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: 1034004
Sex: F
Age: 24
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: congestion, cough, fatigue, headache, muscle/body aches, nausea, loss of taste/smell, sore throat, runny nose

Other Meds:

Current Illness:

ID: 1034006
Sex: F
Age: 87
State: KY

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

Lab Data:

Allergies: Some antibiotics

Symptoms: Started with chills approx. 16 or 17 hours after injection, followed by fever and flu like symptoms . Lasted approx. 24 hours. Soreness at injection site.

Other Meds:

Current Illness:

ID: 1034007
Sex: F
Age: 66
State: FL

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Large red blotch developed starting below the injection spot. It is hot, itches and feels like it has small bumps across it.

Other Meds: Metoprolol, lisinopril, ibuprofen, bioidentical hormones (estrogen, testosterone, progesterone), levocetirizen - e, vitamin D, biotin

Current Illness:

ID: 1034008
Sex: F
Age: 51
State: PA

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

Lab Data: Flu swab to rule out the flu - Can't remember date Complete respiratory panel - checked me for rhino virus, flu, Covid - about 15 viruses - negative for all that

Allergies: no

Symptoms: At arm pain at 11:00 pm. The following day, my left arm swelled up from wrist to shoulder - three times it's size. I couldn't move my arm for 24 hours. Arm pain was gone after 24 hours. Two days after - I was freezing cold, on the couch. Following day, I called my doctor. He told me to rest. I had a high fever and I had body aches. I was really cold. I felt like I had the flu for about a week - missed a couple days of work.

Other Meds: no

Current Illness: no

ID: 1034009
Sex: M
Age: 34
State: CO

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

Lab Data: CT scan, urinalysis, microscopic urinalysis, complete blood count, basic metabolic panel, liver function panel, white blood cell differential

Allergies:

Symptoms: Fever (102 degrees), headache, nausea, hematuria, foul smelling urine

Other Meds: Kirkland Multivitamin, 200 mg chelated magnesium, valerian

Current Illness:

ID: 1034010
Sex: F
Age: 27
State: MI

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

Lab Data:

Allergies: None

Symptoms: COVID-19 Vaccine EUA; A week after vaccination my left arm developed a large rash just below the injection site, about 7in x 4in. It is warm to the touch. It was sore the first day and is sometimes slightly itchy. It has been 4 days and it appears to be resolving (it is not as red).

Other Meds: Metoprolol Triamterene Hydrochlorathiazide

Current Illness: None

ID: 1034011
Sex: F
Age: 71
State: CA

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Flushed / Sweating-Mild, Systemic: O2 levels dropped. No flushing/sweating but system would not let me uncheck section-Medium, Additional Details: her oxygen saturations were 93-96% on room air all of January, she received her first vaccine January 20, 2021. She received her second vaccine February 3, 2021. Her sats for February were 92-94% up until the sixth of February when she noticeably dropped to 91% on room air, she started being supplemented occasionally with oxygen on the 8th. She continues to be supplemented with oxygen. Not sure if related to vaccine or not

Other Meds:

Current Illness:

ID: 1034012
Sex: F
Age: 72
State: CO

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

Lab Data:

Allergies: Clindamycin, bee stings, bisphosphonates

Symptoms: Redness at the site of the injection on Saturday, 02/13. Redness improved on Monday, 02/15. Woke up on Tuesday, 02/16 with increased redness and itchiness.

Other Meds: Multivitamins, Clobetasol, Vitamin E, Vitamin D, Calcium Citrate, Losartan, Amlodipine, Neurontin

Current Illness: n/a

ID: 1034013
Sex: F
Age: 43
State: NY

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

Lab Data: bp 127/88 hr 78, ox 97, rr 18, neuro exam is normal, patient returned to baseline without treatment

Allergies: epinephrine,znozymine,quetaoine,macrobid,lamicytal,celbrex,bactrim,pen,pyroxicam,meloxicam

Symptoms: fainted after injection

Other Meds: topomax,ritalin,nexium,singular,naproxen,symbicort,buspirone,cymbalta,metoprolol,restoril, ventolin benlysta, penicillan meloxicam

Current Illness:

ID: 1034014
Sex: M
Age: 70
State: AL

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: 02/16/2021 - Fluorescein angiography and Fundus Photography, OCT of the macula

Allergies: NKDA

Symptoms: central retinal vein occlusion involving the right eye

Other Meds:

Current Illness:

ID: 1034015
Sex: F
Age: 40
State: NY

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Eye exam at the ophthalmologist on Tuesday, 2/16/2021.

Allergies: Benzoyl peroxide

Symptoms: At 7:15PM on Monday, 2/15/2021, I experienced blurred vision in the periphery of my right eye. At the same time, I felt some body tingling and mild numbness, most notably in my right fingertips. It lasted for approximately 3-5 minutes. After, the blurred vision and tingling dissipated, I had a mild headache across my forehead and eye socket area that felt like a pressure in the area. The mild headache continued when I woke up on Tuesday, 2/16/2021.

Other Meds: Penicillin VK 500MG tab 4x per day Blisovi 24 Fe 1mg 1x per day Women?s Multivitamin

Current Illness: Endometritis

ID: 1034016
Sex: F
Age: 37
State: NY

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

Lab Data:

Allergies:

Symptoms: lymph nodes to the left side of her neck

Other Meds:

Current Illness:

ID: 1034017
Sex: F
Age: 67
State: NC

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

Lab Data:

Allergies: None

Symptoms: Bp increase usually normal 140/94, pulse 94 ;154/88 pulse 102, 146/99 pulse 101

Other Meds: Synthroid

Current Illness: None

ID: 1034018
Sex: F
Age: 56
State: AR

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

Lab Data: N/A

Allergies: Norvasc Stadol Nuprin

Symptoms: Approximately 4 inches of redness and swelling with pain just below injection site. Symptoms began 24 hours after injection and are still present on day 4 after the injection. Site is very tender to the touch and I am not able to sleep on that side. I am not able to medicate with anti-inflammatories due to kidney disease but am using ice packs with some relief.

Other Meds: Plaquenil Topamax Evoxac Singular Carvedilol Omeprazole Tizanidine Fish oil Vitamin D Vitamin C Probiotic Sertraline

Current Illness: None

ID: 1034019
Sex: F
Age: 81
State: UT

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

Lab Data: None

Allergies: No

Symptoms: Swollen, red itching arm from shoulder to elbow.

Other Meds: aspirin synthroid

Current Illness:

ID: 1034020
Sex: F
Age: 0
State: CA

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

Lab Data: Went to urgent care near me. They said I didn't need an EPI shot, prescribed more Benadryl and 3 days of prednisone. Didn't take prednisone. By morning, could swallow normally. Spoke to allergist today, 2/16/21 about viability of taking 2nd shot.

Allergies: CT Contrast Dye, Augmentin, Bactrim, Lactose intolerant

Symptoms: Waited 1/2 hour and left. On way home, 10 minutes out, throat started to close up. Took 25 mg of Benadryl and got home. Could talk and breath ok but increasingly difficult to swallow.

Other Meds: Estradiol patch .025

Current Illness: None

ID: 1034021
Sex: F
Age: 60
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: About 4 hours after my administered 2nd dose I experienced severe pain in my TMJ mostly on the left but milder on the right. That developed into a bad headache but was relieved with 200mg Motrin in the evening. The following day I experienced flu-like symptoms, chills (I did not take my temperature), muscle joints, fatigue, continued headache and milder pain in my bilateral TMJ. I continue to take Motrin every few hours. I did not experience the TMJ pain with my first dose in January 2021 but I did have mild flushing, flu-like symptoms. I thought I would report this as I have bilateral TMJ implants since 1997.

Other Meds: None

Current Illness: None

ID: 1034022
Sex: F
Age: 65
State: CA

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

Lab Data: Paramedics arrived at 1:23 and patient's vital signs were: BP-176/97, HR-112, RR-19, and oxygen level was 99%.

Allergies: Per her partner, patient has an allergic reaction to sedatives.

Symptoms: After receiving the COVID vaccine at 12:43 patient stated that she couldn't breath and her arms & legs were numb at 1:10 pm. Patient received an Epinephrine pen at 1:12 pm and the paramedics were contacted.

Other Meds: Unknown

Current Illness: Unknown

ID: 1034023
Sex: M
Age: 79
State: GA

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

Lab Data:

Allergies: codeine

Symptoms: Large area of rash on arm where COVID vaccination was given. Also some rash on both arms between elbows a d wrists

Other Meds: zocar, one a day for men, omega 3

Current Illness: none

ID: 1034024
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies: Onions kidney beans

Symptoms: Left arm red and swollen at injection site

Other Meds: Tramadol Zoloft seroquel atenatol calcium vitamin D

Current Illness: None

ID: 1034025
Sex: F
Age: 43
State: SD

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

Lab Data:

Allergies: bees, eggs, Dilaudid, Vicodin, Hydrocodone, Floxin, Zithromax, Zoloft

Symptoms: body aches, hot and cold spells, chest tightness, nausea, headache, chills, sore throat started 8 pm day of vaccine. Lasted 3 days

Other Meds: Metolazone, Progesterone, Pantoprazole, Fexofenadine, Citalopram, Montelukast, Potassium, Prazosin, Flonase, Lidocaine patch, Hydroxyzine, NTG as needed, Naproxen as needed, Tums as needed, Lactobacillus, Bupropion, Hydroxyzine, Tramadol, A

Current Illness:

ID: 1034026
Sex: F
Age: 53
State: CA

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

Lab Data: From ED 1/27/2021 LABS: Complete blood count within normal limits Complete metabolic panel within normal limits Trop negative Ck within normal limits EKG INTERPRETATION: ekg EKG reviewed and interpreted by me. Normal sinus rhythm, right atrial enlargement, no st segment elevation or depression, no t wave inversions, overall interpretation: negative for acute ischemia. RADIOLOGY INTERPRETATION: CHEST Chest films are negative, without evidence of infiltrates, pneumothorax, pneumomediastinum, cardiomegaly, congestive heart failure, pulmonary effusion, or subdiaphragmatic free air. The study was independently reviewed and interpreted contemporaneously by me as a preliminary reading. Prior studies were not available for comparison.

Allergies: Ampicillin

Symptoms: Called into Covid hotline 2/10/21 about an exposure to a covid + coworker. In obtaining the history, offered that she received #2 Moderna on 1/26/21. Reports fatigue, myalgias 24-48 hrs post vaccine. Also tingling in bilateral feet x 4 days post vaccine which she also experienced x 4 days after #1 Pfizer. Approx 24 hrs post vaccine, experienced one acute episode of SOB and a sensation of choking. Describes a sensation of her "neck closing in." Denies swelling of lips, tongue, throat. She called 911, was taken to ED. Episode resolved after 10-15 min en route to ED, was given O2 in ambulance, IV fluids, Tylenol in ED. Labs, EKG, CXR WNL. ED states patient "likely is feeling effects of 2nd Coivd vaccine." was d/c'd home. felt "great" the next day and went to work. No similar sxs since this event. Smoker 1/2 ppd x 35 yrs.

Other Meds: Unknown

Current Illness: Unknown

ID: 1034027
Sex: F
Age: 63
State: GA

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

Lab Data: N/A

Allergies: None

Symptoms: Patient started with itching all over. Redness and hives on chest. "Itchy throat" with frequent clearing of throat observed. Bilateral breath sounds were clear and equal. No angioedema noted. Vital sings were monitored. Pulse was 98-99% on room air. Later felt a headache and felt jittery. Benadryl 50 mg PO was administered. Within 20 minutes of Benadryl symptoms improved. Prior to discharge the patient was no longer clearing her throat. Patient states she felt better. Husband reports chest and hive are basically gone. Patient remained alert and oriented x4 the entire visit. Reviewed to continue with over the counter Benadryl and take per directions on bottle. Husband reported he would stop and get Pepcid to take with Benadryl. Patient ambulates out of clinic without problems. 4:28 pm 161/88 89 16 97% 4:36 pm 149/82 79 17 99%. 4:43 pm 142/66 71 17 99%. 5:00 pm 124/ 83 72 15 98%.

Other Meds: Not Listed

Current Illness: None

ID: 1034028
Sex: F
Age: 37
State: OH

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

Lab Data: No

Allergies: I am allergic to aspartame, tessalon perles, imitrex, mold.

Symptoms: At about 45 min out, I had dizziness and felt like my heart was racing. I checked it and it was 120 to 125 BPM. Walking my heart rate went up to 154 BPM. I called my PCP and rested as prescribed. My heart rate stayed at 120 BPM. I did have the same reaction to Dose 2 which we treated the same way.

Other Meds: No

Current Illness: No

ID: 1034029
Sex: F
Age: 73
State: OK

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

Lab Data: None

Allergies:

Symptoms: Notice a very large bruise just below the injection site the following day. No other symptoms at this time.

Other Meds: High blood pressure meds, baby aspirin, fish oil, Vita E,

Current Illness:

ID: 1034030
Sex: F
Age: 72
State: OH

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

Lab Data: no

Allergies: no

Symptoms: Sunday evening around 9pm I had the chills and I got a severe headache. I shook for 3 hours. I had a fever of 99.7. I was cold all night. I started shivering again the next morning for 2 hours. around 1:30 in the afternoon I was a little better. Sunday night I had fever again and was shaking and very cold. I had a bad headache the whole time. Monday I seemed to be ok, but I did wake up itching. I have a red splotchy rash all over my body. my legs are bright solid red and I itch all over!

Other Meds: antibiotic- ic fulfamethoxazole-tmp df aspirin levaroxine metoprolol Nexium duloxetine

Current Illness: UTI and Hip replacement

ID: 1034031
Sex: F
Age: 66
State: IN

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

Lab Data: None

Allergies: Nexium,

Symptoms: Right upper arm, just below the injection site became warm, red, firm and itchy. Size 3 inch x 2 inch. Resembles an allergic hive. No other effects noted. No treatment needed. Continues for 30 hours after initial indication.

Other Meds: Atenolol, Verapamil, Detrol LA, pepcid, MVI, biotin, calcium, tylenol

Current Illness: None

ID: 1034032
Sex: F
Age: 75
State: MI

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

Lab Data:

Allergies: Penicillin

Symptoms: What I know so far is they gave her the shot her heart stopped for about 3-4 minutes they did cpr until the ambulance got there they took her to main. They are going to do a bunch of test . They are going to keep her she has too see the cardiologist they are going to do an eco cartogram and an ultrasound of her heart. They had to my mom on a ventilator because they where putting the defibrillator in and she started throwing up and they had to do compression again cause her heart stopped again and she stopped breathing

Other Meds: 81 mg aspirin. Metoprolol 50mg, citalopram 20mg ,Aleve

Current Illness: None

ID: 1034033
Sex: F
Age: 90
State: CO

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1034034
Sex: F
Age: 32
State: FL

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

Lab Data:

Allergies: None

Symptoms: Full body rash started 1 week after vaccine. Consistent with Urticaria.

Other Meds: None

Current Illness: None

ID: 1034035
Sex: F
Age: 75
State: NC

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: CBC with diff 2/11/2021 WBC 11.5, Hgb 11.4, Hct 34.3., plt 204. 88% PMN, 8L, 3M, 0E ESR 29 CMP Nz 140, K 3.9, Cl 103, CO2 27, Ca 9.3, Glu 99, BUN 14, Crt 1.16, Alb 3.3, BR 0.3, alk phos 60, SGOT 20, SGPT 56

Allergies: Codeine-hives, intolerant of diuretics and stimulants, poison ivy-severe rash, latex hives, macadamia nuts-vomiting/diarrhea

Symptoms: Had no reaction to 1st dose of Moderna COVID vaccine 1/6/2021. 2nd dose Moderna COVID vaccine 2/4/2021 had no immediate reaction but developed fever and fatigue that lasted 36 hr 1 d after vaccination. On 2/7 had redness and local swelling at site of injection. Next day 2/8 rash on chest then broke out face, neck , abdomen, back. Was seen in local ER where she was diagnosed with an allergic reaction to the vaccine. Treated Solumedrol, Toradol, lorazepam, Benadryl and Pepcid and dishcarged with Rx for Prednisone and advised to continue Benadryl and Pepcid. Rash worsened, became purple and morbilliform on face, arms, legs, back and abdomen over next 3 d. Was seen by PCP on 2/11. Prednisone increased to 40 mg x 3 d. Rash improved with this and was resolving by the time I examined her on 2/15/2021. Face was beginning to peel but had no mucosal surface involvement.

Other Meds: Diltiazem ER, Estradiol, Fluoxetine, Lipitor, medroxyprogesterone, progesterone, Restasis, testosterone, valsartan., citrucel

Current Illness: Hypertension Recent syncope x 3 ? arrhythmia

ID: 1034036
Sex: M
Age: 70
State: CA

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

Lab Data: none

Allergies: Iodine

Symptoms: 1300 Pt with head pressure and chest squeezing. 1333 Pt HR-64,o2 sat 93%RA, B/P 122/70. Pt reports 15-20 min after the vaccine he started in with head pressure, chest squeezing gone and weakness. Pt states he took hit am long and short acting insulins and did not eat anything because it takes him quite some time to fix his meal. Pt A&Ox3, 1400 reports less pressure in head and palpitations gone. 116/66 b/p, hr-72, 94&ra, 1410 O2 sat 94% hr-72 , pt reports head pressure is gone, no chest discomfort, no palpitations, no longer feels weak. Pt reports this is not his usual reaction to low blood sugar. 1415- o2 sat 92% ra, hr-75, pt reports he feels much better and would like to go home. Escorted to his car with staff. Instructed to follow-up with MD if any further issues are noted. Pt verbalized understanding of these instructions.

Other Meds: Metformin, NPH insulin, Reg insulin, Isosrbide, Lisinopril, Baby asa, Atorvastatin, Furosemide, potassium, Famotidine, Pantoproloze

Current Illness: none

ID: 1034037
Sex: M
Age: 84
State: CO

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1034038
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies: Food intolerance: Quinoa (stomach upset), kiwi (tingling on tongue/mouth)

Symptoms: "Covid Arm" - large bullseye-looking rash a few inches around/outside of vaccination point. Itched a lot, and hurt as well. Pain wrapped around towards armpit area. Also, had itchy rash on neck a few days later (not sure if related).

Other Meds: Birth control (Blisovi Fe)

Current Illness: n/a

ID: 1034039
Sex: F
Age: 23
State: CA

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

Lab Data: N/A

Allergies: NKDA

Symptoms: FEVER, BODY ACHES, CHILLS, RASH ON INJECTION SITE

Other Meds: Lo loestrin fe- ocp

Current Illness: NONE

ID: 1034040
Sex: F
Age: 40
State: WA

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

Lab Data:

Allergies: Penicillin

Symptoms: Patient began having throat swelling and shortness of breath, administered EpiPen, Solumedrol 125mg IV push, DuoNeb breathing treatment, 2L of O2 via nasal cannula. Patient taken by ambulance to ER.

Other Meds:

Current Illness:

ID: 1034041
Sex: F
Age: 78
State: MO

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Bell's Palsy diagnose 2/5/2021 and treated with Prednisone and antiviral. Has history of Bell's palsy in the past. She started with right sided facial droop and was choking with swallowing.

Other Meds: Metformin

Current Illness:

ID: 1034042
Sex: F
Age: 75
State: NY

Vax Date: 02/07/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Delayed cutaneous hypersensitivity at injection site: 8 days following vaccination, red, itchy, and hot-to-the touch rash (approximately 3 inches long) appeared at injection site; still present today (24 hours later). Took one tablet of Benadryl and applied 1% hydrocortisone cream to provide relief of itchy, burning sensation. This has helped somewhat. Note: This delayed injection-site reaction has been reported in the Moderna clinical trial, both after the first and second doses.

Other Meds: Valsartan, 40 mg once daily ursodiol, 300 mg once daily amitriptyline, 10 mg once daily Centrum (Silver) Multivitamin, 1 tablet daily

Current Illness: None

ID: 1034043
Sex: M
Age: 76
State: MI

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

Lab Data:

Allergies: NA

Symptoms: He came down with Shingles 2 days ago.

Other Meds: Hydrocodone/acet 10/325...Valacyclovir 1gm

Current Illness:

ID: 1034044
Sex: F
Age: 76
State: CA

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

Lab Data:

Allergies: none

Symptoms: On 2/12/21, 9 days after my shot, a rash appeared on my left arm between my shoulder and my elbow, 2 to 3 inches wide. The rash as of today 2/16/21 is still there...some tenderness, not itchy. I had no symptoms after the shot initially except some soreness at the injection site briefly. The internet has identified the rash as "Covid Arm".

Other Meds: none

Current Illness: none

ID: 1034045
Sex: F
Age: 69
State: NJ

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

Lab Data:

Allergies: Sulphur drugs

Symptoms: Itchy red rash appeared on upper arm.

Other Meds: Amlodipine 5mg Vascepa 1gm

Current Illness:

ID: 1034046
Sex: F
Age: 60
State: MA

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

Lab Data:

Allergies: Sulfa, oxycodone, tizanidine, sensitive to Nsaids

Symptoms: Day 4 sudden feeling unwell, out of it, severe burning pain throughout whole body, joint pain , headache, cough, fatigue, upset stomach, diarrhea. Subsided in about 36 hours.

Other Meds: Prozac, klonopin, depakote, remeron, nexium, losartin potassium, propanol, concerta, vitamin b 12, calcitriol, turosemide, sodium bicarbonate, amioderone, low dose aspirin, Tylenol , Gaviscon, levothyroxine,

Current Illness: None

ID: 1034047
Sex: F
Age: 81
State: PA

Vax Date: 02/06/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Epinephrine, Ciprofloxacin, Tramadol, Actonel, Clindamycin, Lipitor, Shingrix vaccine (severe reaction)

Symptoms: Severe dizziness, nausea, weakness, racing heart

Other Meds: Vit. D (1000 IU daily), Metoprolol (12.5 mg AM & PM, for irregular heartbeat), Simvastatin (5 mg) PM, Prednisone (1.5 mg daily), Cetirizine (10 mg PM).

Current Illness: Polymyalgia rheumatica

ID: 1034048
Sex: F
Age: 27
State: SD

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

Lab Data: NA

Allergies: lactose intolerant

Symptoms: body aches, hot ans cold spells, diaphoretic, nasal drainage, sore throat

Other Meds: Mirtazapine, Protonix, Probiotic, Paroxetine CR, Buspirone, Miralax, Citrucel powder, Colace, Citerizine prn, Tylenol prn, Ibuprofen prn

Current Illness:

ID: 1034049
Sex: F
Age: 84
State: CA

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

Lab Data: urinalysis

Allergies: NKDA

Symptoms: Patient developed, malaise, dizziness and acute right lower quadrant abdominal pain which is now intermittent.

Other Meds: omeprazole 20 mg., Vitamin D3 50 mcg., gabapentin 100 mg., amlodipine 5 mg.

Current Illness: COVID-19 on 12/24/2020

ID: 1034050
Sex: F
Age: 43
State: NY

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

Lab Data:

Allergies:

Symptoms: Wrist pain in injected arm

Other Meds:

Current Illness:

ID: 1034051
Sex: F
Age: 47
State: CA

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

Lab Data: None

Allergies: not known

Symptoms: Came in for her 2nd dose of COVID-19 vaccine. She received Pfizer for dose #1 on 1/26/2021. The vaccinator administer Moderna for dose #2 in error

Other Meds: vitamin pills

Current Illness: no

ID: 1034052
Sex: F
Age: 51
State: PA

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

Lab Data: CT scan - Echocardiogram - Did a lot of bloodwork - ran everything that a person having a heart attack would have - was not having a heart attack - On February 10, 2021

Allergies: no

Symptoms: 09:00 PM - every joint in my body hurt that evening. I had to leave work; I couldn't finish my eight hours. All my joints hurt - even my toe joints. I called my doctor. I had a fever. That went away in 2-3 days. Two weeks later or so- on February 5, I started feeling pretty bad. I started having chest pains. It progressed. No coughing. By the 10th, I ended up in ER. I thought I was having a heart attack - chest pain I was hospitalized. I am still dealing with that issue. I received morphine I'm diagnosed with Pleurisy -like virus - the lining of chest wall can become inflamed and when I breathe in and out it causes severe pain. Tachycardia - fast heart rate. I'm on anti-inflammatory - Naproxen - 500 mg twice a day and I'm already improving. I saw a cardiac dr today - he says my heart seems fine. I still have a fast heart rate. Pleural Rubbing - he could hear it on my chest wall. I had a positive antibody test - COVID -on January 20th. I'm recovering but I am not recovered.

Other Meds: Tylenol

Current Illness: adverse symptoms of dose 1 COVID vaccine

ID: 1034053
Sex: F
Age: 14
State: CA

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

Lab Data:

Allergies:

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1034054
Sex: F
Age: 33
State: KY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Chest X-Ray- normal; UA-normal; Pregnancy Test-neg; CBC-normal; Sugar Test-normal

Allergies: No

Symptoms: 24 hrs after the vaccine I was about to have lunch and started feeling dizzy, couldnt hear the people in the room and began to fall as I was advised and someone in the room caught me. I was laid down and administered water until I felt better. I went back to my worksite while having to use the hand rails because my vision was blurred and I finally made it to my desk. I was then transported to the ER and my BS was taken which was 85. I was given IV fluids, a chest xray was performed, a UA and pregnancy test was done, EKG and a CBC done which all was negative and normal. From my knees down felt shaky the remainder of the week. I had a visit with my PCP the following week on Tuesday and had a sugar test done which was also normal and by the end of that week all symptoms had resided

Other Meds: No

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm