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: 1033396
Sex: M
Age: 84
State: ME

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: Hospital admission 01/31/2021 to 02/01/2021, Had cbc, cmp, troponin, BNP, magnesium, COVID pcr, lipid, Hba1c, d -dimer CT angiogram neck, EKG, Echo, event monitor

Allergies: Meloxicam, penicillin

Symptoms: Admitted to Medical Center with syncopal event that occurred at home. Cause of syncope unclear at discharge

Other Meds: Lisinopril, betamethasone cream, fluoxetine, sublingual nitroglycerin as needed, rosuvastatin, triamcinolone cream, glucosamine, vitamin c, aspirin, b complex vitamin, folic acid, multivitamin, fish oil

Current Illness: Right sided low back pain Cough for months

ID: 1033397
Sex: M
Age: 32
State: VT

Vax Date: 02/07/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin, Amoxycillin, Erythromycin

Symptoms: Chills, fatigue, muscle soreness, and mild joint pain onset 7 days after 1st dose. Persisted for approx. 24 hours before abating. 3" diameter raised red rash around injection site, hot to the touch, onset 8 days after 1st dose, has not abated.

Other Meds: N/A

Current Illness: N/A

ID: 1033398
Sex: M
Age: 47
State: TN

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

Lab Data: None

Allergies: Keflex

Symptoms: Two severe seizures 23 hours after injection, fever of 101.4. First seizures in more than a year. Oral thrush two days after injection, fever blisters on lips three days after injection.

Other Meds: Carbamazepine 100mg x 8 per day 3 morn & night/ 2 at lunch Pantoprozole 40mg 1 per day morning Phenobarbital 64.8 mg 2 per day morn/night Baclofen 20mg x2 morning/night Generic Zyrtec 10 mg night Fluticasone Nasal spray 50 Mg morning/nig

Current Illness: Allergies-seasonal

ID: 1033399
Sex: F
Age: 70
State: NY

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

Lab Data:

Allergies: None

Symptoms: Severe chills nausea beginning late night of the vaccine (or early the next day). Next day exhausted, nauseous. Slept all day. Today, 2/16, feeling better but have some leg cramps and still feeling tired.

Other Meds: Atorvastatin Vitamin C, COQ10, D

Current Illness: None

ID: 1033400
Sex: F
Age: 82
State: HI

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: codeine, amoxicillin

Symptoms: pt states that she noticed her arm was sore to touch, red, hot and itchy around the injection site. Pt states she still has these systems and she has developed a lump as well. She is going to call her PCP for medical advise.

Other Meds: no

Current Illness: no

ID: 1033401
Sex: M
Age: 62
State: NC

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

Lab Data:

Allergies: None

Symptoms: R Shoulder pain and bursitis following vaccine

Other Meds:

Current Illness: None

ID: 1033402
Sex: M
Age: 44
State: IL

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

Lab Data:

Allergies: Drug allergies UTD per DOD records

Symptoms: Lots of arm burning with rash and painful to touch at area of injection site (2/11 am) - up to 5x5"; some improvement 2/13 - now mostly resolved - light pruritus only; axillary fullness 2/11, but enlarged through 2/14 and somewhat better today.

Other Meds: gummy MVI only

Current Illness: None

ID: 1033403
Sex: F
Age: 71
State: KS

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

Lab Data:

Allergies:

Symptoms: Covid vaccine lot 025L20A Patient reported at her second COVID vaccine shot that her arm swelled down to her elbow and arm had a rash. Patient reports that this lasted 1 week.

Other Meds:

Current Illness:

ID: 1033404
Sex: F
Age: 36
State: PA

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

Lab Data:

Allergies: allergies to Morphine, CT Dye

Symptoms: Got the 2nd dose of the vaccine at 11 am on 2/13/2021, My arm started to get sore around 4 pm, around dinner time about 6 pm I started to get a headache, chills and body aches. Was not able to sleep that night, got up the following morning with a massive migraine and body aches, chills were not that bad. As the day progressed by migraine stayed, probably the worst migraine I ever had. The chills went away early afternoon and the body aches deceased as the day went on. Sunday night did not sleep much woke up with a migraine but not as strong. Monday progressed and the migraine deceased as the say went on. Slept well Monday night and woke with Tuesday feel normal.

Other Meds: Vitamin C, Vitamin D3, Wellbutrin SR, Pepcid, Iron, Protonix, Inderal

Current Illness: none

ID: 1033405
Sex: M
Age: 37
State: FL

Vax Date: 02/08/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I experienced sweating, fever, extreme confusion, difficulty breathing, tightness in chest. I consulted with my sister, a nurse, and she indicated that I was having an anxiety attack. I have never experienced these symptoms before. There are no unusual our novel stressors in my life or environment at this time. In fact, I was on a date with my wife when the event began

Other Meds: None

Current Illness: None

ID: 1033406
Sex: F
Age: 70
State: FL

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

Lab Data: none

Allergies: None

Symptoms: Rash, swelling, redness, heat, itchiness at site of injection (circular, radius about 4"); Antihistamine (Zyrtec), Aspirin 325 mg; Persisting 3 days (slightly faded 2 days in)

Other Meds: Synthroid, 0.137 mg, once a day; Fosinopril, 20 mg, twice a day; Pravachol, 40 mg, once a day; Carvedilol, 25 mg, twice a day; Glipizide, 2.5 mg, once a day; Plavix, 75 mg, once a day; Furosemide, 20 mg, once a day; Metformin, 1000 mg, twic

Current Illness: none

ID: 1033407
Sex: F
Age: 65
State: CA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache Tired Nausea

Other Meds:

Current Illness:

ID: 1033408
Sex: F
Age: 63
State: ID

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

Lab Data: urine dip for uti. at facility and had urgent care come do one. no uti

Allergies: NKA

Symptoms: Report from assisted living. starting 2-15-2021 Client was confused. UTI ruled out. She was wandering places she should not. She was in another residents room. She is speaking to staff in another language. VERY confused. Trying to eat her napkin. Unable to dress herself. 2-16-2021 incontinent. not normal for her. unable to stand up. very weak. still very confused. left arm pain. falling asleep mid sentence.

Other Meds: lipitor, BENAZEPRIL-HYDROCHLOROTHIAZIDE,BYDUREON BCISE, plavix, voltaren gel, cymbalta, famotidine, gabapentin, hydroxychloriquine,glipizide,januvia, lantus insulin,LOKELMA, MUPIROCIN, olanzapine, omeprazole,PROPRANOLOL HCL, flomax, tramado

Current Illness: NONE

ID: 1033409
Sex: F
Age: 74
State: NY

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache for three days and severe nausea on second day

Other Meds: Ocu-vite Magnesium D

Current Illness: Piriformis, sciatica pain

ID: 1033410
Sex: F
Age: 65
State: NJ

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

Lab Data:

Allergies: percocet

Symptoms: I felt hot shortly after getting the vaccine. I do get hot flashes on occasion, so I attributed it to that plus I was a bit anxious. After the 15 minute wait, I proceeded to my car. When I removed my mask, I saw that my cheeks and nose were very red. By the time I arrived home (about 30 minutes after being vaccinated) the redness had gone down considerably. I did not even know that this was considered an adverse effect until I saw it online a few weeks after my vaccination.

Other Meds: Multi vitamin, calcium supplement, Vescepa, low dose aspirin, Alpha Lipoic aspirin, Rosuvastatin, Montelukast, Anastrozole, Sertraline

Current Illness: None

ID: 1033411
Sex: F
Age: 82
State: FL

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

Lab Data: BNP: BMP: Creatine 2.0 BUN 58 CXR - pulmonary congestion lower ext venous doppler. Severe PVD

Allergies: 1. Amiodarone. 2. Crestor. 3. Tetracycline.

Symptoms: Patient had a sharp decline in her health following her second vaccine. Leg pain, lower ext claudication, acute renal failure and acute congestive heart failure

Other Meds: 1. Allopurinol 300 mg each day. 2. Calcium carbonate each day. 3. Carvedilol 6.25 mg twice daily. 4. Dexilant 30 mg each day. 5. Digoxin 0.125 mg each day. 6. Entresto 24/26 two times a day. 7. Florastor 250 mg each day. 8. Lorazepam as nee

Current Illness: 1. Severe left ventricular systolic dysfunction. 2. Coronary artery disease. 3. Congestive heart failure. 4. Paroxysmal atrial fibrillation. 5. Myocardial infarction. 6. Thrombocytopenia. 7. Hypertension. 8. Diabetes. 9. Carotid artery disease. 10.Pancreatitis. 11.Cerebrovascular disease. 12.Pulmonary hypertension. 13.Myelodysplastic syndrome.

ID: 1033412
Sex: F
Age: 35
State: OH

Vax Date: 01/12/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: Fetal autopsy pending

Allergies: No known allergies

Symptoms: 20 weeks gestation at time of vaccine administration. Saw OB that morning (1/12/21), normal exam and fetal heart rate. Normal anatomy scan 1/8/21, normal genetic screening. Fetal demise noted at 24 week OB visit on 2/9/21, stillborn baby delivered 2/12/21.

Other Meds: Montelukast, loratidine, prenatal vitamin, magnesium supplement, 81mg aspirin

Current Illness: 20 weeks pregnant at time of vaccine 1/12/21; intrauterine fetal demise noted at regular OB visit 2/9/21

ID: 1033413
Sex: F
Age: 72
State: UT

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

Lab Data:

Allergies: Serazone; iodine

Symptoms: Fatigue, chills, fever 102-104.2, nausea

Other Meds: Irbesartan 150 mg. Metoprolol 50 mg. Atorvastin 80 mg.

Current Illness: Reaction to let dose - fatigue

ID: 1033414
Sex: F
Age: 28
State: IN

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin, Sulfa Drugs, dust

Symptoms: Warm to touch immediately after, pain at injection site following 48 hours. Then red spot noticed on 2/12, noticed it was about a 4 inch band of red, mildly raised and warm 2/15. Slightly more pale in center around vaccine site. Looks almost erythematous like after an allergy shot. Has went down in color slightly today 2/16.

Other Meds: Singular, Zoloft, Buspar, psuedophedrine, ceterizine, Flonase, Magnesium supplement, Turmeric Supplement, Whole food Women's Once a Day Multivitamin

Current Illness: none

ID: 1033415
Sex: M
Age: 71
State: FL

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

Lab Data:

Allergies: None

Symptoms: Developed flu like symptoms

Other Meds: Verapamil Pravastatin Bupropion xl Modafinil

Current Illness:

ID: 1033416
Sex: F
Age: 51
State: FL

Vax Date: 12/08/2020
Onset Date: 12/08/2020
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: First dose in Oct was easy. Second dose was too till that night. started feeling chills and tired and achy. quickly turned into heat in face, shivering chills, racing heart and just feeling like terrible flu. went to bed and woke up worn out and weak the next day but okay by early afternoon

Other Meds: vitamins

Current Illness: none

ID: 1033417
Sex: F
Age: 66
State: CA

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

Lab Data: None

Allergies: Niacin

Symptoms: Jaw locked up on right side, could not open mouth. Resolved in a half hour.

Other Meds: Montelukast Pantoprazole

Current Illness: None

ID: 1033418
Sex: F
Age: 75
State: NV

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

Lab Data: none

Allergies: food - peppers, bee stings

Symptoms: Immediate soreness at injection site and a 6" diameter rash has developed that has slight 'fever' to touch. Rash still on arm after 3 weeks and still experiencing soreness.

Other Meds: baby aspirin, Centrum Silver, avorastatin, glucosamine, calcium supplement

Current Illness: none

ID: 1033419
Sex: M
Age: 51
State: MN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: "fairly significant headache and almost cold like symptoms"

Other Meds: Clobetasol topical hydrocortisone topical

Current Illness: no recent illness

ID: 1033420
Sex: F
Age: 50
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: ED 1/15: basic metabolic, liver function test, UA, CBC. From labs only abnormality is alk phos = 158U/L. One liter NS given

Allergies: Unknown

Symptoms: From occupational health note: patient was asked by her supervisor to call. Received vaccine on 1/14, had dizziness, seeing spots in her eyes, lethargy and was sent to to ED and discharged. Generalized itching the next day. All sxs have resolved since yesterday. Scheduled to work on Friday, 1/22. From ED note: 50 yo f c/o mild dizziness and light-headedness today, worse with standing up. No n/v/d/f/c. Describes sx as typical early flu like sx today but slightly worse that her usual feeling from flu vaccines. Received the covid vaccine yesterday and friend experienced same symptoms. Felt "difficulty concentrating at work", which was very busy. No weakness, pre-syncope, numbness, cp, sob. No unsteady gait, vision changes. occ vision spots assoc with standing up. H/o anemia, h/o gastric bypass 2005. Often gets routine labs q 6 months but has not had any yet since COVID.

Other Meds: Unknown

Current Illness: Unknown

ID: 1033421
Sex: M
Age: 77
State: OH

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

Lab Data: N/A

Allergies: Nickel and Penicillin

Symptoms: 1/28/21 - 9 pm nasal stuffiness/congestion; 1/29/21 - 2 am low grade fever 100.2; continued symptoms of malaise, weakness and joint soreness; around 12 pm increased lethargy, weakness unable to get up from chair - needed to use wheelchair. Difficulty breathing - pulse ox 87-90%. Dipped to 85% twice. Most symptoms including SOB resolved within 6-7 hours.

Other Meds: Allopurinol 100 mg Once a day Gout 9 am Aspirin 81 mg Once a day 9 am Calcium 500 + D (Oyster Shell) 500-200 Once a day 9 am Hydroxychloroquine Sulfate 200 mg Twice a day 9 am 9 pm (Lipitor) Atorvastatin Calcium 40 mg At bedtime

Current Illness: Prednisone x 5 day for suspected gout or rheumatoid arthritis flare

ID: 1033422
Sex: F
Age: 70
State: FL

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

Lab Data:

Allergies: BENADRYL IV, LIDOCAINE IV, CARBOCAINE, NITROUS OXIDE, GABAPENTIN, DILAUDID IV, PLACLITAXEL IV, TYLENOL IV, BENSOCAINE TOPICAL, ORAL CONTRAST, METFORMIN, MORPHONE, LATEX, PARAFANFORTE, GLUTEN, SHELLFISH, CUSTARD, NIGHT SHADE VEGETABLES

Symptoms: PT RECEIVED VACCINE AT 0921 AND IMMEDIATELY APPEARED TO BE HAVING A SEIZURE. EMS CALLED. APRN ON SITE AS WELL AS PARAMEDICS ASSESSED PATIENT, VITALS WNL. PATIENT BEGAN BECOMING RESPONSIVE AT 0927. EMS ARRIVED ON SCENE AND PT REFUSED ANY CARE FROM EMS AS WELL AS TRANSPORT. PT SIGNED AMA FORM.

Other Meds:

Current Illness:

ID: 1033423
Sex: F
Age: 34
State:

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

Lab Data:

Allergies: none

Symptoms: COVID-19 Vaccine EUA; 7 hours post vaccine- onset severe heachache, runny nose/congestion, nausea, severe muscle aches, fever 103 F, chills/sweating, pain/heat at injection site for 48 hours duration post vaccination. Symptoms mildly improved with acetominophen 1000mg PO q6h, but persistent. After my first vaccine (5 weeks prior), I had pain at injection site and mild cold-like symptoms, but otherwise minimal effects.

Other Meds: none

Current Illness: none

ID: 1033424
Sex: F
Age: 65
State: MN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: NONE

Allergies: Metamucil, Vioxx, Atenolol, Verapamil, Oxybutinin

Symptoms: Fever, Chills, Sore Arm, Headache, Nausea started about 3 am lasted until 6 PM same day

Other Meds: Lorsartan, Spironolactone, Diltizem, Claritin, Multivitamin, Vit D3, Folic Acid, Baby ASA, Calcium +Vit D, Vitamin C,

Current Illness: None

ID: 1033425
Sex: F
Age: 39
State: IL

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient called to report that she developed s/s 2 days after #1. When she did not improve she saw her GI doctor. She had an EGD which just showed gastritis. She improved just before the second dose. She had recurrence of the same s/s 2 days later. She had another EGD and a gastroporesis study which were negative. She was tested multiple times for covid which were negative. She again improved around 3 weeks later. Her GI doctor thought her s/s were caused by the vaccine.

Other Meds:

Current Illness:

ID: 1033426
Sex: F
Age: 65
State: CA

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: brain MRI performed 1/25/21 showed an acute stroke in left corona radiata.

Allergies: Iodine

Symptoms: Stroke with right upper extremity weakness. Weakness improved, has mild residual weakness at this time. That still may improve in the coming months.

Other Meds: ? Ergocalciferol, Vit D2, (DRISDOL) 1,250 mcg (50,000 unit) Oral Cap Take 1 capsule by mouth every week ? Mometasone (ELOCON) 0.1 % Top Crea Apply to affected area(s) 2 times a day as needed for rash (face and neck) ? Clobetasol (TEMOVATE)

Current Illness: New diagnosis of dermatomyositis sine myositis HTN prior Bell's palsy 2016

ID: 1033427
Sex: F
Age: 65
State: GA

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

Lab Data: None since it started getting better. The nurse offered Benadryl which I didn?t take but took home with me in case it got worse.

Allergies: Sulfa, Cipro, codiene, thimerasol, red dyes

Symptoms: Just a couple of minutes after the COVID-19 vaccine, my whole face and tongue started tingling and was a strange numbing feeling throughout my face. It started getting better after about 30 minutes. However, the left side near my jaw felt numb through the evening and my tongue was still tingly feeling. Today (the day after the vaccine) my tongue feels more like a burn. Worried about taking the 2nd dose after such a strange feeling from this first dose.

Other Meds: Magnesium 250 mg., Turmeric 500 mg., Aloe Vera 700 mg., Co Q10 100mg., D 5,000 IU, Prevacid 15 mg. Augmentin tablets, Estradiol cream 0.01%

Current Illness: UTI

ID: 1033428
Sex: M
Age: 29
State: VA

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

Lab Data: N/a

Allergies: N/a

Symptoms: Headache, joint pain

Other Meds: N/a

Current Illness: N/a

ID: 1033429
Sex: M
Age: 49
State: SC

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

Lab Data: EKG CT Xray *all tests negative

Allergies: meloxicam; mold

Symptoms: 1/6/2021 vaccination; Later that afternoon, I started to go into a 'fog', tired, HA. I could function but nothing seemed 'clear' or 'sharp', 1/7/2021 fatigue, arm sore. The 'fog' was worse; 1/8 fog was really bad; forgetting conversations. 1/9 2:45 in morning. Went to bathroom. Walking, about 1/2 way there, felt like a 'spike' and instant HA. I went to bathroom, door closed, I got sick/vomiting. The shiver, shakes, and fever spiked. I bent down to throw up and I cant relieve. I fell into the wall, pushed self to stand up. Was back in bedroom, laying on floor and passed out. Wife woke me, I was bleeding. Don't know how long I was on the floor. BP144/78, 133 blood sugar, O2 was 98%, temp 98.1. 3:45 I decided to go to hospital, EKG, CT scan, Xray, etc. 'Just fainted' *PCP stated it was due to shot / vaccine. **busted lip, ER bill ***2nd vaccine; minor side affects (slight HA, )

Other Meds: lisinopril 5mg, metformin 250 mg 2x day

Current Illness: n/a

ID: 1033430
Sex: F
Age: 41
State: KS

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID vaccine lot 025L20A Patient reported to the nurse at her second COVID vaccine shot that her right eye became red and irritated 4 days after her first COVID vaccine. Patient reports that she called her ophthalmologist who agreed it was an allergic reaction to the vaccine.

Other Meds:

Current Illness:

ID: 1033431
Sex: F
Age: 45
State: IN

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

Lab Data: None

Allergies: NKA

Symptoms: Shoulder pain since vaccination. The intensity has improved but do not have full ROM and continue to have pain with certain movements. Uncomfortable to sleep. Using Motrin, ice, and heat

Other Meds: None

Current Illness: None

ID: 1033432
Sex: F
Age: 60
State: MA

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

Lab Data:

Allergies:

Symptoms: patient described feeling itchy as injection went in, lightheadedness, dizziness, face feels puffy, possible lip swelling

Other Meds:

Current Illness:

ID: 1033433
Sex: F
Age: 76
State: IA

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

Lab Data:

Allergies:

Symptoms: Covid arm

Other Meds: Levothyroxine

Current Illness:

ID: 1033434
Sex: F
Age: 46
State: CO

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

Lab Data:

Allergies:

Symptoms: COVID-19 vaccine EUA. Patient contacted TCHD to cancel her second dose of COVID-19 vaccine due to "bad reactions to initial vaccine". NP spoke with patient and obtained the following information: She has fibromyalgia but didn?t indicate that on her form or tell the nurse. She also had COVID in late November/early December. She reported a headache and arm soreness immediately following the vaccine, then fever, lethargy, body aches, and weakness that started 2 days later. The fever lasted almost a week and the other symptoms lasted about 2 weeks and she missed a week of work. Her doctor advised her to defer the second dose of the vaccine.

Other Meds:

Current Illness:

ID: 1033435
Sex: M
Age: 72
State: WA

Vax Date: 01/29/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient noted to have bilateral upper extremity weakness on 2/15/21 (received first dose of covid vaccine on 1/29/21) requiring hospitalization. As of today 2/16. On MRI found to have central cord syndrome of cervical spine - Working up for transverse myelitis vs thromembolic central cord ischemic event. Care team interested in guidance about if second dose of vaccine would be appropriate at this time (due for second dose of vaccine 2/19)

Other Meds: allopurinol Flomax hydrochlorothiazide lisinopril

Current Illness: Likely had Covid in December 2020 (wife tested positive 12/10/2020 and patient had anosmia)

ID: 1033436
Sex: F
Age: 72
State: CA

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

Lab Data:

Allergies: Sulfa

Symptoms: Itching and swelling at injection site and redness on upper arm. Appeared a full week after the vaccine was administered. Has been continuing for three days.

Other Meds: Norvasc, Vit. C, Multivitamin, Biotin, Fish Oil, Citrical, Triple Flex Glucosamine

Current Illness: None

ID: 1033437
Sex: M
Age: 65
State: NY

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

Lab Data: None

Allergies:

Symptoms: I awoke at 3:00 a.m. this morning (Feb 16) with itching in my skin beginning to be felt. By 3:30 am it was widespread and developing a rash over much of my torso and arms. This appears now to have run its course. My nose and lips swelled. My nose became hard and numb. Both now less swollen than early on. My body temperature was 95.4 degrees. I felt dizzy when standing, and there were waves of mild nausea. I had major nasal congestion and could breathe only through my mouth. My CPAP machine (which I use all night every night) was on before the 3 am wakeup, and I donned it again when I returned to bed at around 4 am. Nasal congestion now has improved a lot. On two occasions (maybe around 4 am) I noticed a minor wheeze. On a couple of occasions I coughed lightly, and it was a sore one from the chest. I still have some dizziness, and now an intermittent headache. Before going to bed last night I took two Naproxen Sodium PM tablets for some neck pain.

Other Meds:

Current Illness:

ID: 1033438
Sex: F
Age: 45
State: VA

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

Lab Data:

Allergies: no

Symptoms: RED AT INJECTION SITE, FEEL WARM (DID NOT HAVE FEVER), FEEL SLUGGISH AND FLU-LIKE SYMPTOMS (NOT AS SEVERE AS FLU) , NEEDS NAP, ITCHY PATCH AT INJECTION SITE 2 DAYS LATER AFTER FEELING BETTER (NO FEVER)

Other Meds: yes

Current Illness: no

ID: 1033439
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies: no

Symptoms: sweats, fever, aches at 5am on 2/12 that lasted all day. Last fever was 11pm 2/13 fatigue nausea and severe Headache all day 02/14 Severe Headache/fatigue, saw doctor received medication for migraines. 02/15 fatigued severe headache again 02/16 feel tired and zoned out

Other Meds: no

Current Illness: no

ID: 1033440
Sex: F
Age: 41
State: KS

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient told the nurse when she came in for her second Moderna vaccine shot that an hour after her first Moderna vaccine shot her entire face was red and hot.

Other Meds:

Current Illness:

ID: 1033441
Sex: F
Age: 78
State: VA

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

Lab Data:

Allergies: Penicillin

Symptoms: Fever over 100 degrees, muscle aches and joint pains, general weakness and malaise, at approximately 20 hours after injection, until about 30 hours after.

Other Meds: Lisinopril

Current Illness:

ID: 1033442
Sex: F
Age: 64
State:

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

Lab Data:

Allergies: lactose intolerant

Symptoms: During the early morning hours within 12 hours of the vaccine I woke up to extreme pain in my right shoulder joint. Any movement hurt intensely. As the day went on I took acetaminophen which substantially decreased the pain of movement. I did that twice during the waking hours the first day after the vaccine. Within 2 days the pain was gone.

Other Meds:

Current Illness:

ID: 1033443
Sex: F
Age: 60
State: PA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin

Symptoms: Red patch/itchy/sore around the injection site approximately 8 days after vaccine

Other Meds: Daily vitamin Fish oil Calcium

Current Illness: N/A

Date Died: 01/25/2021

ID: 1033444
Sex: M
Age: 80
State: CA

Vax Date: 01/16/2021
Onset Date: 01/25/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: symptoms of ongoing congestive heart disease just progressed

Other Meds: congestive heart disease medications

Current Illness: Addison's disease, abdominal hernia

ID: 1033445
Sex: M
Age: 75
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Severe pain in lower back on 13th, Could not raise to standing . Each day it has gotten less severe and is slowing getting better

Other Meds: Eliquis, atorvastatin, furosemide, spironolactone, vitamin D, fish oil, multivitamin

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm