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: 1036368
Sex: F
Age: 62
State: VA

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

Lab Data:

Allergies: Food allergies. Has epi pen at visit today.

Symptoms: Patient c/o face/chin/cheek heaviness. 12:54 BP 150/70, P 58, R 28 PO2 98% 13:07 BP 130/65, P 58, PO2 98% 13:15 BP 120/60, P 60, O2 98% 12:58 Still some face heaviness 13:01 Still some face heaviness 13:05 Still some face heaviness 13:10 Starting to feel better 13:12 Heaviness disappeared, feels better 13:15 Heaviness disappeared, feels better Pat. completed 15 minute wait. Was on 30 minute wait after shot. Sought care when feeling face/chin heaviness.

Other Meds:

Current Illness:

ID: 1036369
Sex: F
Age: 67
State: FL

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

Lab Data: Seen by Dr. on Monday, Feb. 15 at 2:30pm. Blood tests taken Tuesday, Feb. 16th at Quest Diagnostic

Allergies: None

Symptoms: Experienced Bell's Palsy on right side of face. Noticeable when smiling.

Other Meds: Advance Formula ,Adults multivitamins with 25mcg Vitamin D3 and multimineral supplement by Publix (compare to Centrum), one tablet per day; Essential Zinc 50mg by Sundown, one tablet per day.

Current Illness: None

ID: 1036370
Sex: M
Age: 68
State: CA

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

Lab Data: none

Allergies: none

Symptoms: VS,water

Other Meds: 0858-Pt suddenly felt tired/fatigued with 10 minutes of vaccine. Pt respirations WNL no distress noted. B/P 144/82, O2 sat-98%,P-75, R-20. Pt w/o any other c/o at this time. Pt given water but refused a snack. Reports wants to go home and

Current Illness: none

ID: 1036371
Sex: F
Age: 45
State: FL

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

Lab Data: NA

Allergies: Penicillin Rash

Symptoms: COVID-19 Vaccine 1. Had severe muscle pain at site for 2 days and bad muscle pain for 2 days after that 2. Swollen lymph node under the vaccinated arm that started 1 week after 3. Painful joint and muscle aches all over body but especially in vaccinated arm that lasted more than 2 weeks 4. Cold and hot flashes but no fever for more than 2 weeks 5. Nausea about once a day 6. Head ache for more than two weeks

Other Meds: Medications ?Omeprazole 40 DR (1 tab daily) ?Multivitimin X 1 ?Jardiance Empagliflozin 25 X 1 ?Prograf 3 capsules X 2 ?Metformin 1000 X 1; 500 X 1 ?Carvedilol 3.125 X 2 ?Baby Aspirin X 1 ?Nipedifine 60 mg X 1 ?Brilinta 90 mg X 2 ?Rosuvost

Current Illness: Allergies to pollen-stuffy sinuses

ID: 1036372
Sex: M
Age: 90
State: MA

Vax Date: 02/25/2020
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: N/A

Other Meds: Finasteride 5mg once daily Tamsulosin 0.4mg once daily Senna 8.6mg once daily cyanocobalamin 1000mcg twice daily Remeron 7.5mg once daily Trazodone HCL 100mg daily

Current Illness:

ID: 1036373
Sex: F
Age: 48
State: MI

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: latex, adhesive

Symptoms: Noted after first injection on 1/6/2021 within three hours, extreme fatigue, excessively sore arm and following morning significant brain fog and loss of energy. Noted after second injection on 1/27/2021, not much in the way of symptoms until about 3:15 a.m. on 1/28/2021 when was awakened from a sounds sleep with tremendous body aches, chills, fever, fatigue and headache. Took about 7 full days to completely recover. During weekly healthcare PCR testing, tested positive for COVID 19 on 2/10/2021. Two weeks later to the day. Week prior test was negative.

Other Meds: Zinc, Vitamin C, Vitamin D with K, Curcumin, Alpha Lipoic Acid, Thuja, Astragalas, Mitocore, NAC,

Current Illness: None

ID: 1036374
Sex: F
Age: 68
State: AK

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

Lab Data: None

Allergies: Wheat, tetracycline

Symptoms: Within 24 hours of receiving vaccine, client experienced severe diarrhea-watery yellow stools x5 and stomach cramping.

Other Meds: turmeric, myreva, pain meds

Current Illness: knee replacement in August

ID: 1036375
Sex: F
Age: 61
State: FL

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

Lab Data: None

Allergies: Fish, shellfish, codeine, Percocet, penicillin, Oxycodone-Acetaminophen

Symptoms: Delayed reaction (COVID arm), 10 days after vaccine. Red raised hives near and around the vaccine site. Itchy and warm to touch. May have started the night before as I noticed it in the morning.

Other Meds: Vimpat 50mg, vitamin d 1000 IU, aspirin 325mg,esomeprazole 40mg, gabepentin 300mg, Tagrisso 80mg, metoprolol 25 mg

Current Illness: None

ID: 1036376
Sex: F
Age: 56
State: RI

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

Lab Data: None

Allergies: None

Symptoms: Itchy rash (hives) below the injection site appeared one week after injection. Rash area is approximately 3" in diameter.

Other Meds: Mometasone Benadryl

Current Illness: None

ID: 1036377
Sex: F
Age: 20
State: IN

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

Lab Data: none

Allergies: none

Symptoms: Patient received Moderna then rescheduled multiple times for second dose and 47 days later came in for appt and was given Pfizer No adverse effects. wanted combo noted

Other Meds: Adderall

Current Illness: none

ID: 1036378
Sex: M
Age: 33
State: CA

Vax Date: 02/09/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: pt states he was achy next day after getting vax. Next day he noticed a red, itchy rash on left shoulder around the injection site. Pt has not contacted his PCP at this time. He still has the rash at this time but it has not gotten any worse.

Other Meds: no

Current Illness: no

ID: 1036379
Sex: F
Age: 50
State: NC

Vax Date: 02/15/2020
Onset Date: 02/16/2020
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: I had a sleep paralyzes episode. I have had 2 in my life before many, many years ago and as a psychiatric patient I feel that either my disorder or the meds I am on might have had a little to do with this episode. It lasted the longest of any one I have had even though this only makes the 3rd one I haven't had one if over 10 yrs.

Other Meds: Lamictal 200 mg daily (at night) 10 mg Valium daily (at night) 50 mg Doxepin daily (at night)

Current Illness: no

ID: 1036380
Sex: M
Age: 80
State: OH

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

Lab Data:

Allergies: NKA

Symptoms: At second dose today, patient stated his opposite arm (right arm) was sore after his first dose of the vaccine. He said the soreness started the day of the vaccine and continued for four days.

Other Meds:

Current Illness:

ID: 1036381
Sex: F
Age: 45
State: MD

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

Lab Data: None at this time

Allergies: Bupropion, Tomato

Symptoms: Patient received her second COVID 19 vaccination (Moderna) on February 12, 2021 in her left deltoid. She states less than 4 hours after receiving the vaccination she developed redness, swelling, and itching in her left arm. She has been applying ice packs to the area to decrease swelling. Patient admits she has the same reaction after her first COVID 19 vaccination (Moderna), however it the reaction was not as bad.

Other Meds: aspirin 81mg, chlorthalidone (Hygroton) 25mg, Cholecalciferol (Vitamin) D3, echinacea 1,000 units, furosemide (Lasix) 20mg, metoprolol succinate (Toprol-XL) 100mg, multivitamin, omega 3 fatty acids-fish oil 300-400mg cap, potassium chloride

Current Illness:

ID: 1036382
Sex: F
Age: 69
State: NC

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

Lab Data: none

Allergies: She denies any history of intolerance or AE to any foods She reports a history of anaphylaxis after Levoquin, (urticaria, SOB, swelling, tachycardia); anaphylaxis after loratidine, unknown allergy to PCN. Allergy list cites betablockers (class) unknown and sulfa resulted in oral swelling. She denies history of allergy to natural rubber, latex or stinging insects.

Symptoms: 69 yo female reports AE after receipt of Covid vaccine #1 (EN 5318 13 FEB 21) via drive thru event. She reports within minutes she felt unwell but had difficulty being more specific. She states she felt a warmth in her chest which traveled to her stomach. A few minutes later she felt SOB, and could not catch her breath. She states her respiratory rate increased. She talked to staff and was told if got worse to honk horn or use flashers. She did not request additional assessment. She waited her required 15 minutes and drove home another 20-25 minutes. She states she noted her face swelling. She thinks she may have had some throat swelling, but then wasn't sure. She developed some nausea, but no emesis which continued for 2-3 days. She denied watery or red eyes, runny nose, pruritis, rash, palpitations, heart racing, chest pain, cough wheezing. She states the breathing symptoms resolved in a few hours. She was unsure of the facial swelling resolution time frame. She developed a headache and felt malaise for 2-3 days, then symptoms resolved. She never took any medications other than her prescriptions. She did not seek care during symptom time frame.

Other Meds: - Lisinopril 10mg po daily -Aspirin ec 81 mg po daily -Fish oil 1000 mg 340 mg one cap by mouth bid -Vitamin D3 2000 units daily - Metformin HCL, 500 MG, 1 tab daily.

Current Illness: none

ID: 1036383
Sex: F
Age: 30
State: NM

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

Lab Data: none

Allergies: Penicillin-rash and throat swelling. Sulfa--not true allergy--yeast infection

Symptoms: moderate rash, warmth and discomfort to left deltoid area, continuing on day 11 from vaccination

Other Meds: Flonase prn, Vitamin D, Multivitamin, Omega 3, Grapefruit seed extract occasionally, Vitamin C

Current Illness:

ID: 1036384
Sex: F
Age: 20
State: TN

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

Lab Data:

Allergies:

Symptoms: Patient came to clinic for the first vaccine of Pfizer on 01/25/21. Patient came back for 2nd dose too early on 02/06/21 and received the 2nd dose in series of Pfizer.

Other Meds:

Current Illness:

ID: 1036385
Sex: M
Age: 50
State: PA

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

Lab Data: unknown.

Allergies: None Known

Symptoms: pt reported aches and pains in joints (neck and hip particularly) about 20-30 minutes after receiving the injection. Pt reported to the emergency room at 11pm the same day with a rash that the MD attributed to an allergic reaction to a component of the vaccine.

Other Meds: Valtrex, Trazodone

Current Illness:

ID: 1036386
Sex: F
Age: 72
State: CA

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

Lab Data:

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA I got the vaccine Monday Feb 8. One week later - Monday the 15th - at the site of the vaccination my arm was red, itching and very swollen. It is Wednesday the 17th and it is the same. I'm taking Tylenol for the discomfort, 1/2 of a 25 mg Benadryl for the itching and topical Cortizone cream as well. I've had it for 2 and a half days. I spoke to my doctor today and sent him a picture. He said it's an allergic reaction to the shot. I looked it up on the internet and it's been called COVID ARM. When I learned others had it - though only 1% - I was relieved to see that it was "normal." This needs to be printed in the literature. That there can be reactions one week after the vaccine is given.

Other Meds: none

Current Illness: none

ID: 1036387
Sex: F
Age: 28
State: MN

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

Lab Data: None

Allergies: Cranberries, grapes, baby powder, seasonal allergies, bees.

Symptoms: Hives/rash

Other Meds: Na

Current Illness: None

ID: 1036388
Sex: F
Age: 78
State: NJ

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

Lab Data:

Allergies: None

Symptoms: Itchy arm followed by a 2 inch diameter red rash with itchiness the next day.

Other Meds: Lotensin, Bystolic, Lervoxyl, Pravachol, Arimidex, Clarinex, COQ10, Calcium/Vitamin D

Current Illness: None

ID: 1036389
Sex: F
Age: 66
State: GA

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

Lab Data: None

Allergies: X-ray dye, hair dye

Symptoms: Flu like symptoms: severe body aches, headache, low grade temperature, chills

Other Meds: Mycophenolate, Prednison, Tacolimus, Lisinopril, Aspirin,

Current Illness: Kidney Transplant 2012

ID: 1036390
Sex: F
Age: 52
State: FL

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

Lab Data: Spoke with my neurologist today and have an appointment set up for Friday, February 19th at 4:00 pm. She is the person that told me to report the escalation of episodes directly.

Allergies: Penicillin

Symptoms: Normally only have one or two episodes of Vertigo per month. Since getting the second injection I have have 5 in the past six days including 2 separate episodes today.

Other Meds: Wellbutrin , Claritin and Vitamin D

Current Illness: Veritgo

ID: 1036391
Sex: F
Age: 76
State: MD

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

Lab Data:

Allergies: none

Symptoms: Injection site: pain, tenderness and swelling General side effects: fatigue, muscle pain, joint pain, nausea

Other Meds: Benadryl for chronic allergies

Current Illness: none

ID: 1036392
Sex: F
Age: 47
State: NY

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

Lab Data:

Allergies: dust, seasonal, contrast dye, sevral medications

Symptoms: shortness of breath and rapid heart rate that would not resolve in greater than 20 minutes of observing and oxygen

Other Meds: unknown

Current Illness: asthma, allergies, hypothyroid, SVT

ID: 1036393
Sex: F
Age: 71
State: NM

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: CT Scan and Chest xRay - taken at the ED n 07.Feb.21

Allergies: Latex Amoxicillin Triamcinolone Acetonide

Symptoms: Started coughing heavily and very weak - Unable to stand up on her own and could barely walk 5 ft without stopping to catch breath. Administered her inhaler (only taken when having asthma issue due to allergy or exercise) and measured Sp)2 which was at 87 Took my mother to the ED and she was diagnosed with Bacterial Pneumonia - Was tested for Covid-19 which was negative Antibotic Azithromycin was prescribed at ED

Other Meds: Benedryl 25 mg 1 hour before shot for allergic reaction to vaccines Benedryl 25 mg take 4 hours after the vaccine

Current Illness: None

ID: 1036394
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies:

Symptoms: Tingling, itchy throat, clamminess, nausea. BP 124/75, pulse 81, O2 sat 100%. Given water and stabilized.

Other Meds:

Current Illness:

ID: 1036395
Sex: M
Age: 51
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Fever with inability to get warm, shuddering, aches, headache. Significant discomfort at arm

Other Meds: None

Current Illness: None

ID: 1036396
Sex: F
Age: 67
State: PA

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

Lab Data:

Allergies: Compazine Omeprazole Doxycycline

Symptoms: Headache, fever, neck pain & generalized achiness

Other Meds: Gabapentin Fluoxytine

Current Illness: Social Anxiety Depression

ID: 1036397
Sex: F
Age: 24
State: MI

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

Lab Data:

Allergies: penicillin

Symptoms: Frequent dizziness not associated with a change in position or movement of the head. Began 2 days after receiving vaccine along with other common side effects such as body aches, fatigue, headache. All other side effects resolved within a few days of receiving the shot except for the dizziness. Dizziness has improved but is not completely gone as of 02/17/2021.

Other Meds:

Current Illness:

ID: 1036398
Sex: F
Age: 55
State: OH

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

Lab Data: none

Allergies: none

Symptoms: fever,chills, fatique,body aches, joint pain lasted 24hrs

Other Meds: omeprozole,multi vitamin, wellbutrin

Current Illness: none

ID: 1036399
Sex: F
Age: 67
State: MN

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

Lab Data: None

Allergies: Shellfish

Symptoms: Red rash on arm near vaccination site approx 1" x 2" in size. Just noticed today 2/17/2021 2 weeks after vaccination

Other Meds: Vitamin D, white milk thistle

Current Illness: None

ID: 1036400
Sex: M
Age: 97
State: MA

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: all labs are available at the clinic - full blood work, xray, urine

Allergies: None

Symptoms: fever (twice up to 102), chill (twice), vomit, weakness (fell 4 times)

Other Meds: warfarin 5 MG tablet furosemide 20 MG tablet metoprolol ER 50 MG 24 hr tablet tamsulosin 0.4 mg Cap 24 hr capsule ascorbic acid (vitamin C) 100 MG tablet CALCIUM 600 + D(3) 600 mg(1,500mg) -400 unit tablet

Current Illness: none

ID: 1036401
Sex: M
Age: 62
State: RI

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

Lab Data: none

Allergies: ceftrioxine motrin

Symptoms: Right chest, right shoulder, right shoulder blade pain, extreme to the point where i wasn't able sleep and a burning sensation in those areas as well

Other Meds: pravastatin omeprazole tramadol

Current Illness:

ID: 1036402
Sex: F
Age: 52
State: KS

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

Lab Data: None currently

Allergies: Sulfa

Symptoms: Tired Vaccine site tender Lymph node in arm pit slightly swollen and tender

Other Meds: Levi thyroxine, Simvastatin and Hydrochlorithiazide

Current Illness: NA

ID: 1036403
Sex: F
Age: 48
State: WI

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: CT W/O contrast (2/9/2021) CT W contrast (2/10/2021) Lumbar puncture (2/10/2021) MRI W contrast (2/10/2021) Angjogram (2/10/2021) Labs (2/16 and 2/17/2021)

Allergies: sulfa Haladol

Symptoms: Hemorrhagic stroke, abnormal platelet count, petechai. Patient had my!triple CTs, MRI and angiogram after finding brain bleed. Once released home from brain bleed patient developed petechai, weakness, shortness of breath

Other Meds: Multivitamin Atorvastatin MorphIne Oxycodone Buspar

Current Illness: none

ID: 1036404
Sex: F
Age: 59
State: OR

Vax Date: 02/10/2021
Onset Date: 02/20/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: egg based vaccines

Symptoms: flu like symptoms including but not limited to: Fever (low grade), headache, body aches, fatigue, nasal/chest congestion.

Other Meds: Afrin, melatonin, iron supplements with B12, multi bariatric vitamin, metformin, glipizide.

Current Illness: none

ID: 1036405
Sex: F
Age: 16
State: NC

Vax Date: 01/12/2021
Onset Date: 01/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Developed generalized hives 4 days post vaccination, hives lasted x 24 hours and disappeared with Benadryl. Patient had no other symptoms whatsoever. We need to know if patient can have further doses of vaccines or not.

Other Meds: none

Current Illness: none

ID: 1036406
Sex: F
Age: 56
State: FL

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

Lab Data:

Allergies: Tetracycline, Aspirin

Symptoms: PT reported tachycardia approx 10 minutes after vaccination (140bpm according to apple watch). Pt then was light headed, dizzy, felt disconnected, etc. Symptoms resolved and flared up several times over the course of an hour. Cold compress, elevated feet were used initially, then a snack (it had been several hours since last meal). Pt reported no difficulty breathing throughout, but symptoms continued. After about 45 minutes pt reported that she "felt her pulse through her whole body". Diphenhydramine 50mg was given at that point according to emergency protocol, and EMS was called. Pt was evaluated by EMS.

Other Meds: Lisinopril, atorvastatin

Current Illness: none

ID: 1036407
Sex: F
Age: 72
State: WA

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Initially site given SQ below deltoid muscle .not given IM ( I am a retired nurse) and felt Like fluid moved down and around injection when given. Initial soreness and after few days skin stated to get red and tender to touch. Site got worse and now 3X5 inches dry,raised slightly pink area that still tender to touch. Area not subsiding. Not itchy and skin nml temp without any red streaks. No fever or other changes. I have never had reaction from a vaccine. No meds taken for vaccine site taken.

Other Meds: Asa,singular,valsartan,rosovastatin, sertreline, percoset prn

Current Illness: None

ID: 1036408
Sex: F
Age: 43
State: TX

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

Lab Data: no

Allergies: Bentyl

Symptoms: A few hours after the vaccination I had a lesion form on the back of my left leg, moderate pain from the left hip to the back of the left knee. I sought treatment from my PCP within 24hrs and was prescribed an antiviral med. The symptoms subsided after starting the med and no new symptoms has arised.

Other Meds: Vit D3, Omeprosol, Zyrtec, Noprozine

Current Illness: no

ID: 1036409
Sex: F
Age: 72
State: FL

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

Lab Data: None

Allergies: egg whites Penicillin

Symptoms: Moderna Covid-19 EUA I had extreme pain and swelling in my left arm, shoulder, chest, and back. Could not raise my arm without more pain. This lasted about 24 hrs. Started subsiding after the 24 hrs. and was gone after 48hrs.

Other Meds: Atorvastatin, Estradiol, Levothyroxine, Calcium, Multi Vitamin

Current Illness:

ID: 1036410
Sex: M
Age: 30
State: AR

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

Lab Data: N/A

Allergies: None

Symptoms: Swelling of lymph nodes under right arm, chills, fever, fatigue, light headedness, body aches

Other Meds: Lisinopril

Current Illness: N/A

ID: 1036411
Sex: M
Age: 46
State: ME

Vax Date: 02/09/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: SIGNIFICANT CHANGE IN BOWEL HABITS, SWEATS, JOINT PAIN, "DRY" CONNECTIVE TISSUE, LETHARGY, HOT FLASHES, ABDOMINAL PAIN

Other Meds: MULTIVITAMIN

Current Illness: NONE

ID: 1036412
Sex: F
Age: 72
State: NY

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

Lab Data: I will let my doctor know on my chart but I probably will not be getting any medical test for the laboratory tests

Allergies: None

Symptoms: I do not know if this was an adverse event to the vaccine or not. It was not like an allergy reaction which I really don?t get. Felt more llike a mild flu. I have read that some people had delayed effect. It started out as a eyestrain type headache last night that got worse then I felt somewhat queasy like I had to throw up which I did three times. Then I had Somewhat loose stool. It could have been another ailment but I don?t know. I was feeling fine until this happened. I had a sore arm after the injection at injection site for maybe three or four days but it was gone by time this happened. I did not have a fever that I know of but I did have periods of becoming chilled or hot. I do not feel like I drink anything including water. I did not have any rash, but I did have a bruise that showed up the day before and right lower arm above my right wrist. But who knows I might have bumped my arm I or not I just don?t know. Today I feel a little better. Able to eat Jell-O. Headache almost gone.

Other Meds: I take a lot of supplements every day and an Over the counter OAB medication but I don?t remember that I took them that morning.

Current Illness: None

ID: 1036413
Sex: F
Age: 84
State: CT

Vax Date: 01/23/2021
Onset Date: 02/03/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: n/a

Allergies: Benadryl

Symptoms: site itching and burning

Other Meds: omeprazole, paroxetine, quetiapine, atorzaspatin

Current Illness: n/a

ID: 1036414
Sex: F
Age: 46
State: IA

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin-clavanulate - hives Cefdinir - unknown Pt also states she has sensitive skin

Symptoms: Pfizer COVID-19 Vaccine EUA Pt received the 2nd dose of the Pfizer COVID vaccine on 2/8/2021. She discharged to home without issue, but about 48 hours after receiving the vaccine pt developed a red, warm, itchy rash over her torso, abdomen, and back. Rash progressively spread across pt's chest, became itchier and slightly raised. Pt denied SOB or difficulty breathing. Pt did endorse headache and fatigue following the second dose. Pt states she had no reaction to first dose. On 2/10/21, pt contacted their PCP via phone to discuss the issue. PCP prescribed a Medrol Dose Pak, as well as diphenhydramine 25-50 mg PO PRN for itching and famotidine 20 mg PO BID for the next few days. Pt reports her rash significantly improved within hours of the first dose of methylprednisolone and within 4 days the rash had resolved.

Other Meds: Alprazolam 0.25 mg PO TID PRN anxiety Buproion XR 300 mg PO QD Ibuprofen 80 mg PO Q8h PRN pain Loradatine 10 mg PO QD Oxybutynin ER 5 mg PO QD Temazepam 15 mg PO QHS PRN sleep

Current Illness:

ID: 1036415
Sex: F
Age: 50
State: NY

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

Lab Data: bp 130/80 p 96 chest clear to A and P

Allergies: lidocaine, sulfa, onions, ey thomycen, adhesives

Symptoms: flushing and feeling hot. No resp sx.

Other Meds: metoprolol, lisinopril

Current Illness: HT

ID: 1036416
Sex: M
Age: 0
State: GA

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

Lab Data:

Allergies: NKDA

Symptoms: Patient was supposed to receive Hepatitis B vaccination. However patient inadvertently received the DTaP vaccination. It is one month earlier than it was originally supposed to be administered. Called and spoke to CDC hotline. They report that there should be no adverse reaction.

Other Meds: None

Current Illness: Neonatal Acne

ID: 1036417
Sex: F
Age: 53
State: FL

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: erythema/swelling/itching skin irritation on face pruritic all over

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm