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: 1035857
Sex: M
Age:
State: IN

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

Lab Data:

Allergies:

Symptoms: Patient arrived at Clinic for second dose of Moderna. Patient was checked in by CCMA. Patiient was assigend to a Pfizer bay. RN administered Pfizer vaccine to patient. Patient had provided vaccination card and Pfizer label placed on it. Upon check out it was noticed that patient had received Pfizer as oppossed to receiving his second dose of Moderna. DNP Supervisor was notiifed by RN charge for 2/14. I communicated with patient that there was no need to receive an additional dose of Moderna : that it was not ideal that he received the 2 different vaccines but that it shouldn't be harmful; that the vaccines are similar and that he should receive optimal immunity effacacy.

Other Meds:

Current Illness:

ID: 1035858
Sex: F
Age: 70
State: KS

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

Lab Data: No tests were recommended.

Allergies: None that I am aware of.

Symptoms: The arm the vaccine was given in developed slight tenderness, small bumps, some redness, itches and a has a hard area on or just below the injection site. These conditions did not begin until approximately 10 days after the vaccine. I visited with a nurse at our local health clinic. She, ironically, developed the same symptoms and said hers lasted almost until her second shot. Other than Benadryl cream to alleviate the itching, no treatment was recommended. I have had the above symptoms for five days and although they are slightly improved, they are not gone.

Other Meds: Omeprazole, Metformin, Primidone, Metoprolol XL, Olmesartan, Glimepiride, Atorvastatin, Januvia, low dose aspirin, B12 tablets, monthly B12 shot, Multivitamin

Current Illness: None

ID: 1035859
Sex: M
Age: 30
State: MI

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: seafood

Symptoms: Woke up 2 days post vaccination with hives, was take to urgent care and given steroids

Other Meds: Celexa, Propranolol, Risperidone, levothyroxine, dilantin, desmopressin,

Current Illness: none

ID: 1035860
Sex: F
Age: 61
State: MN

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient's arm at site of injection is inflammed, red, and is itching.

Other Meds:

Current Illness:

ID: 1035861
Sex: M
Age: 78
State: VT

Vax Date: 02/04/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Waiting for my Dr. to call today to go over my shoulder problem, cause and effect of problem.

Allergies: none that I am aware of

Symptoms: Have constant pain in right upper arm shoulder, have taken Ibuprofen 800mg per day reliefs pain for about 12 hours. My arm movement seems to be good and is not painful when I move it. I have to elevate my arm in a sling type position as the day goes on it gets more painful otherwise. I have called my doctor but have not heard back from him, I am expecting him to call me today, so I can get his opinion on what might be wrong with my shoulder. I have my second virus short scheduled for Feb. 25,2021 at 9:30 am at the same place.

Other Meds: glucosomine

Current Illness: none

ID: 1035862
Sex: M
Age: 82
State: MD

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

Lab Data: HR when he stopped walking was 74. When he sat down and continued having a hard time breathing he started panicking a little and his heart rate went up to low 100's but recovered within a minute to WNL of sinus rhythm with occasional paced beats. His pulse ox at that time was 94% but quickly recovered to 97% . BG was 215 and BP was 148/90. Nurse assessment-AAOx3, lungs clear, heart sounds normal, radial pulses +3.

Allergies: shellfish

Symptoms: Pt had initial dose of vaccine 2/13/21 and noticed being short of breath/feeling bad the following day. He did not attend rehab on Monday, 2/15/21, as scheduled 2/2 SOB exhaustion. He did attend today, 2/17/21< but 3 minutes into exercise on treadmill he was unable to continue. He recovered quickly, refused clinic visit, and went home.

Other Meds: tylenol, amiodarone, plavix, colace, jardiance, glimepiride, atorvastatin, losartan, aspirin, lananoprost, levothyroxine, metformin, metoprolol, eliquis, potassium chloride, furosemide

Current Illness: PE 1/19 > elequis

ID: 1035863
Sex: F
Age: 50
State: IA

Vax Date: 01/23/2021
Onset Date: 01/28/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: 2/5/21: CT Angio Chest for PE notable for patchy ground-glass airspace disease bilaterally. Impression: viral pneumonia, no pulmonary embolism 2/5/21: UA negative, blood type A+, blood culture negative, blood gases elevated (pH ven 7.44, HCO3 ven 30 mmol/L, BE-V 6 mmol/L, TCO2 Ven 32 mmol/L) 2/6/21: Negative pregnancy test, negative troponins (<0.01), ESR Auto 39 mm/hr (high), CRP 1.4 mg/dL (high) 2/7/21: CRP 1.2 mg/dL (high), Daily CMPs, CBCs, glucose checks. Glucoses, AST continually elevated. BUN/Creatinine ratio increased towards end of stay. WBC, Hgb, MCHC low throughout.

Allergies: NKDA

Symptoms: Moderna COVID- 19 Vaccine EUA Pt received Dose 1 of Moderna COVID series 1/23/21. Pt developed difficulty breathing, cough, respiratory problems on 1/28/21. Pt tested positive for COVID 2/1/21. Pt had progressively worsening symptoms such as coughing fits which make her feel like she cannot breath until pt presented to ED 2/5/21. Initial pulse ox was 88% on room air. Pt was started on 2 L nasal cannula oxygen. Pt endorsed fever, chils, SOB, minimally productive repetitive harsh cough, diffuse body aches, fatigue, nausea, vomiting, diarrhea, mild generalized abdominal pain, loss of smell, loss of taste, no skin rash. Pt admitted to hospital. 2/6/21: Pt feeling better than day before. States oxygen is helping. Fever resolved. Continues to feel weak and tired. Recieved convalescent plasma in AM. Started remdesivir in PM. Continued on empiric ceftriaxone for bacterial superinfection coverage. Holding off on dexamethasone due to oxygen requirements of 2 L but plan to start if has increased oxygen needs. Enoxaparin started for DVT prophylaxis. Breo continued. 2/7/21: Pt continued to have significant cough. Pt did not like formulary Breo and pt's daughter brought in her home Symbicort for in-hospital use. Cough improved with benzonatate and dextromethorphan. Requiring 1 L of oxygen. Continued remdesivir, enoxaparin, benzonatate, detromethorphan. No evidence of bacterial pneumonia. 2/8/21: Discharged home with Genesis COVID Safe At Home telehealth program.

Other Meds: Aspirin 81 mg PO QD Atorvastatin 20 mg PO QD Budesonide-formoterol 160-4.5 mcg/inh 2 puffs BID Dexlansoprazole 60 mg PO QD Telmisartan 80 mg PO QD

Current Illness:

ID: 1035864
Sex: F
Age: 30
State: TX

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

Lab Data:

Allergies: nsaid

Symptoms: tired, random bruising, fatigue, bone achy

Other Meds: metoprolol

Current Illness:

ID: 1035865
Sex: M
Age: 48
State: MD

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

Lab Data: TBD

Allergies: NKDA

Symptoms: PT received 1st dose 0.5. ML Moderna IM Left Arm at 0900 HRS. PT did not present with any significant medical history or preexisting symptoms before vaccination. PT ambulated under his own power to observation area. Approx 5 minutes into observation patient walked back to vaccination table, asked for water, then postured and fell to the ground. Patient appeared to have a vasovagal or seizure event. PT did not hit their head when falling. PT regained consciousness, recalled the vents leading to the altered level of consciousness, but does not remember losing consciousness. PT evaluated by EMS and transported to local ED for evaluation and treatment.

Other Meds: Unknown

Current Illness: Unknown

Date Died: 02/15/2021

ID: 1035866
Sex: M
Age: 74
State: IL

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Simvastatin Influenza

Symptoms: Pt died on 2/15/21. On 2/13/21, pt complained of muscle aches.

Other Meds: DOXAZOSIN TAB,ORAL 2MG TAKE TWO TABLETS BY MOUTH TWICE A DAY FOR BLOOD PRESSURE DABIGATRAN CAP,ORAL 150MG TAKE ONE CAPSULE BY MOUTH TWICE A DAY LABETALOL TAB 200MG T

Current Illness: None

ID: 1035867
Sex: F
Age: 41
State: OH

Vax Date: 01/23/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Ultrasound, chest CT with contrast, CBC + diff, complete metabolic panel, hypercoag diagnostic panel

Allergies: animal dander and seasonal

Symptoms: Noticed swelling in my left hand around Feb 6th, but by Feb 13th entire left arm was swollen and warm and observed blue/purple skin coloring on upper arm and lower arm was red. Went to ER on Feb 15th, and ultrasound revealed a blood clot near the junction of the subclavian vein and cephalic veins. Diagnosis was idiopathic subclavian deep vein thrombosis (DVT). Started on enoxaparin and warfarin on Feb 15th. Referred to hematology and coumadin clinic to monitor INR.

Other Meds: buspirone, fluoxetine, alprazolam

Current Illness: None

ID: 1035868
Sex: M
Age: 66
State: NY

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

Lab Data: Uric acid test

Allergies: None

Symptoms: Severe gout attack in all toes, both feet and both knees

Other Meds: Blood pressure meds

Current Illness: Cellulitis

ID: 1035869
Sex: M
Age: 35
State: NY

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

Lab Data:

Allergies: None

Symptoms: Sore arm and mild rash at location of injection for 2-3 days after receiving vaccine.

Other Meds: None

Current Illness: None

ID: 1035870
Sex: M
Age: 75
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: horse tetanus vaccine

Symptoms: Raised red rash over trunk, arms and legs. Itching and hives. Began Wednesday evening, still red and itching a week later, but is getting less.

Other Meds: Levothyroxine, Diltiazem, Lisinopril, Fish Oil, OTC vitamins, Biotin, Lotrimin Ultra, Hydrocortisone Cream USP, 2.5%

Current Illness: none

ID: 1035871
Sex: F
Age: 74
State: FL

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

Lab Data: NONE

Allergies: ASPIRIN, PENICILLIN, SULFA, NSAIDS

Symptoms: LARGE RED SWOLLEN ITCHY HOT AREA AT INJECTION SITE. STARTED VERY SMALL BUT GETTING LARGER BY THE HOUR. TODAY IS FIRST DAY OF THE REACTION. IT IS THE 9TH DAY AFTER THE DAY OF THE INJECTION.

Other Meds: ROSUVASTATIN (CRESTOR), CITRACAL, VITAMIN D3, CULTURELLE, BIOTIN, MAGNESIUM

Current Illness: NONE

Date Died: 02/12/2021

ID: 1035872
Sex: M
Age: 83
State: TX

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

Lab Data:

Allergies: Penicillin

Symptoms: Patient was found unresponsive at 8 am on 2/12; patient was deceased

Other Meds: None

Current Illness: None

ID: 1035873
Sex: F
Age: 90
State: FL

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: alendronate (GI upset, shortness of breath), gabapentin (dizziness), pregabalin (hallucinations), opiates (altered mental status), synthroid (intolerance)

Symptoms: 2 days after vaccination in left deltoid, patient developed erythema, swelling, and firmness circumferentially proximal to elbow and distal to, but sparing, the injection site. She felt mild pruritis and tingling sensation. 4 days after vaccine, she felt nausea without emesis. No throat closing, shortness of breath, chest pain, fevers change in arm's range of motion or strength. Likely represents hematoma (patient is on anticoagulation) vs local injection site reaction.

Other Meds: Amlodipine, levothyroxine, atorvastatin, lisinopril, amiodarone, apixaban, albuterol

Current Illness: None

ID: 1035874
Sex: F
Age: 67
State: IN

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Pencillin itching in 1977

Symptoms: within 24 hours spiked fever,chills........48 hours stomach nausea......9 days post of 2nd vaccination started itching from neck down, chest sides, stomach. Severe itching abdomen and sides with no rash. Had to go seek medical treatment. steroids and antihistime. Doctor diagnosis as unknown or allergic response to possible covid moderna vaccine.

Other Meds: Calicum chew tablets Miralax laxative

Current Illness: Sinus/cold symptom one week prior. Tested for covid at that time. Negative.

ID: 1035875
Sex: F
Age: 63
State: AL

Vax Date: 02/04/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Got a rash on arm that itches at injection site 12 days after receiving vaccine

Other Meds: Linsinpril, metformin, generic plavix, ezetimin genric crestor, low dose aspirin, zinc, vitamin c, vitamin D3, plant based enzyme

Current Illness: None

ID: 1035876
Sex: F
Age: 75
State: MA

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

Lab Data:

Allergies: hay fever, seasonal allergies

Symptoms: extreme body aches and fatigue, particularly back and sciatica pain, @ 36 hours

Other Meds: 25mcg L-Throxine, 1mg melatonin, 1000mg C, 1200mg calcium, 50mg zinc

Current Illness: N/A

ID: 1035877
Sex: F
Age: 33
State:

Vax Date: 01/23/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: stroke 2/13/2021

Other Meds: birth control

Current Illness:

Date Died: 02/15/2021

ID: 1035878
Sex: M
Age: 88
State: MO

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Daughter called to report that the patient died on 02/15/2021. No report of symptoms from the vaccine on 02/13/2021

Other Meds: Aspirin, Atorvastatin

Current Illness: AIED; CHF; Type 2 DM; HTN; Chronic Renal Failure; Lung CA

ID: 1035879
Sex: F
Age: 28
State: MI

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

Lab Data: SEE ABOVE

Allergies:

Symptoms: 28 YEAR OLD FEMALE COMPLAINED OF WEAKNESS. ONSITE EMS AND PHYSICIAN REQUESTED. BP 102/65 GLUCOSE 92MG/DL O2 100% ON ROOM AIR. SHE WAS RELEASED AGAINST MEDICAL ADVISE.

Other Meds:

Current Illness:

ID: 1035880
Sex: F
Age: 70
State: NH

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About 7-9 days after the shot my arm was a little swollen and then a big round red patch appeared (about 4 inches in diameter) where the shot was. It was a little itchy. The red spot is almost gone (2/17/21).

Other Meds:

Current Illness:

ID: 1035881
Sex: F
Age: 63
State: NC

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: All cow's milk products

Symptoms: Red circle at injection site the size of a tennis ball, lasted for 2 weeks. Became covid positive after 1 week.

Other Meds: Atorvastatin, clopidogrel, amlodipine, baby aspirin

Current Illness: None

ID: 1035882
Sex: F
Age: 92
State: SC

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Axid, Darvocet,Tylox,Septra,Anaprox, Fosamax, Macrobid

Symptoms: Starting Sat. Jan. 30 I was dizzy almost every morning when I first sat up on the edge of my bed. Dizziness stronger sometimes than other. Dizziness lasted 10 to 20 seconds. Sometimes when I lie down at night I have this dizziness. I called specialist office and a man called me back and told me to check blood pressure but I couldn't get blood pressure cuff to work.

Other Meds: Eliquis, Lasix, Vesicare, Mesalamine,Metoprolol, EntrestoBiotin, Vitamin D3

Current Illness: none

ID: 1035883
Sex: F
Age: 45
State: IA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Throat and mouth "feels funny" following injection of Covid vaccine approx 1717. Slight chest burning. Patient ambulated. Drinking water without diffuculty. Patient states tongue "feels funny" after getting covid vaccine. Patient states within minutes after the injection her tongue began to feel funny. She denies oral/lip swelling, numbness/tingling, difficulty swallowing, drooling, headache, nausea/vomiting, chest pain, shortness of breath. She also states her chest was burning just after receiving the vaccination however that has since resolved. No palpitations or syncope. No recent illness. No history of adverse reaction to vaccines. No known food/medication allergies. Patient is sitting comfortably on the exam table drinking water without difficulty. Patient states at this time her mouth feels better but "does not feel normal." Patient states she has a history of mitochondrial myopathy and has some esophageal motilty issues at baseline. 1808: patient was given diphenhyramine 25 mg PO x 1. She reports mild improvement in symptoms. No headache, dizziness, nausea, oral edema, difficulty swallowing, chest pain, shortness of breath. 1830: patient states symptoms have resolved. She is sitting comfortably in the chair. No signs of distress. She states she thinks she got too anxious. No headache, dizziness, nausea, oral edema, difficulty swallowing, chest pain, shortness of breath. Patient states she feels comfortable leaving at this time. Discussed ED precautions. Patient verbalized understanding. Advised patient to follow up with her PCP to discuss second dose of covid vaccine. 1/15/21: Pt received 2nd dose of vaccine. About 10 minutes after, pt developed a rash at injeciton side. Rash spread up chest and onto back. Pt was taken to convenient care for further evaluation. At convenient care, pt stated she had no difficulty breathing but that something just didn't feel right. Rash spread to right arm and started to itch. Pt endorsed experiencing throat/tongue swelling but did not think it was closing off or actualy swelling. Pt received epinephrine 0.3 mg IM x 1 and diphenhydramine 25 mg IM x 1. After treatment and about 1.25 hours of monitoring, pt felt well enough to go home. Pt was prescribed epinephrine 0.3 mg IM 2-pak kit. 1/15/21: Pt received 2nd dose of COVID vaccine and develped rash. Pt received epinephrine 0.3 mg IM x 1 and diphenhydramine 25 mg IM x 1. Discharged to home after treatment and monitoring with prescription for epinephrine 0.3 mg IM 2-pak kit.

Other Meds: Augmentin 875 mg-125 mg 1 tab PO BID Junel Fe 1/20 tab PO QD L-Carnitine 250 mg cap PO QD Metoprolol tartrate 25 mg tab PO QD Miralax 17 gm PO QD Montelukast 10 mg tab PO QD Multivitamin 1 tab PO Daily Pantoprazole DR 40 mg oral tab PO QD U

Current Illness:

ID: 1035884
Sex: F
Age: 45
State: MN

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: On February 1, 2021 after getting my second dose of Moderna on 1/27/2021 I broke out with a red, hot, raised, itchy rash at the site of injection. It was approximately 3 inches long by 3 inches wide. This rash lasted for about five days until completely gone. The first two days the rash was very itchy and when my clothing touched the rash it irritated more. I took Benadryl to relieve the itching. This seemed to help greatly. After the first two days I didn't have to take the Benadryl the itching was tolerable. By the fourth and fifth day I cold barely notice the rash anymore. I didn't need to be seen for this as it went away on its on.

Other Meds: omeprazole, Topamax, Phentermine, Welbutrin

Current Illness: NA

ID: 1035885
Sex: F
Age: 53
State: NJ

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

Lab Data: None

Allergies: Avocado, latex

Symptoms: fever (Tmax 102.3), chills, body aches, shoulder pain, neck swelling/lymphadenopathy ipsilateral to injection site

Other Meds: clobetasol ointment (0.05%, topical), desoximetasone ointment (0.25%, topical)

Current Illness: None

ID: 1035886
Sex: M
Age: 19
State: VA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Covid rapid test,Antigen test(results negative test)

Allergies: Seasonal allergies

Symptoms: I exp chills low grade fever not to exceed 100, fatigue and body aches.I also had a cough that developed after the first dose.

Other Meds: Metoprolol, Prozac fluoxetine

Current Illness: Pots

ID: 1035887
Sex: F
Age: 46
State: CA

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: 1 week after getting the vaccine, the site of the injection has swelled and there is an about 2 inch, red circle formed around the injection site. The area is very itchy and sore. Prior to this, I had no other symptoms from the vaccine.

Other Meds: Vitamins C, B12, D and Zinc

Current Illness: None

ID: 1035888
Sex: F
Age: 19
State: WI

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

Lab Data:

Allergies: None

Symptoms: Full body Hives started 2 days after receiving vaccine, doctor determined vaccine was the cause. Extremely itchy patches in all of the warm places on the body. Was prescribed with an anti-itch pill and an antihistamine.

Other Meds: None

Current Illness: None

ID: 1035889
Sex: M
Age: 75
State: IA

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

Lab Data: none

Allergies: sulfa and penicillin

Symptoms: Woke up at 2 am with chills and body ache. stayed in bed and took tylonal . felt better on Wednesday 2/10/21

Other Meds: alloperional, 81 mg asprin,lipitor 10 mg, vitimim d and multi- vitimin

Current Illness: none

ID: 1035890
Sex: M
Age: 30
State: OH

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Body broke out in extremely itchy rash in armpits, hips, butt, obliques and legs. Hands and fingers also developed small irritated and itchy blisters. Mouth also developed sores on tongue and inside of lips. In addition feelings of achiness and fatigue. Visited dermatologist on 2/16/21 and was prescribed prednisone, prescription cortisol and hydroxyzin. Some improvement seem in 24 hours since then. Dermatologist was unable to determine source of rash and reaction, thought could be related to vaccine. Follow up phone call scheduled for 2/19/21

Other Meds: N/A

Current Illness: N/A

ID: 1035892
Sex: F
Age: 74
State: IN

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

Lab Data:

Allergies:

Symptoms: I put today's date as the onset of this reaction because it is the first day I actually looked in the mirror at the injection site. I have been wearing layered clothing. There was a large (about 3" diameter) pink spot around the point of injection. I suspect this slightly raised pink spot has been there since Feb. 10, I only noticed it today. My arm is not sore, the pink spot is slightly raised and not warm to the touch. It doesn't concern me at all, however, I received a text from HD asking if I had any side effects, so I decided to respond.

Other Meds: Blood pressure medication Cholesterol lowering medication Osteopenia medication Women's daily vitamin Preservision Areds2

Current Illness:

ID: 1035893
Sex: F
Age: 80
State: CT

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

Lab Data: no tests done in bed all day

Allergies: indison tlylox mirbid

Symptoms: next day woke up with fever 104 headache diaherra tickle or cough arm site red and sore no apperite and wanted to just sleep temp all day run between 101 to 104

Other Meds: furosemide flecainide lsynthroideliquis syrtec

Current Illness:

ID: 1035894
Sex: F
Age: 42
State: WI

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

Lab Data:

Allergies: NKDA or food allergies. Environmental allergies.

Symptoms: Developed red rash just below injection site two days after vaccine, second dose. Per current side effect information, this can occur after the first dose, not the second. Rash is currently ongoing.

Other Meds: Fish oil, turmeric, niacin, vitamin D, loratadine, levothyroxine, Lexapro, fenofibrate

Current Illness: None

ID: 1035895
Sex: F
Age: 37
State: IA

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Lactose - nausea, constipation Glutens - vomiting

Symptoms: Received COVID vaccine on Saturday 1/2/2021. Originally was about the size of a quarter (was also hot and red) but by evening had increased to size of a half dollar. on Monday, Tuesday, and Wednesday the spot was the size of a palm and was bright red and hot. Patient appplied ice and took diphenhyramine thorughout. Her last dose of diphenhydramine was 1/5/2021 evening. She reported on 1/6/2021 since reaction had not resolved. At integumentary exam: Right, Arm, TTP at the inferior aspect of the R deltoid muscle. Unremarkable temperature change of area of concern compared to the other areas of her R arm or to her L arm. Pt had a photo on her phone that showed redness at the deltoid area, where she demarcated it, and compared to today it has significantly improved, and close to her flesh tone. No drainage present or lumps felt. Not erythematous. Pt advised to monitor changes of R deltoid area and note if redness returns, notified that cellulitis was not present at time of exam. Instructed pt to use APAP, ice, and diphenhyramine PRN. 1/29/2021: Pt received 2nd dose of vaccine with no issue.

Other Meds: Albuterol 90 mcg/inh, 2 puffs QID PRN Albuterol 0.083% nebs Q6h PRN Cacium 50 + D 1 tab PO BID Dicofenac 1% topical gel 2 gm QID Butalbital-APAP-caffeine 50-325-40 PO PRN Meclizine 25 mg PO TID PRN Meloxicam 15 mg PO QD Sumatriptan 50 mg PO

Current Illness:

ID: 1035896
Sex: F
Age: 44
State: IN

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

Lab Data:

Allergies:

Symptoms: 2nd dose Moderna 2/12/21 1517 C/o fast heart rate, SOB, ?different? at 1523 Taken to ED

Other Meds:

Current Illness:

Date Died: 02/07/2021

ID: 1035897
Sex: F
Age: 78
State: NE

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

Lab Data: N/A

Allergies: Jardiance: Caused a yeast injection

Symptoms: Patient received her vaccine on 2/2/2021 in the morning. She was observed for over 15 minutes and had no history of any anaphylactic reaction of any sort. She felt fine and went home. 2/15/2021 we were notified by her family that she had passed away on 2/7/2021 at home. The cause of death was stated as myocardial infarct secondary to coronary artery disease. We do not think it had to do with the vaccine administration. The patient had many comorbidities.

Other Meds: Xarelto (20MG Tablet, 1 (one) Oral daily, Taken starting 09/18/2020) Active. Spironolactone (25MG Tablet, 1 tab Oral daily, Taken starting 01/08/2021) Active. Sertraline HCl (100MG Tablet, 1 tab Oral daily, Taken starting 12/28/2020) Act

Current Illness: Acute chronic diastolic CHF exacerbation one month prior One oxygen for stage IV COPD

ID: 1035898
Sex: F
Age: 67
State: FL

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

Lab Data:

Allergies: Opiates

Symptoms: Fatigue Soreness in arm, leg and opposite hand

Other Meds: Multi vitamin Vitamin C Zirtec Flonaise Magnesium

Current Illness:

ID: 1035899
Sex: F
Age: 34
State: MI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: See Above

Allergies: Allergy status to other drugs, medicaments and biological subs

Symptoms: Patient felt funny after shot. EMS was called vitals were taken BP 140/72 100% O2 room air HR 98. General Malaise unknown cause patient refused evaluation/care . Released against medical advice.

Other Meds: Xanax Pill

Current Illness:

ID: 1035900
Sex: F
Age: 72
State: FL

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

Lab Data:

Allergies: NO

Symptoms: pt stood up on her own after receiving Moderna vaccine and lost consciousness for approximately 5 minutes. EMS was called and pt monitored. pt was breathing on her own. EMS evaluated and decided pt did not need further monitoring or care and left pt to travel home on her own. pt left pharmacy with escort to her vehicle

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1035901
Sex: M
Age: 1
State: OH

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

Lab Data:

Allergies: NKDA

Symptoms: Patient was given adult dose of Hepatitis A vaccine - no adverse reaction occurred

Other Meds: none

Current Illness: n/a

ID: 1035902
Sex: F
Age: 48
State: NJ

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

Lab Data: EKG -- results normal temperature - none when tested for vertigo - sitting up and laying down certain way it came up as positional vertigo on right side

Allergies: none dust mold seasonal

Symptoms: After getting 2nd Pfizer COVID 19 Vaccine, late that night I became achey, sore arm , tired and intense headache on February 10th. The next day and until Sunday of same week I was tired with intense headache. The headache didn't subside even with taking something for it. February 16th I returned to work and felt better with a light headache. I am a teacher. After 2 hours of being at work I became extremely dizzy as I went to sit down. The classroom flipped and I was dizzy. I was dizzy and had a hard time with balance. Another teacher took me home. I went to Patient First and they said I had positional vertigo.

Other Meds: Levothyroxine Allegra D

Current Illness: none

ID: 1035903
Sex: F
Age: 77
State:

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

Lab Data:

Allergies:

Symptoms: Pt's paperwork for her vaccine appointment showed Pfizer as a first dose. After pt rec'd her vaccine she stated she knew her paperwork was incorrect and stated "you can't take it back now and nothing was going to stop me from getting my vaccine." She then produced a vaccination record from a different location with Moderna as a first dose. She also stated that she spoke to someone and was told it was ok to receive Pfizer as a second dose. There was no documentation of a call where she was told it was ok to receive Pfizer instead of Moderna. She also stated she was going to return for her second Pfizer dose. There was no reaction or medical issue after pt received her vaccine and was sent home in no apparent distress.

Other Meds:

Current Illness:

ID: 1035904
Sex: F
Age: 84
State: TX

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

Lab Data:

Allergies:

Symptoms: Weakness, fall, nausea, unable to consume food or liquids all day

Other Meds:

Current Illness:

ID: 1035905
Sex: F
Age: 30
State: KS

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

Lab Data:

Allergies: none

Symptoms: soreness in injection arm, stomach felt sick the next morning for a couple hours, possible headache from it

Other Meds: sertraline, birth control

Current Illness: none

ID: 1035906
Sex: M
Age: 72
State: CA

Vax Date: 01/28/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Beginning 8 days after vaccination: fatigue, unable to do normal activities, decreased appetite, increase in normally well-controlled GERD, muscle and joint pain (much more than my typical connective tissue disease), feeling cold. Still present 6 days after symptoms began,.

Other Meds: Dexilant, famotidine, sulfasalazine, azathioprine, leflunomide, diltiazem, aspirin, vitamin D3, melatonin, ubiquinol, fiber supplement, budesonide/fomterol inhaler

Current Illness: non-specific interstitial pneumonitis

ID: 1035907
Sex: F
Age: 48
State: NY

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

Lab Data: Blood test from 02/09/2021 -Platelet count of 22 (Thousand/uL) = Low -MPV 12.9 = High

Allergies: None

Symptoms: Red blister rash all over body and head, bleeding on scalp and gums, and extremely easy bruising. Period longer and heavier bleeding. When symptoms had not resolved one week after appearing, went in-person to GP. Blood test revealed extremely low platelet count. Hematologist consulted diagnosed Immune Thrombocytopenia (Immunte Thrombocytopenic Purpura) or ITP.

Other Meds: Magnesium Supplement Vitamin B12 Supplement Vitamin D Supplement NOW Super Cortisol Support Supplement

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm