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: 1035959
Sex: F
Age: 46
State: WV

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

Lab Data:

Allergies: None

Symptoms: Fever, chills, muscle pain, unable to swallow solid food and headache for 48 hours. Large rectangle red rash that is warm to touch surrounding injection site appearing at 48 hours and is still present 5 days after injection.

Other Meds: None

Current Illness: None

ID: 1035960
Sex: F
Age: 80
State: KY

Vax Date: 02/03/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: SULFA DRUGS, NORAGENIC, GREEN BEANS, SQUASH, PEARS , GRASS, CATS AND DOGS

Symptoms: PATIENT'S ARM BECAME RED AND SWOLLEN AND HARD TO TOUCH 4 INCHES TOP TO BOTTOM. Patient took motrin to alleviate swelling and redness.

Other Meds: SYNTHROID,PROTONIX,VITAMIN D FISH OIL, CALCIUM VITAMIN C,TUMERIC CAP, MULT VIT. ZYRTEC

Current Illness: NONE

ID: 1035961
Sex: F
Age: 72
State: TX

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

Lab Data: no

Allergies: Bees Versed Beta Backers ACE Inhibitors Levaquin food additives

Symptoms: on 01/09/2021 I had an immediate reaction with an itchy rash all over my body that lasted 3 days. I controlled it with Benadryl and ranitidine. on 01/30/2021 I took Benadryl before getting this dose and I had a lenticular rash from the chest up for 1 days.

Other Meds: benadryl norvasc levothyroxine Bu prion HCL

Current Illness: no

ID: 1035962
Sex: F
Age: 58
State: MN

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

Lab Data: EMT called nothing was noted as off. Bp good heart rate good, reflex good.

Allergies:

Symptoms: The morning after 2nd dose of Pfizer. I was weak and actually couldn't get my legs to go forward they gave out and I was on the floor unable to get back up on my own without staff assistance. I was very sweaty very dizzy and disorientated. not knowing who was around me. I had pain at injection site, no headache no body pain. Very tired slept took tylonal.

Other Meds: trileptal, omeprazole, Invega 6mg, Lamotrigine, clonazepam,

Current Illness: kidney stones

ID: 1035963
Sex: M
Age: 68
State: IL

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

Lab Data:

Allergies: Sulfodene causes extreme blistering over entire body. Corticosteroids causes tachycardia and hiccups lasting days.

Symptoms: Metallic taste in mouth. Tastes similar to aspirin. Tingling feeling on lips that has a numbing slight burning effect. Total body itches. Pain in entire left arm like it has been punched at about a level 4/10 ain.

Other Meds: Clopidigrel Toujeo metformin metrlpolol b12 b6. CoQ10

Current Illness:

ID: 1035964
Sex: F
Age: 80
State: NC

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

Lab Data: None

Allergies: none known

Symptoms: Suddenly this morning, 13 days after receiving the first Covid Moderna vaccine - my arm is red and feverish at injection site. In the meantime starting Sunday, Feb. 14th, I had pain in right chest and right upper back, that I contributed to making a wrong move and straining muscles. The back pain is better, but I still have it when I reach high , move wrong, or take a deep breath.

Other Meds: daily:metropolol, aspirin 81mg, pravastatin, vitamin D3, famotodine, probiotic and monthly: ibandronate sodium 150mg. Please note that monthly dose of ibandronate sodium was taken at 7 AM on 2/17/21 - the same day reaction occurred

Current Illness: no illnesses. prior to this incident - on Sunday, Feb. 14 I started having pain in right chest through to right back which has continued for 3 days. I took tylenol 500mg for this discomfort including one at 8 AM this morning.

ID: 1035965
Sex: F
Age: 42
State: FL

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

Lab Data: None.

Allergies: Wool - True Allergy/Anaphylactic; Sensitivity only to: PCN; Adverse reactions to: Vicodin & Codeine - Severe dizziness and nausea Trazodone - Flu-like symptoms

Symptoms: Woke up early in the am on 2/13/21 with extreme chills, muscle aches, and joint pain. Did not check temperature at that time but took 800 mg of Advil due to the severity of the symptoms and went back to sleep. Woke up from nightmares x 2 throughout the night that I was being physically hurt. When I woke up I was crying and realized both times I was still having muscle and joint pain. Finally got up around 1100 in pain still. Calves, thighs, deltoids, triceps bilaterally had severe aching and soreness. Joints hurt generalized. Even my fingers on both hands hurt. I took 800 mg of Advil and 2 Tylenol 500 mg. After about an hour and a half went by and I finally felt my pain ease up, I did check my temp. It was 100.9 after the med dosing. I kept having to continue to take these meds throughout the day and slept the whole day. I did not get up until about 5 pm. Then went back to sleep at around 1100 pm. The next day, on 2/14/21, I seemed better but toward the end of the day I got a sore throat. The following day, on 2/15/21, I was very fatigued throughout the day. I did not feel better until 2/16/21.

Other Meds: AM: Lexapro 20 mg, Toprol XL 25 mg, Biotin 10,000 mcg, Collagen Supplement, ASA 81 mg, Zyrtec 10 mg, MVI, Fiber supplement PM: Xanax 12.5 mg, Crestor 5 mg, Ambien 5 mg

Current Illness: None.

ID: 1035966
Sex: F
Age: 56
State: CA

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

Lab Data: none

Allergies: none

Symptoms: After about an hour I had extreme stomach upset and sudden, uncontrollable diarrhea (similar to food poisoning, but without the intestinal pain or vomiting). I had flu like symptoms following this for about 24 hours

Other Meds: none

Current Illness: none

ID: 1035967
Sex: F
Age: 70
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Today, 2/17/2021, a small rash around the I head toon site area appeared. No sorry was must red rash.

Other Meds: Valsartan, Rosuvastatin, Low dose aspirin, fish oil, probiotics, lutein, Vit D3

Current Illness: None

ID: 1035968
Sex: F
Age: 73
State: NE

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Cipro

Symptoms: 8 days after vaccine arm became red, itchy, hot and sore. I had a head ache and body aches. Called doctor the second day of reaction and was prescribed Zyrtec , Benadryl and steroid cream. Within 24 hours significantly better. Redness , soreness and itch mostly gone. No headache or body aches as well

Other Meds: Trazodine 50mg, Levothyrixine .088mg, vitamin C, zinc, calcium, centrism silver, cosamin, vitamin D3

Current Illness: None

ID: 1035969
Sex: M
Age: 87
State: NY

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data:

Allergies: NKDA

Symptoms: Severe left sided chest and back pain

Other Meds:

Current Illness:

ID: 1035970
Sex: F
Age: 73
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None, physician did not see her.

Allergies: No Known Allergies

Symptoms: Approximately 12 hours after vaccination pain and slight stiffness was noticed in the right upper arm. No after vaccination treatment was received according to report from client. Shoulder stiffness progressed for the next 2 and 1/2 - 3 days after vaccination resulting in limited mobility, client unable to raise her arm. Client called her physician who advised her to call the HD which she did 2/16/21 at 4:50pm. Client reports having no other symptoms after vaccination and is applying (Icy Hot) patch to shoulder area which seems to be improving her mobility. she is able to raise her right arm and the soreness is improving. Client stated she would call her physician if she does not continue to improve and is agreeable to a call next week to see how she is progressing in her recovery.

Other Meds: Rosuvastatin 20 mg daily Glucosamine/Chondroitin 500/400 daily Hydrochlorothiazide 25mg daily Fish Oil 1200 X 2 capsules daily Vitamin D daily 630 mg daily Vitamin E daily Multivitamin daily Aspirin 81mg daily

Current Illness: None

ID: 1035971
Sex: F
Age: 91
State: IL

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

Lab Data: None

Allergies: Penicillin, Sulfa

Symptoms: Dementia was on a slow progression over the past 12 years. Since the injection, the progression has accelerated dramatically with a loss of reality. Saying she is doing things that she is not or saying that she has done something that never occurred.

Other Meds: Numerous

Current Illness:

ID: 1035972
Sex: F
Age: 58
State: PA

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

Lab Data: none

Allergies: none

Symptoms: Lip tingling

Other Meds: unknown

Current Illness: none

ID: 1035973
Sex: M
Age: 42
State: AL

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

Lab Data: N/A

Allergies: N/A

Symptoms: It cause me to have three blisters on my left shoulder. When I remove the band-aid , I notice that my pieces of my skin were removed as well. There was still one blister that had not burst yet. The other two had bursted leaving me to have an open sore as though someone had burned my skin. I immediately contacted the facility that administered the shot to me. They then advised me to go to the nearest Urgent care for treatment. Upon my arrival, treated me for the scaring from the Moderna injection. provided with an oniment to be applied daily until the sore/blister is healed.

Other Meds: Breo, Amlodipine 5 MG

Current Illness: N/A

ID: 1035974
Sex: F
Age: 61
State: NE

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

Lab Data: None

Allergies: PCN

Symptoms: 2/2/21: Started with severe chills and initial temp of 100.4. Approximately 45 minutes later, became dizzy & nauseated; temp was up to 101.6. Was laid down at work, evaluated by one of our Providers, provided Tylenol & Zofran and directed to go home; had to call son to drive me home because dizziness had worsened. After getting home, severe chills and development of body aches; remained on the couch rest of the night, using Tylenol for the fever and body aches. Had to call into work the next day (2/3/21) for continued fever, body aches, severe fatigue and chills (less severe); slept most of the day only drinking liquids. Went to work the next day (2/4/21), since temp was down, but still experiencing body aches and fatigue; ended up leaving work early, around 2:00PM because of weakness, slight dizziness and body aches. Rested the remainder of the day and was symptom-free by Friday, 2/1/21.

Other Meds: Atacand, Isosorbide, Protonix, Baby ASA, Januvia, Lipitor, Carvedilol, Linzess, Loratadine, Tylenol

Current Illness:

ID: 1035975
Sex: F
Age: 47
State: KY

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Hay fever, cats No medicines, no foods

Symptoms: Covid Arm. I have had a red circle around the shot spot since the shot on February 5, 2021. As of a few days ago, around February the 14th to 16th, it has become hot and a bit raised, and sometimes itchy. It is about 2-3 inches across, and the skin around it is not hot nor itchy. It is just the red spot that is hot and itchy. I have not had any other symptoms.

Other Meds: Apriso ER 0.375 (2 per day), Dicyclomine 10 MG (1-2 per day), Sertraline HCL 50 MG (1 per day), Pantoprazole SOD DR 40MG (1 per day) One per day-Women's multivitamin, Vitamin D3, Ginger root, Gas prevention (Alpha-galactosidase enzyme), Cl

Current Illness: None

ID: 1035976
Sex: F
Age: 87
State:

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

Lab Data:

Allergies:

Symptoms: Nausea, fatigue, lightheaded, headache

Other Meds:

Current Illness:

ID: 1035977
Sex: F
Age: 41
State: AZ

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

Lab Data: EKG (1/23/2021), Blood work (1/23/2021)

Allergies: Pollen food syndrome. Allergic to sulfa, latex, tomatoes, bananas, oranges, grasses, trees, one mold

Symptoms: Became extremely confused and felt a pressure on my chest. Was not going away after 30 minutes. Vitals were erratic but within normal perimeters. Was sent to the ED to monitor. The second day was washed out and felt sick but nothing else was needed.

Other Meds: vit D, Vit B, Magnesium, collagen, Gabapentin, abilify, lamictal,

Current Illness: migraine

ID: 1035978
Sex: F
Age: 59
State: LA

Vax Date: 02/08/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The patient has redness and swelling at the injection site. Patient reports itching, rough skin and rash. Asked us to palpate/feel the area - feels swollen/knot-like and heat associated with the redness under the skin. She said that it was a delayed response to the vaccine. It did not appear until Sunday afternoon., following her shot which was Monday. She did report to her immunologist and from both the patient and immunologist's opinion that she was still to receive the second shot and just to watch the area for now. She reported that she was going to take Benadryl and use hydrocortisone cream on the area.

Other Meds:

Current Illness:

ID: 1035979
Sex: F
Age: 39
State: NY

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

Lab Data:

Allergies: ASA Sulfa drugs Penicillin Environmental

Symptoms: Pt stated that 5 minutes after receiving the vaccine her chest and neck became itchy. Pt presented with redness and no hives. Pt denied any difficulty breathing or swallowing. Pt was given 50mg of Benadryl orally. Pt was monitor for an hour and a half. Pts vitals remained stable. Pt stated she is no longer feeling itchy. Pt no longer has any rash on her chest or around her throat. Pt refused transport to hospital.

Other Meds: Levothyroxine Topermate

Current Illness: None

ID: 1035980
Sex: F
Age: 86
State:

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Penicillins

Symptoms: Reports to PCP on 2/12/21 that she has been having fatigue and "ringing in ears" (tinnitus) which started 1 day after her vaccination on 2/4/21. Pt was seen in-clinic at urgent care on 2/13/21. Ear exam was normal. Pt was referred for audiology exam and then follow-up with ENT for referral.

Other Meds:

Current Illness:

ID: 1035981
Sex: F
Age: 73
State: WI

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

Lab Data: None

Allergies: Sulfa, Penicillin

Symptoms: While in observation room, developed uncomfortable flushing feeling.

Other Meds: Unknown

Current Illness: Unknown

ID: 1035982
Sex: F
Age: 67
State: FL

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

Lab Data: EKG (2/16): NSR, rate 90bpm, No ST elevation CBC:CMP (2/16): Unremarkable, consistent with CKD stage 3A

Allergies: Versed, Penicillin

Symptoms: Within 15-minutes of vaccination, the patient reported nausea, pruritus on bilateral feet, her throat "feeling itchy and weird", and that it was hard to swallow. EMS evaluated patient on-site and was found to be hypertensive (182/133). Administered 4mg Ondansetron PO and 50mg Benadryl IV. Patient was transported to ED for evaluation. In the ED, patient was hypertensive (191/85) but noted feeling better after Benadryl IV. No evidence of worsening allergic reaction or respiratory distress. Patient was discharged from ED with instructions to follow-up with PCP.

Other Meds: Allopurinol, Hydroxyzine, Atarax, Occuvite

Current Illness: None reported

ID: 1035983
Sex: M
Age: 65
State: WI

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

Lab Data: COVID -19 PCR postive on 2/16/2021

Allergies: PCN,

Symptoms: Developed COVID symptoms evening of COVID-19 immunization

Other Meds:

Current Illness: Developed symptoms consistent with COVID in the evening

ID: 1035984
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: Chills, nausea

Other Meds:

Current Illness:

ID: 1035985
Sex: F
Age: 92
State: TX

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

Lab Data:

Allergies:

Symptoms: Weakness, dizziness

Other Meds:

Current Illness:

ID: 1035986
Sex: F
Age: 42
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 penicillin, Allergy status to other drugs, m

Symptoms: Patient felt funny. EMS was called vitals were taken BP 132/92 100% O2 room air HR 88. General Malaise unknown cause patient refused evaluation/care. Left aginst medical advice.

Other Meds: Zoloft Pill

Current Illness:

ID: 1035987
Sex: F
Age: 80
State: MA

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: sulfur

Symptoms: itchy rash on upper torso. no treatment yet. Will start Benadryl and steroid cream.

Other Meds: atenolol 100 mg daily and OTC allergy med.

Current Illness: respiratory illness. HTN.

ID: 1035988
Sex: M
Age: 77
State: IN

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

Lab Data: none

Allergies: none

Symptoms: marked weakness and inability to walk without assistance. Very unstable. Has fallen several times. These symptoms are much more pronounced than before the vaccine was given.

Other Meds: Lamictal 200 mg, Lipitor 40 mg., plavix, low dose aspirin, amantadine 100 mg, oxvbutin 5mg. occasional Tylenol

Current Illness:

ID: 1035989
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Temperature, nausea, body aches

Other Meds:

Current Illness:

ID: 1035990
Sex: F
Age: 70
State: FL

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

Lab Data:

Allergies: Bee venom- anaphylaxis Penicillin- anaphylaxis Pork- nausea/vomiting Cymbalta- nausea, headache

Symptoms: Patient has Epi Pen due to history of anaphylaxis. She was asked to be observed for 30 minutes due to history. She received her second dose of Moderna, then 20 minutes later she complained of cough and tickle in throat. She said she had experienced cough with the first dose. O2Sat=94% and p=67. Benadryl 25mg was given by mouth and now patient complained of lips tingling. Her O2 sat dropped to 90% now 25 minutes after the vaccination. Nurse assessed that lungs were clear and no wheezing or tightness noted. Seven minutes later the patient stated she felt better and O2 sat was 94%. She no longer had the lips tingling. She was discharged with no further complaints.

Other Meds: Albuterol Benadryl Lomotil Epi Pen Lasix Hydrochlorothiazide Hydrocortisone 2.5% ointment Linzess Lisinopril Metoprolol succinate Montelukast Multivitamin Nitroglycerin Ondansetron Miralax Klor-Con Pravastatin Valacyclovir

Current Illness:

ID: 1035991
Sex: F
Age: 46
State: MA

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

Lab Data:

Allergies:

Symptoms: Fever, Chills,Body Aches, Migraine. Fever and chills are gone, but still have body aches.

Other Meds:

Current Illness:

ID: 1035992
Sex: F
Age: 74
State: FL

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

Lab Data:

Allergies: Penicillin

Symptoms: moderna 2nd dose received 2/16/21; 2/17/21 pt woke up with left arm sore, cannot raise above head, fever 100.9, body aches, headache

Other Meds: Lisinopril 2.5 mg, Baby Aspirin, Allopurinol 300 mg, Lipitor 20 mg, Metoprolol 25mg, Levothyroxine 75 mcg, Omeprazole 20 mg

Current Illness:

ID: 1035993
Sex: F
Age: 85
State: CA

Vax Date: 02/08/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: chills,cramps nausea,weakness.low fever 100.7

Other Meds: none

Current Illness: none

ID: 1035994
Sex: F
Age: 94
State:

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

Lab Data:

Allergies:

Symptoms: Nausea, body aches, temperature, fatigue, sore

Other Meds:

Current Illness:

ID: 1035995
Sex: F
Age: 78
State: IA

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient received vaccine on 2-6-21. We made a follow up call on 2-8-21 and at that time pt. reported some soreness at the injection site, but otherwise felt fine. On Feb. 17th at 10:30, pt. called to report that 3 days ago (on 2-14-21) that the pt. noticed an area approximately 3" x 3" that looked to have a rash, as well as extreme itching, redness, warmth to the touch, and "slightly puffy". Symptoms continue today, but pt. advises that area is getting better other than the itching.

Other Meds: Aspirin 81mg - 1 tablet daily Cranberry Tablets - 1 tablet BID Flonase 50mcg - 2 sprays in each nostril daily Xyzal 5mg tablets - 1 tablet daily Omeprazole 40mg capsules - 1 capsule daily Simvastatin 20mg 3- 1 tablet daily Bactrim DS 800-16

Current Illness: UTI - diagnosed on Feb 5, 2021

ID: 1035996
Sex: F
Age: 72
State: FL

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

Lab Data: none

Allergies: metroniddazole 500 ciprofloxacin 500 sulfa antibiotic

Symptoms: Pfizer-BioNTech Covid-19 Vaccine EUA Headache all night, achy, chills, fatigue, injection site pain, Feeling a little better by 8am next morning. Taking Tylenol and it helps

Other Meds: Levothyroxine, atorvastatin, omeprazole, calcium, multi vitamin, aspirin 81mg, magnesium, vit. D, probiotic, benedril, Vit. C, zinc

Current Illness: Diverticulitis flare up.

ID: 1035997
Sex: F
Age: 59
State: IL

Vax Date: 01/27/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: CBC CMP CSF from LP with culture, glucose, protein, cell counts, CSF panel Blood cultures EKG CT Lactic Acid Tropinin UA with culture

Allergies: Lisinopril Statins

Symptoms: Patient presented to hospital with altered mental status after being found on floor by family. last known normal was day before at 0900. Combative and non-verbal upon arrival to ED. Taken directly to CT. Daughter at bedside in ED, answering all questions on behalf of patient. Reports patient received second dose of COVID vaccine approx 2 weeks prior and had complained of persistent fatigue for 2 weeks since vaccination. Patient combative and uncooperative. Refused to follow instruction, only laying on left side. Febrile upon arrival to ED. Lips dry and cracked, emesis dried to nose. Pupils equal bil and reactive. Patient unable to keep airway secured, ultimately intubated and lumbar puncture done. Many critical lab values including lactic acid, troponin, sodium, glucose, potassium, bilirubin, pH, and WBC. CSF positive for streptococcus pneumoniae. Blood cultures positive for same pathogen. Transferred to a higher level of care.

Other Meds: Albuterol inhaler PRN Propranolol 60mg daily

Current Illness: None noted per Record

ID: 1035998
Sex: F
Age: 67
State: MI

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

Lab Data: Lots of various tests and lab work done in the hospital while in the ICU.

Allergies: Penecillin

Symptoms: The first shot caused swelling at injection site. 3 hours after second shot was admitted through the ER because my right arm was "on fire" and there was swelling in my left arm. Was admitted for 3 days to the ICU. I have developed a heart murmur.

Other Meds: Lisinapril 10mg, Simvasidine 40mg, brotonix 40mg, D3, Garlic, B-100 Complex Vit, B12, Chrominan, CoQ10, Ginger Root, Beta Carotene, Zinc, Sy Isofanonomes, C-100, E-400, Complete Multi Vitamin, Cinnamon, Magnesium, Omega 3, Calcium.

Current Illness: none

ID: 1035999
Sex: U
Age: 81
State:

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

Lab Data:

Allergies:

Symptoms: Nausea, weak, fatigue, sore arm

Other Meds:

Current Illness:

ID: 1036000
Sex: F
Age: 36
State: GA

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

Lab Data: No tests or emergency intervention required.

Allergies: No known allergies

Symptoms: Patient reported right unilateral numbness/tingling starting at the lips, face and including arm and leg. NAD. No swelling of the lips, tongue and patient denied throat closure. Do chest tightness, SOB or dyspnea.

Other Meds: Apple cider vinegar gummies

Current Illness: COVID-19 infection confirmed positive with PCR 22 Jan 2021

ID: 1036001
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies:

Symptoms: I received the covid vaccine and my arm is extremely red swollen hot to the touch and feels like a big knot . hard to move with out pain . I am taking ibuprofen every 6 hours . and did anticipate some soreness but this is a bit much . I do get flu shot every year

Other Meds:

Current Illness:

ID: 1036002
Sex: F
Age: 57
State: NC

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

Lab Data: CAT scan, MRI showing a mini-stroke.

Allergies: None.

Symptoms: Got her vaccine, went home and her son mentioned to her around 7:30 that her face looked strange. He told her that it looked like Bell's palsy. She didn't notice anything herself, but her son and husband noticed that something was wrong. The next morning she got up and her face was swollen on the right side and she could then tell that something was different. She went to work and the nurse at work suggested that she get it checked out. She went to the doctor and they diagnosed her with Bell's palsy on Friday, 2/12/21. The doctor told her to come back on Saturday to ensure that it didn't worsen, it did not change. The doctor ordered a CAT scan and she had that done, and then she wanted to confer with another doctor she wanted her to get an MRI. She got that done, and told her that she had a mini-stroke from the vaccine. They initially put her on Prednisone thinking it was Bell's palsy. Saturday evening she took her 2nd dose of that, but told her not to take it anymore as that was not the issue. The doctors then said that they saw some pneumonia, and is being treated for that. She goes back to see the doctor this afternoon.

Other Meds: Multivitamins.

Current Illness: None.

ID: 1036003
Sex: F
Age: 78
State: CO

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

Lab Data: No

Allergies: Sulfa drugs Bactrim

Symptoms: I had my first dose on 1/11 I had dizziness and rapid heartbeat and light Flu-like symptoms On2/8 I had my second dose and the injection site got very sore. I experienced flu like symptoms of achiness, fever, chills. I also had diarrhea and I felt like my intestines were on fire. my arm turned red and was incredibly itchy

Other Meds: glipizide metoprolol valsartan Synthroid Vitamins: B Max C D Prese vision Omega 369 Turmeric Zinc

Current Illness: no

ID: 1036004
Sex: F
Age: 79
State: NY

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

Lab Data:

Allergies: Penicillin, Hydrocodone, Albuterol

Symptoms: I'm experiencing a metalic taste in my mouth.

Other Meds:

Current Illness:

ID: 1036005
Sex: F
Age: 51
State: NY

Vax Date: 02/06/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: General soreness at the injection site for 48 hours. 4 days later left arm (injection) swelling of armpit lymph node. And later entire arm. Very painful, tender, sore and with restricted movement. Home medical visit Sat and Monday with Doctor. Ice/heat, liquids, Ibuprofen compression sleeve and elevation

Other Meds: none

Current Illness: none

ID: 1036006
Sex: F
Age: 71
State: WI

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: sulfa, bee stings

Symptoms: February 7 and 8, just slight pain in the arm like what I have after the flu shot. A week later, February 13, I awoke in the night and felt the same ache in my arm (which had gone away after the 8th). I also developed a red area and spots around the injection sight. Some itching. This has lasted for for 4 days and I still have it.

Other Meds: Fluoxetine, Levothyroxin, Atorvastatin, AmlodipineBesylate, Zyrtec and baby aspirin

Current Illness: None

ID: 1036007
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies: no

Symptoms: fever on and off one week, body aches two weeks, fatigue two weeks, arm sore/burning over two weeks

Other Meds: blood pressure

Current Illness: no

ID: 1036027
Sex: F
Age:
State:

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt has he of Graves Dx; swelling occurred on the other ankle as well as hips, wrists and shoulder; This case was reported by a pharmacist via sales rep and described the occurrence of graves' disease in a 62-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 20th January 2021, the patient received the 2nd dose of Shingrix. On 24th January 2021, 4 days after receiving Shingrix, the patient experienced graves' disease (serious criteria GSK medically significant) and swollen joints. On an unknown date, the outcome of the graves' disease and swollen joints were unknown. It was unknown if the reporter considered the graves' disease and swollen joints to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported, but it could be 61 or 62-year. The reporter stated that, the patient received dose of Shingrix and 4 day later had swelling of right ankle, then swelling occured on other ankle, hip, wrists and shoulder. The reporter stated that, the patient had Graves disease. It was unknown if the reporter consented to follow up.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm