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: 1035702
Sex: F
Age: 76
State: FL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: EKG (2/11): NSR, rate 75bpm, minimal voltage criteria for LVH CBC/CMP (2/11): Unremarkable, baseline for CKD

Allergies: Ciprofloxacin, Keflex, Benadryl, Seeds, Epinephrine, Iodinated radiocontrast dyes, Latex, Lidocaine, Shrimp, Sulfa drugs

Symptoms: Within 15-minutes of vaccination, the patient reported dizziness, lightheadedness, and nausea. EMS evaluated patient on-site and administered 4mg Ondansetron PO. Patient was hypertensive (156/84) in transport to Emergency Department. Patient remained hypertensive in ED. Discharged from ED with diagnoses of dizziness, nausea, resolved, secondary to vaccination.

Other Meds: Magnesium Hydroxide, Sodium Bicarbonate, Cosamin DS, Lumigan, Aspirin, Calcitriol, Famotidine

Current Illness: None reported

ID: 1035703
Sex: M
Age: 74
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Penicillin, zetia

Symptoms: Moderna COVID-19 vaccine EUA ?? vertigo, a couple of events the day following injection, lasting around 5 minutes twice. The next day, only slight vertigo lasting a very short time, but knew I wasn?t feeling 100%.

Other Meds: Percocet, Atorvastatin,Amlodipine- Besylate

Current Illness:

ID: 1035704
Sex: F
Age: 34
State: VA

Vax Date: 01/21/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: head ct, bmp, cbc, ekg, Blood glucose

Allergies: zithromax ,fentanyl, metoprolol tarate

Symptoms: Bell's Palsy

Other Meds: ultram, aldactone, protonix, cozaar, FE, Neurontin, epeipen, cardiazem cd, bentyl, Vit B-12, zyrtec, fiber tabs, urecholine, albuterol

Current Illness: none

ID: 1035705
Sex: F
Age: 64
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Codeine, egg whites

Symptoms: Fever headache myalgia sore arm fatigue lasting over one week

Other Meds:

Current Illness:

ID: 1035706
Sex: M
Age: 52
State:

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

Lab Data:

Allergies: N/A

Symptoms: Aside from normal tenderness at the injection site which I had after the first dose, the most adverse reaction was fatigue. Fatigue set in about 12 hours after the injection. I did not have nay trouble sleeping but I was still very tired the next morning. I did not experience any fatigue after Dose 1.

Other Meds: Lisinopril 20mg Rosuvastatin 10mg

Current Illness: N/A

ID: 1035707
Sex: F
Age: 44
State: NC

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

Lab Data: N/A

Allergies: None

Symptoms: low grade fever (100.4), chills, body aches, fatigue, swollen and painful lymph node under left armpit

Other Meds: Duloxetine

Current Illness: None

ID: 1035708
Sex: M
Age: 17
State: MN

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine give to care provider under the age of 18.

Other Meds:

Current Illness: Caregiver was less than 18 y/o at time of vaccine

ID: 1035709
Sex: F
Age: 49
State: NH

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Woke up on 2/14/21 with full body rash, injection site redness, fever and diarrhea. Rash described as itchy, generally distributed fine papules, improved with antihistamine. Symptoms slightly improved after 4 days but still present. Advised to contact PCP for evaluation

Other Meds:

Current Illness:

ID: 1035710
Sex: F
Age: 54
State: PA

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

Lab Data:

Allergies: Augmentin Peaches

Symptoms: Arm is stiff and injection site feels burny but it is not red.

Other Meds: Esta-Vive, Calm Day, Vesicare, Metformim, Jardiance, Nexium, Vitamin D, Glipizide, Piglochtan(s)

Current Illness:

ID: 1035711
Sex: F
Age: 64
State: VA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: N/A

Allergies: As a child, allergic to sulfa drugs. No other allergies known (except for general, minimal allergies to dust, cat hair, etc.)

Symptoms: Sat, Feb. 13, 2nd day after shot: during the afternoon arthritis pain intensified and Tylenol Extra Strength for Arthritis did not alleviate it, which it always has in the past. Later sometime in the middle of the night, I wasn't able to fall asleep as if I'd had a stimulant, and had intense arm pain where shot given, some nausea, some intestinal discomfort, intense pain at temples and behind eyes, overall "crappy" feeling. Sun., Feb 14, 3rd day after shot: Pains/symptoms same as above with the addition of a low grade fever (99.9), chills, fatigue, no appetite. Tylenol didn't help. Was able to drift in and out of light sleep. Later in the day, fever and majority of symptoms suddenly "left", gradually decreasing until I felt fine again by Sunday evening. No issues Monday, Feb. 15.

Other Meds: 1 dose full spectrum cbd tincture (30mg cbd/dose) for arthritis pain (1 dose in morning, 1 dose in evening before bed)

Current Illness: None.

ID: 1035712
Sex: F
Age: 71
State: TN

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: N/A

Allergies: no

Symptoms: Moderna Arm. Rash and redness at site of shot. Itch. Active 3 days. Still a little red but no itch a week later.

Other Meds: anastrozole lisinophril atorvastatin D2 weekly B shot monthly co q 10, OTC 200

Current Illness: no

ID: 1035713
Sex: F
Age: 61
State: NY

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

Lab Data: None.

Allergies: Chicken, Fluoride, Augmentin & Cipro

Symptoms: The right side of my face has gone numb as if I had a dentist's injection. Started the same evening as the vaccination. Includes even the ear.

Other Meds: Letrozole, Welbutrin, Sertraline, Medical CBD, Vitamin D

Current Illness: Lymphadema (other side)

ID: 1035714
Sex: F
Age: 58
State: NY

Vax Date: 01/28/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On February 10,2021 the upper part of my back, right by my shoulder blade was really itchy. Later I noticed a bump and I thought it was a bite. The next day 2 more bumps appeared near my right armpit and they were itchy too. The next day the very top of my right breast was itchy and by the next morning there was a small area covered by a raised red rash there. I went to the doctors on the 15th and she diagnosed me with shingles. Before I left my appointment I asked her whether it was okay for me to get my second covid vaccine shot. She didn't know I had gotten the first one. Once I told her that, she said she now didn't know if my symptoms were shingles or a reaction from the vaccine. I still have the bumps and rash 2/17 and there are a little uncomfortable but I am not taking anything for it.

Other Meds: Levothyroxine, vitamin D, citracal, Zinc

Current Illness:

ID: 1035715
Sex: M
Age: 78
State: MA

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Iodine contrast media

Symptoms: rash face, scalp

Other Meds:

Current Illness: CAD, HTN

ID: 1035716
Sex: F
Age: 24
State: TX

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Rash on arm where the vaccine was injected. Also known as COVID arm - delayed cutaneous hypersensitivity

Other Meds: Sronyx - Birth Control Albuterol Sulfate - 2 pumps as needed for exercise Escitalopram - Lexapro - 10MG daily

Current Illness: N/A

ID: 1035717
Sex: F
Age: 40
State: NH

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: NSAIDS, Aspirin, Penicillin

Symptoms: Day after vaccine I had a sore arm for 2 days and it went away. Then 8 days later I noticed a red rash the size of a silver dollar on and around the injection site. It was slightly itchy and you could feed a bump under the skin. It is now 4 days later and the bump has decreased but there is a slight rash still there. It seems to be getting better.

Other Meds: Omeprozole 20mg, metformin 750mg

Current Illness: None

ID: 1035718
Sex: F
Age: 31
State: MD

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

Lab Data: Awaiting doctors orders.

Allergies: Ciprofloxin, animal dander, dust mites, pollen, hydrangeas, perfume, certain animal saliva, cat litter, dogs, cats, horses

Symptoms: Immediate soreness around the injection site and mild pain radiating down right arm. Slowly over time, pain began to worsen and expand down into fingertips, down side and up my neck. By 5pm, experienced severe shooting pain up and down right side, left arm and inability to move neck to the right. Severe tightness of neck muscles, back and arm on right side making movement difficult. Diarrhea, mild confusion, increased heart rate, body aches strong enough to release urinary muscles, chills, and headache. Pain level 8/10. Morning after (almost 24hrs past injection) still shooting pain down both arms, tightness in neck, arm and back, shooting pain down right side to all extremities, nausea, and headache.

Other Meds: None

Current Illness: None

ID: 1035719
Sex: M
Age: 29
State: NY

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: 1737 BP 76/49 HR 91 100% on RA 1739 BP 85/51 HR 62 100% of 2L02 via NC

Allergies: NO KNOWN ALLERGIES

Symptoms: Patient received the injection at 1734 and was told to wait 15 minutes for monitoring per protocol. Immediately after receiving the injection, the patient became nonverbal with his head tilted back in the chair. NP immediately attempted to re-arouse the patient but was unsuccessful. At approximately 1735 the patient received Epinephrine 0.03 mg. Patient became awake and responsive. patient began screaming he ?could not breathe?. Patient verbalized he had a history anxiety. EMS was contacted and VS were taken. @1745 EMS arrived on scene

Other Meds: N/A

Current Illness: NA

ID: 1035720
Sex: F
Age: 57
State: PA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: Penicillin, Z-pac, gadolinium, MSG, pet dander, and seasonal allergies

Symptoms: It started with a mild headache, a few days later my lymph nodes/glands in my neck were tender and swollen, then nasal drainage/sore throat, now I have deep red hives on my entire body (primarily chest area). I am not sure when the hives started, it is very prevalent today.

Other Meds: Singular and albuterol

Current Illness: Asthma

ID: 1035721
Sex: F
Age: 78
State: WV

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Adverse reactions to vaccines in the past, seasonal allergies

Symptoms: 2-3 days after the vaccine was given she began to get redness on the arm and bullseye itching site. Her doctor told her it looked like covid arm after having the Moderna vaccine. She was advised by the health department health officer to wait an extra week and get her second shot 5 weeks later instead of 4 weeks later. She was using cortisone cream and zyrtec at home and was advised by her family doctor to continue this. She was also informed by the doctor that the bullseye looked lower than it should on the arm based on where the muscle it in the arm.

Other Meds:

Current Illness:

ID: 1035722
Sex: M
Age: 73
State: FL

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

Lab Data: None

Allergies: Dairy, iodine

Symptoms: Day after injection fever, body aches, headache, tired

Other Meds: Citalopram , Atorvastatin, CoQ10, Vitamin B12, Chondroitin

Current Illness: None

ID: 1035723
Sex: M
Age: 76
State: ID

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: 2/3/21 CULTURE, URINE, CULTURE, BLOOD. 2/9/2 VANCO TROUGH 10.8 mcg/ml. 2/6/21 ct head/brain wo contrast, 2/5/21 ct abdomen/pelvis wo contrast, ct angio chest pulmonary w contrast. 2/ 2/10/21 xr punc spinal lumbar dx, xrchest 1v, mr angio/venous head wo cont, mr brain w/wo cont. 2/4/21 us ext lower venous duplex bil.

Allergies: penicillin

Symptoms: FATIGUE, HEADACHE, WEAKNESS ,MUSCLE LOSS IN ARMS AND LEGS, PAIN AND CHILLS, HIGH FEVER

Other Meds: allopurinol 300 mg. atorvastatin 20 mg. losartan 50 mg. metfor metformin 500 mg. aspirin 81 mg. co q-10 200 mg. fish oil 1400mg. omega 3 900 mg.multivitamin men 50+.

Current Illness: rotator cuff repair, basal cell carcinoma right temple, diabet diabetes, prostate cancer w radiation ending on 1/18/2021.

ID: 1035724
Sex: F
Age: 68
State: MI

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: Sulfa, dust, scents, pine,

Symptoms: woke up the night of my vaccine with pain in my left eye and significant itching and tearing. The pain went away in a couple of hours but the itching continued for 3 days. It woke me up from sleep 3 nights in a row. I took Zatidor eyedrops and Allegra with very little improvement. I get similar eye symptoms with seasonal allergies but this was the worse I have ever experienced and was not accompanied by runny nose, sneezing or coughing which I usually get with seasonal allergies and this is not a typical season for my allergies this may be just a coincidence but since I have read that Covid 19 can give similar ocular symptoms I am concerned about my second dose. I got a COvid test 2 days ago (no other symptoms) and do not yet have the results

Other Meds: Novolog Insulin Lantus insulin synthroid Calcium Vitamin D Vitamin B 12 Zinc Vitamin B complex

Current Illness: Latent Autoimmune Diabetes of Adulthood Hashimoto's Thyroiditis Osteoarthritis Vit D deficiency, corrected Vit B12 deficiency, corrected Asthma

ID: 1035725
Sex: M
Age: 74
State: FL

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

Lab Data: N/A

Allergies: None

Symptoms: Vaccine was administered in my right arm, at 1:10 PM. Around 6:00 PM I started to experience sharp pains in the rib cage on my right side. They are not persistent.

Other Meds: Levothyroxen,6 AM every day

Current Illness: None

ID: 1035726
Sex: F
Age: 75
State: NY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, diarrhea, body pain, chills, headache

Other Meds:

Current Illness:

ID: 1035727
Sex: F
Age: 32
State: IL

Vax Date: 01/15/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: 6 negative pregnancy tests at various times

Allergies: Nons

Symptoms: Complete missed period- have never been late or missed a period in my life. Only difference in the month was the vaccine. I track every single month.

Other Meds: None

Current Illness: None

ID: 1035728
Sex: F
Age: 32
State: PA

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: 15 min after injection my arm was tingling, I notified the pharmacist and was cleared to leave. 40 minutes after injection my hands and face went numb, my heart rate elevated for 10 minutes, I was unable to breathe through my nose. 1 hour after injection I regained feeling in my face and hands; my hands shook for 2 hours after.

Other Meds:

Current Illness:

ID: 1035729
Sex: F
Age: 66
State: GA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Soreness left arm at injection site- 12 hours after injection, Ibuprofen taken, resolved 36 hours after injection Low-grade fever 99.9, at 2 am, approximately 14 hours after injection, Ibuprofen taken, resolved 24 hours after injection Chills- at 2 am, approximately 14 hours after injection, Ibuprofen taken, resolved 24 hours after injection Body aches- at 2 am, approximately 14 hours after injection, ibuprofen taken, resolved 24 hours after injection Tiredness - Began approximately 12 hours after injection, lasted approximately 32 hours after injection

Other Meds: Vitamin C; Calcium 600 mg with Vitamin D 2 x/day

Current Illness: None

ID: 1035730
Sex: M
Age: 75
State: UT

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: We are going to find a doctor today. He doesn?t have one. We don?t actually know what to do.

Allergies: None that we know of. He hasn?t taken any prescription meds in 50 years, other than annual flu shot.

Symptoms: Sleep walking with night terrors. When he is awake he thinks the dream is still real. He believes ?they? are trying to kill him. He is terrified. He can?t go to sleep without having the dream. He seems to have had a psychotic break. This is now five nights since the vaccination. This morning at 4AM I found him sleepwalking outside in the snow in only a pair of jeans. No shirt, no shoes. No socks. Barefoot in the snow, waiting to be shot by ?them.?

Other Meds: Fish oil, Acuvision vitamins

Current Illness: None

ID: 1035731
Sex: F
Age: 66
State: MI

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: lacunar stroke confirmed by MRI brain

Allergies: none

Symptoms: acute right lacunar stroke symptom onset 2/14/2021

Other Meds: pantoprazole 40, lisinopril 40, hydrochlorothiazide 12.5, metoprolol succinate 12.5mg, montelukates 10, rosuvastatin 10

Current Illness: hypertension, prediabetes, mild intermittent asthma and seasonal allergies, GERD, hyperlipid

ID: 1035732
Sex: M
Age: 66
State: MD

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

Lab Data:

Allergies: Penicillin

Symptoms: Shivering and stomach pain. Time 10:30 pm 2/16/21 - 5:00 am 2/17/21

Other Meds: Vitamin D

Current Illness: None

ID: 1035733
Sex: F
Age: 68
State: FL

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Penicilin

Symptoms: Rash below injection site, itchy, hot

Other Meds: Calcium Vitamin D Multi-vitamin

Current Illness:

ID: 1035734
Sex: M
Age: 46
State: OR

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

Lab Data: I just sent out a message to my family doctor asking for any test she might want to do, still waiting for her response.

Allergies: None

Symptoms: Got vaccine at 9:41AM on Monday Feb. 15. In the evening of the same day, around 7h30 PM while I was sitting on a table talking to my parents, I had a nosebleed, not very bad, just about 10 drops of blood. I had not had nosebleed for 8 or 10 years before that night. I thought it might be because of the dryness in my house, humidity dropped to 30% from the normal range of 40%-60%. However, last night (Tuesday night) around the same time 7:00pm ~ 7:30pm, I had a nosebleed again while having dinner with my family, a bit less blood dropping this time, but it makes me worried a little bit. Other than the nosebleed, I don't have any other symptoms, the soreness on the injection arm is close to nothing and I usually forgot about it.

Other Meds: Dietary supplements: 1 gummy multi vitamins and 1 capsule of 400u vitamin D3 everyday for more than a year.

Current Illness: No illness.

ID: 1035735
Sex: F
Age: 71
State: CA

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

Lab Data: None

Allergies: No

Symptoms: Large red lesion on arm 2 inches below injection site.

Other Meds: Atorvastatin

Current Illness: None

ID: 1035736
Sex: F
Age: 68
State: NY

Vax Date: 02/05/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Arm was sore after injection but eventually got better in 2 days. Several days later site became very itchy. By the following week, site was very swollen, hot to touch and redness spread around my whole upper arm. I called a pharmacist who advised me to take an antihistime and see a MD next day if not better. I went the next day, and doctor said it was a normal reaction to an injection. I applied ice packs over the next couple of days.

Other Meds: meteporal 25mg daily multivitamin vitamin D calcium pill daily

Current Illness: no

ID: 1035737
Sex: M
Age: 51
State: VT

Vax Date: 12/23/2020
Onset Date: 01/06/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: 2 weeks (+/-) after pain in left hip, as if I had fallen on the ice, and landed on my hip.

Other Meds: Diabetes, controlled by trulicity 1.25Ul every 7 days

Current Illness:

ID: 1035738
Sex: F
Age: 45
State: SC

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: 12 hours after vaccination, i experienced chills, fever, headache and very sore arm. My teeth were chattering and I was shivering. Symptoms last for next 72 hours but were on and off. This happened too when I got my 1st dose.

Other Meds: Levothyroxine, Vit C, Vit A

Current Illness: Had flu like symptoms but negative for flu, step and covid

ID: 1035739
Sex: F
Age: 41
State: FL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Chills, fever 101, muscle aches, headache, nausea

Other Meds: birth control, vitamins, vitamin d

Current Illness: no

ID: 1035740
Sex: F
Age: 43
State: TN

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Covid 19 Binax NEGATIVE Influenza A/B. NEGATIVE

Allergies: Tetanus vaccine

Symptoms: Began with a rash about midnight. No significant pain at injection site. Throughout the night I had chills and nausea. At 6 am on 2/1 I started having nausea and vomiting. Also, the rash that started on my neck went down around armpit and onto torso area. Symptoms were bad days one and two. Day 3 was a bit better but didn?t fully feel normal until day 4 but rash is still slightly present.

Other Meds: Progesterone

Current Illness: No

ID: 1035741
Sex: F
Age: 78
State: VI

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: As above

Allergies: None

Symptoms: Patient reports being in her usual state of good health when she presented for COVID19 Vaccination. She reports onset of diplopia without other symptom approximately 45 minutes after vaccination. Later that night she notes onset of full L eye ptosis which resulted in resolution of the diplopia. She was evaluated by ophthalmology the next day, 2/11, and was referred to the ER where she had a brain CT with no acute changes and unremarkable labs. Treatment with Plavix 75mg was initiated. She was evaluated in my office on 2/16 for persistent ptosis of her L eye and her exam is consistent with isolated third nerve palsy. Diabetes and lipid levels are at target.

Other Meds: Metformin, ECASA, Januvia, glipizide, simvastatin, nifedipine XL, lisinopril-hydrochlorothiazide

Current Illness: None

ID: 1035742
Sex: F
Age: 26
State: NY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: 1/7 vaccination Napped. Woke up to rash over neck and face area. Went to urgent care. Prescribed cortisone cream and allergy meds, Clariten. Hives went away but came back worse onto other extremities. I went to a different urgent care. The Dr. prescribed prednisone and Claritin. 'Delayed hypersensitivity reaction'.

Other Meds: n/a

Current Illness: n/a

ID: 1035743
Sex: F
Age: 53
State: CA

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Shell fish

Symptoms: Vomiting, Dry-heaving, 102.2 temperature, severe headache

Other Meds: Multi - vitamin, calcium pill

Current Illness: None

ID: 1035744
Sex: M
Age: 72
State: NC

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

Lab Data: none

Allergies: niacin: But only when prescription doubled

Symptoms: Woke up to swollen upper lip and face, itching of hands and rash around beltline, abdomen, inner thighs and groin. Taking Benadryl.

Other Meds: None

Current Illness: None

ID: 1035745
Sex: F
Age: 81
State: MI

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: mild seasonal

Symptoms: 2/13/21 None 2/14/21 Late morning, body aches, chills, fever (101.8) Tylenol, 12 hours. symptoms gone morning 2/15 2/15 evening checked injection site, pressure sensitive, warm slightly swollen large red area, cool wet compress, no temp 2/16 same as 2/15, took antihistamine 25mg, informed primary physician 2/17 better, spot that looks like a permanent injection spot. no temp, waiting for doctor reply

Other Meds:

Current Illness:

ID: 1035746
Sex: F
Age: 53
State: IA

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Erythromycin

Symptoms: Large Red are with large blister that broke open. Went to doctor on Feb 16th 2021 Was put on Cephalexin 500MG 3 x daily for 10 days and Mupirocin 2% 3 x daily for 10 days

Other Meds: Aspirin - Vitamin D-3 - Loratadine 10mg - Multivitamin

Current Illness: none

ID: 1035747
Sex: F
Age: 27
State: SC

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

Lab Data:

Allergies: Augmentin

Symptoms: 9 hours after, experienced extreme headache, pressure on my eyes 12 hours later, extreme chills and body aches, headache 24 hours later chills, aches, and headache 48 hours later, swollen several lymph nodes in left neck

Other Meds: Prenatal Vitamins

Current Illness:

ID: 1035748
Sex: F
Age: 74
State: MI

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: See Above

Allergies:

Symptoms: patient felt funny after shot. EMS was called vitals were taken BP 194/114 BG 143 HR 93. Cardiac Rhythm Disturbance but patient refused additional evaluation and care. Released against medical advice.

Other Meds: Metformin

Current Illness:

ID: 1035754
Sex: U
Age:
State: TX

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: no AE; temperature excursion; dose: 0.5 milliliter; This spontaneous report refers to a patient of unknown age and gender. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On 19-DEC-2020, the patient was vaccinated with improperly stored dose of rotavirus vaccine, live, oral, pentavalent(ROTATEQ), dose: 0.5 milliliter, lot# 1660942, expiry date: 06-FEB-2021 (dose number, route of administration were not provided) for prophylaxis. Administered dose of vaccine experienced the temperature excursion of 31.2 degrees Fahrenheit for 30 minutes. There were no previous excursions related. Data logger was involved. No adverse events were reported.; Sender's Comments: US-009507513-2101USA009961:

Other Meds:

Current Illness:

ID: 1035755
Sex: U
Age: 19
State: TX

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No addittional adverse events reported; Gardasil 9 expired 11/30/2020; This spontaneous report has been received from a medical assistant, concerning a 19 year old patient. The patient's medical history, concurrent conditions and concomitant medications were not provided. On 25-JAN-2021, the patient was vaccinated with an expired dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) 0.5 milliliter, lot # R009614 has been verified to be a valid lot number, expiration date not reported, but upon internal validation established as 30-NOV-2020 (frequency, route and anatomical location were not provided) for prophylaxis with no temperature excursions. No additional adverse events reported.

Other Meds:

Current Illness:

ID: 1035756
Sex: U
Age:
State: MO

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

Lab Data:

Allergies:

Symptoms: No other AE reported; Patient administered PROQUAD that expired; This spontaneous report as received from a nurse refers to a 5-year-old patient of unknown gender. Pertinent medical history, drug reactions, allergies and concomitant medications were not reported. On 01-FEB-2021, the patient was vaccinated with an expired dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live (rHA) (PROQUAD) (lot number: S022916, expiration date: 19-JAN-2021; route of administration was not provided) 0.5 ml. No adverse event was reported.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm