy rash at injection site, 3 inches by 4 inches initially but kept spreading, getting bigger down my arm. I still have it but it appears to be fading and not as itchy. Although, I seem to keep trying to make a comeback by sometimes getting redder again. I've tried taking two antihistamines per day instead of one in case it is an allergic reaction (one at night and one in the morning),

Other Meds: Loratadine antihistamine for allergies to dust, mold, pollen.

Current Illness: None

ID: 1033379
Sex: M
Age: 77
State: NV

Vax Date: 02/10/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: After mild and expected side effects (stomach ache, mild diarrhea, headaches, tiredness) woke up at 2 am with dizziness on rolling over in bed. Persisted into the morning on arising.

Other Meds: BP Meds, Cholesterol meds, Tylenol

Current Illness:

ID: 1033380
Sex: F
Age: 35
State: NJ

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

Lab Data:

Allergies: Mango, Thimerosal

Symptoms: My left arm was very sore when I went to bed and I couldn't lift it without help. Around 1am, I woke up feeling sweaty, hot and cold. It felt like a fever with chills. My arm was hurting worse than before and I had a terrible headache. I couldn't sleep for the rest of the night. Around 7am, I got up and took 2 tablets of acetaminophen. It relieved my headache and some of the pain in my arm. I'm very tired and moving slowly.

Other Meds: Asacol

Current Illness: none

ID: 1033381
Sex: F
Age: 72
State: OH

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

Lab Data:

Allergies: Phenelzine sulfate, terfenadine, amoxicillin

Symptoms: On the evening of 2/3/21, patient did not feel well. On 2/4/21, the patient became more unsteady than usual and felt weak. By the evening of 2/4/21, the patient went to the restroom and could not get off the toilet. every time she tried to stand up, her legs buckled underneath her. Her caretakers called the squad and she was admitted to the hospital with possible transverse myelitis.

Other Meds: metoprolol tartrate, acetaminophen, albuterol, atorvastatin, b complex vitamins, budesonide, calcium + D3, donepezil, esomeprazole, ferrous sulfate, fluticasone, folic acid, guaifenesin, levothyroxine, losartan, multi-vitamin, olanzapine, s

Current Illness: None

ID: 1033382
Sex: M
Age: 56
State: KS

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported to the nurse at his second COVID vaccine appointment that he had bloody stools for 2 days, and then the bloody stools stopped.

Other Meds:

Current Illness:

ID: 1033383
Sex: F
Age: 70
State: FL

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

Lab Data:

Allergies:

Symptoms: 20 MINUTES AFTER RECEIVING DOSE 2 OF COVID 19 VACCINE PT REPORTED JAW NUMBNESS, DIFFICULTY SWALLOWING AND TINGLING IN THROAT. PARAMEDICS ON SITE ASSESSED PATIENT AND REPORT NO SOB OR DIFFICULTY BREATHING. VITALS WNL. EMS CALLED TO ASSESS, PT REFUSED EMS TREATMENT AND SIGNED AMA FORM. PATIENT STATED FEELING BETTER AFTER 23 MINUTES AND WAS ABLE TO LEAVE ON HER OWN.

Other Meds:

Current Illness:

ID: 1033384
Sex: F
Age: 68
State: AK

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: I had labs that showed low potasium, chest xray and an EKG.

Allergies: I am allergic to most pain pills.

Symptoms: I started having a fever and very short of breath. My oxygen dropped to 85 and was having chest discomfort, tightness.

Other Meds: I take HCTZ for my blood pressure.

Current Illness: No

ID: 1033385
Sex: F
Age: 63
State: NJ

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

Lab Data: None

Allergies: Penicillin -hives Wellbutrin- hives Doxycycline- Rash

Symptoms: Felt like I had a lump in my throat 45 minutes after shot, then 2 hours later patch of Hives broke out on left thigh

Other Meds: Norvasc- 10MG Synthroid - 100MCG Potassium - 40MEQ. Metformin- 1000 MG Vitamin D - 1000IU 25 mcg

Current Illness: None

ID: 1033386
Sex: F
Age: 82
State: CA

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Pcn, adhesive tape

Symptoms: Rednss, inflammation and itching. Started , to my knowledge, on 7th day after injection

Other Meds: Losartin, Ginko Biloba, Atorvastin, Omeprazole, Vit D, Turmeric, "Move Free", "[Preservision", Omega 3 fish oil

Current Illness: Food poisoning

ID: 1033387
Sex: F
Age: 34
State: IL

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

Lab Data:

Allergies: Sulfa

Symptoms: 3 days post injection developed rash on arms, thighs and chest.

Other Meds:

Current Illness:

ID: 1033388
Sex: F
Age: 41
State: DE

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

Lab Data: None

Allergies: Penicillin drugs

Symptoms: Patient sat in our waiting area for 15 minutes and no obvious signs/symptoms of reaction to vaccine were reported or noted. Per patient, after she left our office, at 12:20 pm, she experienced "chest tightness, racing heart rate, could not feel her tongue and throat was tight." She went home, took Benadryl (25 mg) and she was "ok" after that - symptoms subsided. She followed up with her primary care provider, who advised her not to receive the second vaccination due to this adverse reaction. Patient informed our office, of her adverse reaction on 2/15/21 - we are reporting today because she was able to provide more information regarding the event.

Other Meds: n/a

Current Illness: None

ID: 1033389
Sex: M
Age: 72
State: OH

Vax Date: 02/03/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Went to doctor and was diagnosed with shingles on 2/16/21 and was prescribed medication for treatment. I am uncertain if this is related to COVID vaccine, but decided to report it (just in case).

Allergies: None

Symptoms: Had numbness in scalp on right side of head on 2/15/21 and then burning sensation in same area on 2/16/21.

Other Meds: Losartan, atorvastatin, meloxicam, terazosin, hydrochlorothiazide, mult vitamin baby aspirin

Current Illness: None

ID: 1033391
Sex: F
Age: 73
State: CT

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

Lab Data:

Allergies: None

Symptoms: Severe chills High Temperature for three hours rising to 104.7. Low grade fever and headache for next 24 hrs

Other Meds: Synthroid Prednisone Simvistatin

Current Illness:

ID: 1033392
Sex: F
Age: 55
State: OH

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

Lab Data: None

Allergies: Allergy to Imitrex. Allergy to banana, kiwi. Environmental allergies.

Symptoms: Right deltoid with severe itching. (vaccine given in Left deltoid) after 3 hours of vaccine. Felt tingly all over body at approx. 4 hours after vaccine along with headache. Itching all over body started approx. 6-8 hours after vaccine. Took Zyrtec 10 mg tablet at 8 hours after vaccine. Itching all over continued for the next 72 hours. Continued Zyrtec once daily for 3 days total. Right deltoid continues to be independently itchy accompanied by head ache in the middle to back of top of head. Took Tylenol for Headache and general malaise.

Other Meds: Advair discus, albuterol inhaler, Trazadone, Fluoxetine, Nexium, Claritin D 24 hour, Gabapentin.

Current Illness: No illness.

ID: 1033393
Sex: F
Age: 55
State: MD

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

Lab Data: N/A

Allergies:

Symptoms: Pt developed weakness left leg with tingling . Similar occurred with Typhoid vaccine in past. Pt was taken to the ED by husband

Other Meds:

Current Illness:

ID: 1033394
Sex: F
Age: 78
State: IL

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed red, raised, swollen itchiness surrounding injection site.

Other Meds:

Current Illness:

ID: 1033395
Sex: U
Age: 78
State: MN

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

Lab Data: None.

Allergies: Cyclosporin's, cephalosporins, penicillin, tetracycline.

Symptoms: Pharmacist reports that 4-5 hours after the vaccine she had tightness of her chest. She does take Ventolin which she took. She reported it was different than her usual tightness of her chest that she gets. She reports she was OK after that.

Other Meds: Albuterol, Xarelto.

Current Illness: Don't know (pharmacist reporting).

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm