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: 1033854
Sex: F
Age: 71
State: TX

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

Lab Data:

Allergies: Aspirin

Symptoms: 2 1/2" X 2 1/2" red circle at the injection site. Itching and redness began on day 6 after the immunization. The red circle is puffy and very firm.

Other Meds: Benedryl

Current Illness:

ID: 1033855
Sex: F
Age: 58
State:

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue, headache, joint pain, fever.

Other Meds:

Current Illness:

ID: 1033856
Sex: M
Age: 75
State: OR

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

Lab Data: none

Allergies: none

Symptoms: fuzzy head. right leg thigh itching, first 1-1/2 hrs. went to bed at 9:30pm, restless night (woke up 30 plus times night long) after waking up next morning at 7:00am, no desire to eat, no energy and all around weakness, stiff neck, stomach cramps, dizzy-light headed, went back to bed at 8:30am, could not sleep, got up at 9:30am, felt almost normal again. Normal again at 10:00

Other Meds: none

Current Illness: Type II Diabetes

ID: 1033857
Sex: M
Age: 68
State: CA

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

Lab Data: Unknown

Allergies: unknown

Symptoms: Hx of vertigo, migraine associated, 5 days after 1 vaccine 1/4/2021 had an episode of vertigo 1/18, later in January had another episode of vertigo. Last night was the 3rd episode. #1 Moderna 12/30/20. Reports acute episode of vertigo 1/4 (5 days post vaccine). A second episode 1/18 (19 days post vaccine). Decided to delay getting #2 Moderna by one week. Received #2 Moderna on 2/3. c/o mild fatigue 24-48 hrs post vaccine. Reports a 3rd episode of acute vertigo 6 days post #2 Moderna on 2/9. Each episode of vertigo lasted 2-5 hrs associated with n/v/diarrhea. No meds taken to treat sx. vertigo following a URI 11/2017. Complete w/u by physician 3/2018 with audiology testing and brain imaging. Found to have some sensorineural hearing loss in left ear. Poss vestibular migraines vs Meniere's Disease. Remote hx headaches and ocular migraines with aura. No episodes of vertigo since 2018 until these recently described episodes in the 1-2 week period following vaccine administration.

Other Meds: unknown

Current Illness: unknown

ID: 1033858
Sex: M
Age: 88
State: MN

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

Lab Data: none

Allergies: None

Symptoms: Severe Weakness, Fever up to 100.4, fall, chills Still occurring today but has improved.

Other Meds: Lisinipril, Prevacid, Glucosamine, Cinnamon, Flax seed oil

Current Illness: Has had some "sinus" problems, has a slight cough

ID: 1033859
Sex: F
Age: 93
State: TX

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

Lab Data:

Allergies: none

Symptoms: In the morning following the shot, she could not get out of the bed without assistance. She was very weak and could not stand by herself. She did not want to eat very much. Then by lunchtime, she was running a fever of 102.5 fever for many hours. We put her to bed. On Sunday morning she was much better with a better appetite and no fever. She also had normal amount of energy. She had a rash on her arm that received the shot and it ran from her spot of injection to her elbow. It was hot with the rash for about 5 days.

Other Meds: 28mg Iron capsule, 81mg Aspirin, 25mg metoprolol tartrate tablet twice a day, 20mg simvastatin tablet, 5mg melatonin

Current Illness: none

ID: 1033860
Sex: F
Age: 69
State: NC

Vax Date: 01/31/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: No. Possibly allergic to wild mushrooms.

Symptoms: Tired for two days following vaccine, large red mark on arm, itching on arm. A week later fairly severe lymph node swelling under arm of the arm that had the vaccine shot. This lasted for three days.

Other Meds: Calcium, Vitamin D, macular degeneration vitamins

Current Illness: No

ID: 1033861
Sex: F
Age: 76
State: NY

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Extensive blood tests. Covid tests as described above. MRI of head to rule out blood clots. EKG. Chest exray.

Allergies: Sulfa drugs Had severe reaction to Reclast infusion for osteoporosis; ended up in hospital for five days

Symptoms: I developed all the symptoms of Covid, except fever. The cough was the worst. Had taste, but it is still off; nothing tastes right. I had a Covid test on 01/24/2021 that came back negative. I had two more tests in the hospital on 2/9/2021 that also came back negative. I went to hospital on doctor's orders due to some blurry vision and concern about blood clots, which I did not have. Symptoms persisted until 2/12/2021.

Other Meds: Vitamin B Complex, Vitamin D

Current Illness: None

ID: 1033862
Sex: F
Age: 35
State: KY

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Symptoms started 02/03, classic exacerbation of NMO. Saw MD on 02/08 and started steroids. Symptoms continued to progress. Hospitalized 02/14, now greeting high dose IV steroids and starting plasmapheresis tomorrow

Allergies: No allergies or previous vaccine reactions

Symptoms: Symptoms started 02/03, classic exacerbation of NMO. Saw MD on 02/08 and started steroids. Symptoms continued to progress. Hospitalized 02/14, now greeting high dose IV steroids and starting plasmapheresis tomorrow

Other Meds: propranolol, aspirin, duloxetine, enoxeparin, estrogen, and rituximab

Current Illness: NA

ID: 1033863
Sex: F
Age: 73
State: MI

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

Lab Data:

Allergies: Ampicillin Penicillin Sulfa Tetracycline Erythromycin Cinnamon

Symptoms: Awoke at 1:34 AM and my left foot hurt. I had a marble-size lump and a few small lumps on the vertical bone above my heel that were tender to the touch. My foot on top was slightly swollen and shiny and red on the side and both were tender to the touch. I massaged my foot and went back to sleep. When I awoke the marble-sized lump was much smaller. I got up, ate, and in the afternoon after research, I realized it was gout and I had tophi for the first time ever. I had my first gout flare in November 2003 without tophi, and never had another flare until 2/14/2021! I walked and suddenly my Achilles? tendon hurt and my heel hurt a little. I took 2 Colchicine and took one more an hour later. It seemed much better and didn?t hurt but some of the pain returned. I couldn?t sleep until 4:05 AM and awoke around 6 according to my Fitbit watch. I contacted my doctor and he said to take one Colchicine every day until the pain is gone.

Other Meds: Escitalopram Allopurinol Levothyroxine Low dose aspirin D3 50 mcg Ocuvite

Current Illness: None

ID: 1033864
Sex: F
Age: 75
State: VT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: amoxicillin latex & rubber neosporin

Symptoms: On 1/28/21, developed Shingles on left midriff. Dr. contacted on Friday, 1/29/21. Diagnosis was confirmed. Medication prescribed : Acyclovir 400 mg; 2 tablets (800 mg total) 5 times per day. Plus Acyclovir 5% ointment, apply to affected area as needed. Subsequently, developed severe pain in the affected area on 1/31/21. Prescribed Gabapentin, 100 mg. Dosage: 3 capsules ( 300 mg) 3 times per day. As of 2/16/21, developing numbness and tenderness in affected area.

Other Meds: Celebrex - 200 mg Estrace - 1 mg

Current Illness: none

ID: 1033865
Sex: F
Age: 73
State: IL

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

Lab Data:

Allergies: Penecillin Sulfa

Symptoms: Three days after vaccine on Feb 1 headache, red and burning face and ears

Other Meds: Amlodopine Restasis Vitamin D3 Aspirin Lutein

Current Illness: None

ID: 1033866
Sex: F
Age: 46
State: NJ

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

Lab Data: None

Allergies: Idiopathic hives that seem connected to alcohol and some foods but not tested.

Symptoms: I noticed red hives around the injection site today and my arm feels heavy, The injection site feels a little hard to the touch. It is a little warm as well.

Other Meds: Elderberry gummies

Current Illness: None

ID: 1033867
Sex: F
Age: 38
State:

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: PCN, Clindamycin,Lortab, Morphine

Symptoms: Developed a red, raised, itching rash at the injection site 7 days after injection. Rash spread in a circular pattern over the course of 2 days, then began to resolve, clearing up from the center of lesion outward.

Other Meds: Vitamin D3, Singulair, Zyrtec

Current Illness:

ID: 1033868
Sex: F
Age: 68
State: NE

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

Lab Data:

Allergies: Penicillin

Symptoms: swelling of arm under vaccination site, headache, fever, fatigue, joint pain, chills, dry heave cough, body aches, taste off

Other Meds: Hydrocodone, Aspirin, Tylenol, Vitamin C

Current Illness: Knee Surgery 1/5/2021

ID: 1033869
Sex: F
Age: 79
State: NC

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

Lab Data:

Allergies: tree nut and MSG allergy (hives, swelling, pruritis),

Symptoms: 91.2kg 79 yo nonsmoking/nonEtOH drinking M with PMH significant for Parkinson's disease, postural hypotension, recent hip surgery and eye problems was at the vaccine clinic for his 2nd Covid-19 vaccine with the product. Allergy history includes tree nut and MSG allergy (hives, swelling, pruritus) and Sinemet, midazolam and fentanyl causing nausea or vomiting. After IM injection of the vaccine (lot # EM9810) into his left arm, the patient felt lightheaded. Patient was diaphoretic and pale. BP was 64/49 with HR 66 and O2 sats 92% on room air which is near baseline. Patient was moved to a recliner chair with feet elevated and given something to drink and monitored

Other Meds: Zinc, viamins, acetaminophen, brimonidine ophth,

Current Illness:

ID: 1033870
Sex: F
Age: 66
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Tetracyclene, Flonase, Prednisone (DELTASONE) 20 mg

Symptoms: Feeling of elevated temperature, rash, light headness, nausea, feeling of lump in the throat.

Other Meds: None

Current Illness: Inner ear infection

ID: 1033871
Sex: F
Age: 72
State: LA

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

Lab Data: None

Allergies: No known allergies

Symptoms: Covid arm. Baseball size red circle that is itchy and swollen.

Other Meds: Triamterene/HCTZ; Premarin; Omeprazole; Atorvastatin Nitrofur Mac Vitamin D3 Calcium Krill Oil

Current Illness: None.

ID: 1033872
Sex: F
Age: 66
State: IL

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

Lab Data: Unknown at time of report

Allergies: Bactrim Zetia Tape Lisinopril

Symptoms: patient received covid vaccine. screening questions answered. administered vaccine at 1321pm. patient wheeled to vaccine waiting room. patient became lethargic and blacked out. patient not alert and awake for approximately 1 minute. patient came to, pulse 80, blood pressure 93/70, oxygen saturation 98%, husband at side, emergency cart and AED and oxygen brought to location of the patient. oxygen 2L nasal canula placed on patient. EMS called and Dr. came to site. assessment obtained with Dr. at site. patient awake, was able to speak full name but stated she was not aware of where she was. this reaction happened approximately 6 minutes post immunization. within approximately 3 minutes of episode where she states she felt she was going to "black out" she began to shake/ full body involvement. during this episode patient was following nurse commands. momements were rhythmic and lasted approximately 10 seconds then stopped. Patient brought back to exam room. at 138pm- temp 97.5, blood pressure 144/31, pulse 51, respiration 18. patient stated she felt warm and reports she felt she was going to black out. this episode lasted approximately 3 seconds and patient became alert at that time. vitals at 140 pm- blood pressure 124/60, pulse 75, respirations 16. vitals at 144pm- blood pressure 119/75, pulse 75, respirations 16. patient has dialysis 4 times a week for CKD stage 5. patient has lengthy medical history. patient reports her primary care doctor is Dr. who sees her frequently. patient reports she has an issue with internal bleeding with source unknown and at times has to have blood transfusions. no recent illnesses reported. patient states she ate breakfast around 10am today. patient states she has never had a vaccine reaction int he past or reaction to needles. EMS arrived on site approximately 1345. report given to EMS. patient alert with EMT. patient transferred from her personal wheelchair to EMS cot. patients husband left with patient to go to Medical Center. Patient tolerated vaccine well immediately after immunization. She reported no pain at injection site. Paper tape and 2x2 gauze placed at injection site due to allergy to tape. Allergy list was reviewed prior to administration of vaccine. Patient alert and oriented prior to vaccine to person place and time. Husband present in room. Verbal consent obtained by patient to receive covid vaccine today . Vaccine information handout and emergency use handout given to patient. Patient wheeled out of exam in wheelchair.

Other Meds: albuterol (PROAIR HFA) 108 (90 Base) MCG/ACT Aerosol Solution aspirin EC 81 MG PO TBEC atorvastatin (LIPITOR) 80 MG Tablet B Complex-C-Folic Acid (DIALYVITE TABLET) Tablet BAYER CONTOUR TEST Strip BAYER MICROLET LANCETS Misc calcitRIOL (ROC

Current Illness: None Reported

Date Died: 02/01/2021

ID: 1033873
Sex: F
Age: 25
State: IL

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

Lab Data: UNKNOWN

Allergies: UNKNOWN

Symptoms: PATIENT PASSED AWAY ON 2-1-2021

Other Meds: VENLAFAXINE, LOSARTAN, TRAZODONE. THERE MAY BE OTHERS. SHE WAS PARTICIPATING IN A CLINICAL TRIAL

Current Illness:

ID: 1033874
Sex: F
Age: 49
State: VA

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

Lab Data:

Allergies:

Symptoms: Started itching at injection site, feels warm,red blotches on neck, chest. Think from mask. Switched out mask. Will sit 10 more minutes per EMS. Take benadryl at home

Other Meds:

Current Illness:

ID: 1033875
Sex: F
Age: 52
State:

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

Lab Data:

Allergies:

Symptoms: right breast pain.

Other Meds:

Current Illness:

ID: 1033876
Sex: M
Age: 70
State: MO

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

Lab Data: CT SCAN - HEAD W/O CONTRAST 02/12 1613 *** Report Impression - Status: SIGNED Entered: 02/12/2021 1631 Impression: No acute hemorrhage or large territory gray-white loss. **********FOR INTERNAL CODING PURPOSES********** Critical result: Findings discussed with DO at 2/12/2021 4:23 PM. RESULT CODE: (C) Electronically signed by: MD (2/12/2021 4:28 PM) Impression By: M.D. CT SCAN - STROKE CT ANGIO HEAD W/WO+POST 02/12 1623 *** Report Impression - Status: SIGNED Entered: 02/12/2021 1701 IMPRESSION: 1. No intracranial large vessel occlusion. 2. No stenosis of the cervical carotid or vertebral arteries. **********FOR INTERNAL CODING PURPOSES********** Critical result: Findings discussed with DO at 2/12/2021 4:43 PM. RESULT CODE: (C) PQRS Compliance Statement - Stenosis calculations for CT, MR and conventional angiography are based upon measurement of the distal ICA diameter in accordance with the NASCET methodology. Electronically signed by: MD (2/12/2021 4:58 PM) Impression By: M.D. CT SCAN - STROKE ANG NECK/CAROT W/W0+POS 02/12 1623 *** Report Impression - Status: SIGNED Entered: 02/12/2021 1701 IMPRESSION: 1. No intracranial large vessel occlusion. 2. No stenosis of the cervical carotid or vertebral arteries. **********FOR INTERNAL CODING PURPOSES********** Critical result: Findings discussed with DO at 2/12/2021 4:43 PM. RESULT CODE: (C) PQRS Compliance Statement - Stenosis calculations for CT, MR and conventional angiography are based upon measurement of the distal ICA diameter in accordance with the NASCET methodology. Electronically signed by: MD (2/12/2021 4:58 PM) Impression By: M.D. RADIOLOGY - CHEST AP ONLY 02/12 1640 *** Report Impression - Status: SIGNED Entered: 02/12/2021 1701 IMPRESSION: No acute pulmonary finding. Electronically signed by: MD (2/12/2021 4:58 PM) Impression By: MD

Allergies: NKA

Symptoms: EMS reported around 3:30 pm, patient started not feeling right. He had some tingling sensation in his left arm. Per family patient had slurred speech was not acting right. He did slide out of the chair he was sitting in. He was ambulatory on scene. Symptoms lasted approximately 5 minutes and then gradually resolved. Upon arrival to the emergency department symptoms had significantly improved. Patient reports he is feeling a lot better. Patient did receive his second covid vaccination 2 hours prior to arrival. His never had a stroke in the past. Patient was otherwise feeling at baseline earlier today. No chest pain shortness breath nausea vomiting diarrhea comes patient fever chills headache.

Other Meds: Atorvastatin 20 mg daily glimepiride 4 mg BID lisinopril 20 mg bid metformin 1000 mg BID rivaroxaban 20 mg daily tramadol 50 mg q4h prn dofetilide 250 mcg bid carvedilol 6.25 mg po BID MVI daily

Current Illness:

ID: 1033877
Sex: F
Age: 54
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Na

Allergies: Erythromycin, bactrim, gluten, several foods & plants (grasses, trees)

Symptoms: 24 hrs later - severe- headache, nausea, chills, aches - lasted about 6 hrs. No treatment

Other Meds: Ajovy, Sumatriptan, Loratadine, 0xcarbazepine. Vit d3, b12, multivitamin, fish oil, ginger, turmeric, oregano oil

Current Illness: Na

ID: 1033878
Sex: F
Age: 74
State: WA

Vax Date: 01/30/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None, just reporting after finding out I was not the only one.

Allergies: Nifedipine and Diltiazem both lowers Blood Pressure.

Symptoms: Itching and red circle appeared. Did not report , because I thought this was so minor. redness gone, itch a little still.

Other Meds: Metformin, Potassium cl, Vitamin B12, Aspirin, Clopidogrel, Chlorthalidone, Atorvastatin, Losartan, Pantoprazole, Januvia.

Current Illness: none

ID: 1033879
Sex: M
Age: 75
State: NJ

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

Lab Data: none

Allergies: none known

Symptoms: soft lump on right elbow. Size of golf ball

Other Meds: Metoprolol. Tamsulosin. Centrum multivitamin

Current Illness: none

ID: 1033880
Sex: F
Age: 56
State: WA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: no

Allergies: sulpha

Symptoms: Immediately, my arm was in pain. It was like I had been stung by 100 bees. I went back to school but I couldn't use my arm. It lasted two or three days. On second day, I took Ibuprofen and that helped. In the middle of the night (the night after I got my shot, it woke me up with terrible abdominal pains; chills; body aches. By the morning, the abdominal pain was gone - chills, aches and some fatigue. I went and taught school but it got progressively worse and I went home at lunch time. I had a slight fever - it was a high fever for me as I usually run low (96.5). It was about 100.9. I called the clinic the next day (Saturday) because my other symptoms had more or less abated but my left arm was very, very swollen from shoulder to elbow. My coat was too tight on my arm when I tried to put my coat. My arm was cold and my fingers were number. He is the one who told me to take Ibuprofen and elevate my arm and ice it. After the next three days, gradually my swelling went down and my doctor told me to keep using it and keep it moving which I did. Monday, the clinic called to have me talk to the doctor to see about taking the second dose. Doctor said to take the second dose. 2nd dose was much easier for me. My arm symptoms were resolved after about a week.

Other Meds: no

Current Illness: none

ID: 1033881
Sex: F
Age: 71
State: WI

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

Lab Data: none

Allergies: Sulfa

Symptoms: Large red itchy welt appeared at injection site, one week later. No treatment. It's still there 6 days later.

Other Meds: Magnesium, Vitamin D3, Senna, Vitamin B complex, iron, Vitamin C, Acetaminophen

Current Illness: None

ID: 1033882
Sex: F
Age: 56
State: IA

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

Lab Data:

Allergies: Ceftin - hives Tegratol headache Novacaine rapid heart rate

Symptoms: Increased heart rate to 105 within 5-10 minutes after shot then a mild feeling of nausea. Heart rate decreased to 80 Within 20 minutes

Other Meds: Metformin Atrovastatin Losarton

Current Illness: None

ID: 1033883
Sex: F
Age: 34
State: UT

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

Lab Data: CBC, CMP, B-12, folate done on 2/12

Allergies: Sulfa

Symptoms: Dizzy from morning to night daily

Other Meds: Spironlactone, multi vitamin, vitamin d, calcium

Current Illness: None

ID: 1033884
Sex: F
Age: 21
State: MA

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Cat hair

Symptoms: After the shot, my arm was swollen for 3 days and a small rash but it went away. Then, on Feb 13th a rash started to reappear that was warm to the touch and itchy and burning. I applied cortisone but rash on injection site kept growing. On Feb 14th, I woke up and rash was a bit smaller but every two hours I would have a tingling sensation like when your foot falls asleep but it went up my shoulder and back area up to my neck and occurred every 2 hours. I then was advised to take claratin, add more cortisone, and take Benadryl as well. The itchiness stoped. My rash is still there but it?s very light compared to feb 13th.

Other Meds: Sprintec, birth control, 0.250mg

Current Illness: None

ID: 1033885
Sex: F
Age: 42
State: PA

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

Lab Data:

Allergies: Food and environmental allergies, mild. Possible allergy to doxycycline.

Symptoms: I felt fine that day and waking up the next. Then as I moved around, I started to feel uneasy. I vomited forcefully several times. My neck and upper back became stiff and painful. Then came chills, shaking, and more nausea. My throat felt like there was a lump in it that was closing me off. I felt very weak and easily fatigued. I started to have visual issues, confusion, and was unable to focus. Neck pain continued to be severe. The next morning I woke feeling good, but within 2 hour again I went downhill. Symptoms are only about half as bad as the day before. Very very tired.

Other Meds: Singular, Zoloft, Nasonex

Current Illness: None

ID: 1033886
Sex: M
Age: 66
State: CA

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: Vaccinated 1/23, 1st dose COVID 1/31/21.

Other Meds: Unknown

Current Illness: Unknown

ID: 1033887
Sex: F
Age: 65
State: MI

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

Lab Data:

Allergies: Allergic to bee stings

Symptoms: Had chest pain, difficulty breathing approximately 30 minutes after shot. Also sharp pain left forehead. Lasting approximately 15-20 minutes.

Other Meds: Victoza, lantus, metformin, cetirizine, montelukast, colestipol, lisinopril, biotin, coq-10, vitamin d3, d-mannose, hair skin and nails, cranberry, multiple vitamin, macrobid, estradiol vaginal insert

Current Illness: UTI

ID: 1033888
Sex: F
Age: 57
State: NY

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

Lab Data: Taking amoxicillin currently

Allergies: None

Symptoms: I was sore and extremely tired, also headache but now I have a bad sore throat that has not resolved. I am concerned because I took Tylenol before my second shot and have now heard that I shouldn?t have.

Other Meds: Caltrate, vitamin D with K2, Zyrtec, Tylenol

Current Illness: No

ID: 1033889
Sex: M
Age: 69
State: IL

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

Lab Data: None ( I had been given an antibody test for Covid19 a few days before that came back positive)

Allergies: None

Symptoms: Severe muscle aches, joint pain, chills, return of cough

Other Meds: Praluent, Warfarin, Metoprolol Tartrate, Allopurinol, Ezetimibe, Furosemide, Pramipexole, Cyclobenzaprine, Promethazine, Lisinopril, Tamsulosin, Fenofibrate, Centrum Silver.

Current Illness: None (I did have Covid-19 5 weeks prior to the vaccination)

ID: 1033890
Sex: F
Age: 64
State: TX

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 1st day - patient reports everything was ok. 2nd day - patient reports pain at the injection site, and it was painful to move her arm. 3rd day - patient reports that it was painful to move her arm, that she had to move slowly to avoid causing pain. She reports intermittent pain, level 8-9/10, caused by motion, that irradiated to her back and it was controlled using Advil. She reports a 6-7/10 pain level after taking Advil. She refers to experiencing this kind of pain on day 3 to 4 post-injection, did not feel it on day 4 to 5, but again on day 5 to 6 experienced it again. Now she reports "feeling like it's coming" but she rests and it gets better. 4th-5th day - patient reports abdominal discomfort, like the one caused when a "baby moves in your womb". To this day, she refers feeling weak, sometimes when lifting her LT arm she feels intermittent weakness from her hand to her elbow and has to rest her extremity. Today she reports waking up with a discomfort in the back of her neck that lasted 10 minutes and then was able to move her neck/head side to side and up and down.

Other Meds: levothyroxine sodium 112 mcg take 1 tablet by oral route every day lovastatin 20 mg take 1 tablet by oral route every day with the evening meal NORVASC 10 mg take half tablet by oral route every day ZESTORETIC 10 mg-12.5 mg take 1 table

Current Illness: COVID19 Infection (07/2020)

ID: 1033891
Sex: F
Age: 22
State: RI

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

Lab Data:

Allergies: none

Symptoms: Vaccine given at 3:30pm Left Arm; At 3:45 she reported that her right arm felt like she had the injection in it. It felt "heavy". She went upstairs to work and felt immediately her LEFT leg felt like it was "falling asleep" pins and needles up calf and back felt heavy.; 3:45 examined, no SOB, lips and mouth okay, right arm non remarkable. 4pm BP 236/80 HR 96 POX 98; 4:15 No change, had her have some water, go for a walk. 4:30 feels the same, pins and needle in leg, but otherwise fine. Working with nurses for next few hours. Told her to report any issues to nurses.

Other Meds: unknown

Current Illness: none known

ID: 1033892
Sex: F
Age: 89
State: CA

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

Lab Data: no

Allergies: bp medicine

Symptoms: pt stated after she got her vaccine she had to use the bathroom right away. she went home and went to straight to the bathroom. When she urinated it was dark gold color. She thinks the vax medicine went straight to her kidneys. She has urinated since this episode and said her urine was back to normal. Pt has not contacted her PCP at this time since he urine returned to normal color.

Other Meds: Spiriva

Current Illness: no

ID: 1033893
Sex: F
Age: 65
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Low grade fever Nauseated Headache

Other Meds: Losartan Bupropion Levothyroxine Amlodipine

Current Illness: None

ID: 1033894
Sex: F
Age: 83
State:

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: no

Symptoms: Since around the 10th, not quite sure, but around that time, I have been feeling very, very tired and weak and slight headache. It did not occur to me until about 1/2 hour ago that these feelings could be related to the 2/5 shot. Not bad enough to go to the doctor, just not feeling normal. Blamed it on the lack of sun (SADS). I have a special light that I just started to use 3 days ago. Therefore, I am now reporting my feelings.

Other Meds: Ropinirole - 4mg, 1 daily, Losartan - 50mg , 1 daily and Trazodone 150 mg at bedtime each night

Current Illness: none

ID: 1033895
Sex: F
Age: 74
State: FL

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

Lab Data: None.

Allergies: Bell peppers, tomatoes, citric acid in any form, vinegar,

Symptoms: She felt fine after the vaccine, waiting 30 minutes, got home and was fine. the next morning when she woke up at her usual time everything hurt. Her arm had a swelling on it, and was pretty sore where she received the shot. Every ache or pain that she ever had was screaming at her and every time she tried to move she screamed in pain. On her right back it felt like it was broken, so painful to move. Her husband pulled her out of the bed to get up, help her make dinner. It did not go away all day, just awful until she fell asleep at night. She continued to take Tylenol throughout the day. When she woke up this morning she was back to normal except for her arm that is still a little sore.

Other Meds: Glipizide ER, Triamterene HCTZ, Hydrochlorothiazide, Synthroid, Diltiazem, Gabapentin, Januvia, Allopurinol, Losartan potassium, Rosuvastatin, Clonazepam, Paroxetine, Risperidone,. Multivitamin, multimineral, spectravite, glucosamine chond

Current Illness: None.

ID: 1033896
Sex: M
Age: 73
State: TN

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: No

Allergies: no

Symptoms: On the morning of the 14th I had no side effects and on the 15th I had a stiff neck on the right side of my neck which radiated pain up to my brain causing a headache. Later, I noticed that the muscles on my right side over my ribs were tightened and later the intercostal spaces of my ribs started hurting very badly and it made breathing very painful and difficult and the pain stretched around my ribs and to my back. If I drew a deep breath I would experience a sharp stabbing pain. Lying down vertically was very painful and uncomfortable. I took my temperature and it was 97.5 which is a little high for me. my blood oxygen level was 99 which was good. on the 16th I woke up and the stiff neck was gone and my headache was a little better. My temp was 98.5 which is 1.1 degrees of fever for me.

Other Meds: lisinopril glimepiride rabeprazole clindamycin 150mg furosemide 40mg metformin 500mg

Current Illness: no

ID: 1033897
Sex: M
Age: 56
State: FL

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

Lab Data: Going to a retinal doctor tomorrow

Allergies: None

Symptoms: Large floaters in my right eye that began immediately after the shot and got worse the hours after

Other Meds: Tacrolimus 7mg, metoprolol 25 Mg, januvia25 mg, valsartin 320mg

Current Illness: None

ID: 1033898
Sex: F
Age: 54
State: IL

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: see above

Allergies: Environmental allergies

Symptoms: The rash started on the feet on 02-07-2021 - progressed to cover all limbs, upper and lower back, neck to the hairline. I took Benadryl when I first noticed the rash as well as Zyrtec. When the rash started to become more pronounced and inflamed I called my regular clinic and was advised to go to urgent care since I also had an occasional cough (to get air) and a headache. I was seen by APN who advised a Covid test (both PCR & Antigen) both ended up negative she also advised me to continue with Benadryl and Zyrtec and follow up with my regular doctor if symptoms continue - On Friday 02-12-2021 my throat began to feel "full" and the rash more pronounced my doctor then prescribed Prednisone 20 mg tablets for five days along with the other two meds. Rash has started to fade over the course of three days.

Other Meds:

Current Illness:

ID: 1033899
Sex: F
Age: 68
State: NY

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

Lab Data: None

Allergies: NKDA

Symptoms: Lt bicep erythematous, warm and swollen to touch, painful. Myalgias and arthralgias Sleepy

Other Meds:

Current Illness: No

ID: 1033900
Sex: F
Age: 64
State: CA

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

Lab Data:

Allergies:

Symptoms: headache, nausea, chills, weak. severe body aches lasted for 6 days.

Other Meds: rosuvastatin levothyrocin hydrochlorothiazide asparin

Current Illness:

ID: 1033901
Sex: F
Age: 32
State: NY

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

Lab Data:

Allergies:

Symptoms: Fever 101-102

Other Meds:

Current Illness:

ID: 1033902
Sex: F
Age: 56
State: CA

Vax Date: 12/28/2020
Onset Date: 01/22/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: NONE

Allergies: CODINE

Symptoms: 5 DAYS AFTER MY SECOND VACCINE, I FELT NAUSEA AND LOST OF APPETITE, IT PROGRESSED INTO GASTRITIS PAIN. STILL HAVE STOMACHE ISSUES. I WAS WATING TO SEE IF THEY SUBSIDE, HAVE BEEN CHECKING TO SEE IF OTHERS HAVE SIMILAR SYMPTOMS BEFORE GOING TO SEE GI

Other Meds: LEVOTHEROXIN 100MG; ELMIRON 200MG ; ATENOL 25MG; ESTRODIAL

Current Illness:

ID: 1033903
Sex: F
Age: 31
State: PA

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

Lab Data: None as of this date.

Allergies:

Symptoms: This patient complains that her right hand developed an orange discoloration of the palm and interdigital spaces at 8pm on the day of vaccination. She received vaccine in left arm. She denies any other rash or discoloration. Denies using any potential discoloring agents with hand. Has been unable to wash discoloration off. Denies any GI symptoms. Denies jaundice of eyes or yellowing of any other areas of skin. No fasting. No increase in carotenoids. Will be following up with PCP for further evaluation.

Other Meds: Denies

Current Illness: Denies

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm