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: 1036568
Sex: F
Age: 36
State: NJ

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

Lab Data: CBC, BMP, TSH, Glucose, CXRay all 2/9/21

Allergies: Augmentin Moxifloxacin Penicillins Iodinated contrast Media Ketorolac

Symptoms: became unresponsive after receiving her first dose of Pfizer Vaccine . Smelling salts were applied and patient quickly became responsive. Patient was given 4 oz of apple juice which she tolerated well. Also complained of loss of hearing/smell and feeling flushed. Patient had no difficulty breathing and or rash. 911 was called and patient subsequently was sent to ER for further evaluation.

Other Meds:

Current Illness:

ID: 1036569
Sex: F
Age: 27
State: MO

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: BULLS EYE REACTION AT THE SITE OF INJECTION, POSSIBLY CELLULITIS, RED WARM TO TOUCH.

Other Meds:

Current Illness:

ID: 1036570
Sex: F
Age: 47
State: AZ

Vax Date: 01/03/2021
Onset Date: 01/05/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: COVID 19 antibody test on 01/20/2021, a few days before Dose 2. It showed POS antibodies which means I had COVID at some point of which I was not aware.

Allergies:

Symptoms: I have dizziness, diminished hearing, headaches, vertigo and ear pain.

Other Meds:

Current Illness:

ID: 1036571
Sex: F
Age: 57
State: MA

Vax Date: 02/07/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Was prescribed Keflex in the Emergency Department - given it was a holiday my health clinic was closed.

Allergies: CT dye, taxotere, sulfa drugs

Symptoms: I developed a large, circular red rash at the site of the injection that was hot to the touch, itchy and left my entire arm, from site of the injection to the wrist, feeling odd and uncomfortable. The site of the injection also felt very heavy.

Other Meds: levothyroxyl

Current Illness: none

ID: 1036572
Sex: F
Age: 73
State: FL

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

Lab Data:

Allergies: None

Symptoms: HA, chilly, muscle pain, joint pain, temp =100

Other Meds: None

Current Illness: AFib

ID: 1036573
Sex: F
Age: 26
State: CO

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

Lab Data:

Allergies:

Symptoms: Fever 102.3?F max, beginning 12hrs after receiving dose lasting for 24hrs Low grade fever for an additional 24hrs Body aches Severe full body aches for 24hrs (completely incapacitated, brought to tears anytime I had to move) Moderate full body aches from 24hrs after receiving dose to present (extremely uncomfortable, leaving work early today) Nausea/Vomiting Nausea beginning 12hrs after dose Vomiting beginning 24hrs after dose, lasting 12hrs Diarrhea Beginning 24hrs after dose, lasting 24hrs Headache Beginning 12hrs after dose Fatigue Beginning 12hrs after dose As of 2/15/21, mild fatigue and body aches remain

Other Meds:

Current Illness:

ID: 1036574
Sex: F
Age: 38
State: DE

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

Lab Data:

Allergies: Percocet, nsaids, Phenergan, dilaudid, beef products

Symptoms: Expected aches and pains and fever sat evening, Sunday, and Monday am. Around 7 on Monday small rash started on arm then hives spread to chest and neck. Had extreme lightheadedness and flushed feeling as though was going to pass out. Went to Er and was told was having a reaction to vaccine.

Other Meds: Lyrica, lexapro

Current Illness: None

ID: 1036575
Sex: F
Age: 46
State: WA

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

Lab Data: none

Allergies: none

Symptoms: slightly itchy Rash - whole body

Other Meds: none

Current Illness: none

ID: 1036576
Sex: F
Age: 67
State: NY

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Three days after the vaccine I had severe tinnitus. I am still struggling with it two weeks later.

Other Meds:

Current Illness:

ID: 1036577
Sex: F
Age: 39
State: CT

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: n/a

Allergies: sulfa (09/2020)

Symptoms: 12/30 vaccination 1/7 1:20 The injections site was very red, swollen, firm to touch, hurting. Radiated to shoulder. That night and next day, I was very lethargic, nausea. 1/8 Saw Dr. I was taking Benadryl. I did have HA. Prescribed prednisone but didn't take. 1 1/2" oval redness wide, 3" long

Other Meds: Multivitamins; airborne

Current Illness: n/a

ID: 1036578
Sex: F
Age: 76
State: FL

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

Lab Data: none

Allergies:

Symptoms: Pain, swelling, tenderness at injection site. Muscle pain in body, headache and nausea started several hours after injection and lasted about 24 hours. Fatigue lasted into second day. Fever and chills started about 12 hours later for about 6 hours. (Some of symptoms at injection site may have been a result of the administration of the injection. There was some blood at the site and I still have a black and blue mark)

Other Meds: Lumigan, Timolol maleate Ophthalmic solution, Simvastatin, Amlodipine Besylate tabs, Fosamax, Multi-vitamins, Calcium, Zyrtec, Glucosamine, B-12N/A

Current Illness: none

ID: 1036579
Sex: M
Age: 64
State: GA

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

Lab Data:

Allergies: None

Symptoms: Chills early morning of 2/17/21. Severe headache joint and muscle pain throughout the day of 2/17/21

Other Meds: Losartan, simvastatin,D3, allertec, aspirin 81, amlopidine, omeprazedole

Current Illness: None

ID: 1036580
Sex: F
Age: 40
State: FL

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

Lab Data:

Allergies: Terbinafine

Symptoms: Fever, headache, fatigue- onset 12 hrs after injection Lasting 36 hours

Other Meds: Birth control Juice plus omega Probiotic

Current Illness:

ID: 1036581
Sex: M
Age: 63
State: WA

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

Lab Data:

Allergies: sulfa antibiotics

Symptoms: vertigo

Other Meds: lisinopril, humalog

Current Illness:

ID: 1036582
Sex: F
Age: 48
State: MI

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

Lab Data: Eye exam done by doctor to confirm what discoloration is/was. Swelling diagnosed. All on 02/17/2021

Allergies: NA

Symptoms: After my first dose on 01,18/2021, I was diagnosed with pink eye on 01/21/2021. Took Polymyxin B-Temp eye drops for 7 days. This dose on 02/15/2021, one night after, my right eye again felt heavy, blurry, crusty in corner, and very much like the beginnings of pink eye. Next day, look in mirror, and above iris, there?s a grey discoloration that looks like my iris has shifted down. Upon further investigation, it is swollen. Alrex eye drops prescribed for two days. Return to doctor if not corrected.

Other Meds: Novolog, Metoprolol Succinate ER, Atorvastatin Tabs, Plexus, Vitamin D

Current Illness: NA

ID: 1036583
Sex: F
Age: 47
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Shortness of breath

Other Meds: Saxenda 3mg SQ DAILY Vitamin B12 5000mcg Daily Wellbutrin xl 150 mg daily Biotin 1000mcj daily

Current Illness: None

ID: 1036584
Sex: F
Age: 72
State: PA

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

Lab Data: no

Allergies: mefoxin,

Symptoms: pt stated that she a delayed painful 3 X 6 rash appear at the injection site. It was raised, hot, and itchy. Pt states that he symptoms are getting better at this time and she has not contacted her PCP.

Other Meds: simvastatin 20mg, bupropion 100mg, metoprolol 12.5 mg, trazadone 50mg, multivitamin, Vitamin D 2000 units, aspirin 81 mg, Colace 100mg,

Current Illness: no

Date Died: 02/15/2021

ID: 1036585
Sex: F
Age: 63
State: RI

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

Lab Data:

Allergies: None

Symptoms: Patient called EMS approximately 1pm on 2/15 with complaints of generalized weakness. Upon arrival EMS found her to be diaphoretic and she had a witnessed syncopal episode with question of v-fib and seizures. She became unresponsive and had no pulse. CPR was begun and she was transported to ED. She remained asystole throughout. CPR was initially continued in the ED for approximately 30 minutes and then stopped with Time of Death noted at 13:27. ED notes noted "suspect given history that patient experienced massive MI, PE or ruptured AAA". Death certificate notes indicate "signficant conditions contributing to death after cardiac arrest; ASCVD".

Other Meds: Metformin, Fenofibrate, Simvastatin, Terazosin

Current Illness: Unknown at this time; nothing noted on vaccine screening form

ID: 1036586
Sex: F
Age: 76
State:

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

Lab Data:

Allergies:

Symptoms: Injection was painful - arm numb and tingled to fingers. 10:45b/p 116/62 pulse68 respirations 16 Normal movement,color and temperature in fingers. Capillary refill <3 seconds. Client refused further medical treatment.

Other Meds:

Current Illness:

ID: 1036587
Sex: F
Age: 45
State: GA

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

Lab Data:

Allergies: aspirin, lisinopril

Symptoms: shortness of breath, light headed/dizziness, tingling of lips and tongue, felt as if tongue swelling, difficulty swallowing and speaking, nausea, numbness of lips

Other Meds: amlodipine besylate, hydrochlorothiazide

Current Illness:

ID: 1036588
Sex: F
Age: 62
State: WA

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

Lab Data: none

Allergies: Penicillin, Sulfa antibiotics, macrobid

Symptoms: Severe shaking, chills, temperature, headache, nausea

Other Meds: Daily dose: 10.25 mg Hydrocortisone, 2 mg Prednisone, 0.2 mg Fludrocortisone, 0.2 mg Somatotropin

Current Illness: none

ID: 1036589
Sex: F
Age: 2
State: IL

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

Lab Data:

Allergies: n/a

Symptoms: Night of vaccination, cried and limped with walking. Mom gave motrin, then she walked without limp, but erythema increased by 2nd day to 12cmx8cm swelling and erythema, no drainage, no fever. patient put on cephalexin for possible infection. Patient itching area slightly.

Other Meds: Cetrizine 5mg/5ml 5ml daily

Current Illness: none

ID: 1036590
Sex: F
Age: 23
State: MN

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

Lab Data: NA

Allergies: outdoor allergies and pets

Symptoms: When RN administered vaccine, the liquid dose came out of connection between needle and syringe and vaccinator is unsure if client received vaccine dose. Client and RN observed vaccine liquid down on arm.

Other Meds: none

Current Illness: none reported

ID: 1036591
Sex: M
Age: 81
State: PA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: Underwent vEEG monitoring and started on antiepileptic medication for suspected seizure, unclear etiology for seizures. No prior history of seizures. Had acute hypoxic respiratory failure and treated for aspiration pneumonia.

Allergies: No known allergies

Symptoms: Patient received vaccine on 2/8 at 2:50pm. On 2/9 at 10am, patient was found unresponsive. EMS noted R gaze preference and L sided contracture. Patient was intubated and symptoms resolved when given Versed. Concern for seizure activity.

Other Meds: Norvasc, Lipitor, Xarelto, Zetia, omeprazole

Current Illness:

ID: 1036592
Sex: F
Age: 29
State:

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

Lab Data:

Allergies: None

Symptoms: Developed redness, pain, swelling at vaccination site. Similar reaction occurred after the first dose of Moderna vaccine 3 weeks prior.

Other Meds: YAZ contraception Cymbalta

Current Illness: Similar reaction to first dose of COVID Moderna Vaccine 3 weeks previously

ID: 1036593
Sex: F
Age: 52
State: MD

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

Lab Data: None

Allergies: Codeine, Sulfa, nuts

Symptoms: Patient has recent diagnosis of nut allergies. She denied any adverse reaction with the first vaccination dose. After receiving the vaccine today, the patient reported feeling like her tongue was swelling. She denied any rash or itchiness. Patient was evaluated by EMT, who placed an IV and gave IV one dose (mg not documented) of epinephrine. She was transferred to the hospital for observation.

Other Meds: Vitamin B12

Current Illness: none

ID: 1036594
Sex: F
Age: 39
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Nausea, diarrhea, vomiting, headache, sudden feeling of faintness, extreme fatigue, body ache, chills, fever, dry heaving, loss of appetite, brain fog, restlessness, stomach bloating, memory loss - symptoms began 12 hrs after second dose and are still occurring 5 days later. Missed two days of teaching my in-person and online students thus far.

Other Meds: Adderall, vitamin b6, fish oil, biotin, ibuprofen

Current Illness: None

ID: 1036595
Sex: F
Age: 76
State: CA

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

Lab Data: none

Allergies: Sulfa containing drugs

Symptoms: "Covid arm" Reddened area approx 2 inches in diameter with induration and moderate itching

Other Meds: Xarelto, Hytrin, Levothyroxine, Rhythmol, Lo Sartan, multi Vits,

Current Illness: Tachyarrthymias, pulmonary opacities of unknow etiology

ID: 1036596
Sex: F
Age: 54
State: CA

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

Lab Data: None. I saw MD for general health care 2 weeks later and mentioned what I?d noticed.

Allergies: I avoid ephedrine as caused panic/tachycardia. Allergic to tape. Seasonal allergies.

Symptoms: Numbness and tingling of lower jaw (ear to ear) , base of skull, as well as both shoulders. Began about 4 hits after shot. At same time tension headache had started, as well as fatigue . Symptoms mostly abated after 48 hours. Still hand mild awareness of sensation in jaw and shoulders very slight tingling/cold sensation.

Other Meds: Multiple vitamin Vitamin D Elderberry gummies

Current Illness: Inflammation/crusty discharge left nostril. Allergies; stuffy nose, mild cough, occasional sore throat. Reflux/heartburn.

ID: 1036597
Sex: F
Age: 70
State: MI

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

Lab Data: NA

Allergies: Azactam, penicillins, Ceclor, Capri, tramadolnone

Symptoms: Rash at injection site 13 days after injection. Also had arm pain return on 2/13 and had severe headaches and stomach pains from 2/12 to 2/15.

Other Meds: Synthroid, Ativan, Prolia, metoprolol succ., Imitrex, vitamin, vitamins C a day D and zinc

Current Illness: None

ID: 1036598
Sex: F
Age: 67
State: MN

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

Lab Data:

Allergies: NA

Symptoms: Statement from patient: "Numbness in face when I left here Friday but it got much worse. I had all the normal fever, chills, headache, fatigue. The one thing I had that was not so normal as it started almost right away and My face and jaw, cheek went numb so much so that it felt like someone punched me in the face on the left side. Also, I am unable to chew anything without a reaction of cracking, extreme pain and it causes me to scream out loud. It also happens it I yawn."

Other Meds: Diabetic II

Current Illness: NA

ID: 1036599
Sex: M
Age: 71
State:

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

Lab Data:

Allergies:

Symptoms: Slightly dizzy "spacey" b/p 148/78 pulse72 Respirations18 right after seeing vaccine. Client refused medical treatment.

Other Meds:

Current Illness:

ID: 1036600
Sex: M
Age: 46
State: WV

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

Lab Data:

Allergies:

Symptoms: flu like symptoms. ADDITIONALLY, on February 16, 2021, patient broke out in hives on his body while at work.

Other Meds: cholesterol, testosterone & xanax

Current Illness:

ID: 1036601
Sex: F
Age:
State: MI

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1036602
Sex: F
Age: 39
State: CT

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

Lab Data: n/a

Allergies: sulfa (09/2020)

Symptoms: 2/4 vaccination. 7 hours later, I became extremely exhausted. I slept an unusual amounts for me. sweating, chills, no fever. 2/5 hives. Torso, spread to chest, groin region, face. Felt 'just like the sulfa allergy'. I was nauseous, as well. I did have a lot of body aches. *hives lasted a couple days. Did not see doctor with second dose, nor took the prednisone.

Other Meds: Multivitamins; airborne *zyrtec couple weeks before and a couple weeks after 2nd vaccination

Current Illness: n/a

ID: 1036603
Sex: F
Age: 38
State: WI

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

Lab Data:

Allergies: None

Symptoms: RN was performing vaccination using a vanish point syringe. The needle was in the person's right arm. RN went to push in the vaccine and syringe malfunctioned, leaking the vaccine out of the hub of the syringe. No vaccine entered in to the arm. RN took a different vaccine dose and then administered that dose into the right arm of the client.

Other Meds: Unknown

Current Illness: Well today. Unknown at one month prior

ID: 1036604
Sex: M
Age: 68
State: FL

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

Lab Data:

Allergies: None

Symptoms: I am in a wheelchair. The needled was inserted at shoulder joint and was more upright instead of top of arm as all my other vaccines are given in the muscle. About two hours after injection, I started having severe arm pain to fingers. I used ice, heating pad, Tylenol. I have pain to touch at the bone joint at shoulder. No problem with any other reaction to vaccine. The pain continues today as bad as yesterday.

Other Meds: Linzess, xarelto, tamulosin, irbesartan

Current Illness: I did not have any reaction to the vaccine itself. The injection site was at the top of my shoulder, as I was sitting in my wheelchair. I noticed the needles was more upright, not given in the top of my arm, where past flu shots and injections were given. I?m having severe pain in entire arm to fingers. Have been using Tylenol, heating pad, ice.

ID: 1036605
Sex: F
Age: 51
State: NY

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

Lab Data:

Allergies: Amoxicillin, Cipro

Symptoms: Within 10 minutes of the vaccine my heart began to pound, I felt dizzy and fearful. EMT's blood pressure reading was 224/104

Other Meds: Multi Vitamin

Current Illness: No

ID: 1036606
Sex: F
Age: 77
State: NV

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

Lab Data:

Allergies: Statins, trouble with tapes, adhesive, paper ink, chemical in rubber products,

Symptoms: excessive fatigue, mild headaches, chills with no fever, rash from my arm two inches across and two inches high. Also have big hard lump about the size of plum under the skin that is tender to the touch. did take Aleve.

Other Meds: Amlodipine, venazieril, omega 3, Co-Q10,

Current Illness:

ID: 1036607
Sex: F
Age: 41
State: OH

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Severe swelling, hives, itchiness, redness, and heat to the area surrounding injection site (appeared almost like cellulitis).. Lymph nodes swelling/tenderness to L arm/clavicle/neck. Began topical hydrocortisone as well as oral 50 mg benedryl at night and daily antihistamine (zyrtec 10 mg).

Other Meds: protonix 40 mg every morning, daily multivitamin, biotin 1000 mcg x 2 every day, culturelle daily probiotic

Current Illness: none

ID: 1036608
Sex: M
Age: 59
State: IN

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

Lab Data: none

Allergies: None known

Symptoms: temperature of 101 Chills Vomiting/Nausea headache/body aches All above lasted about 36 hours

Other Meds: Losartan Hydrochlorothiazide Omeprazole Albuterol

Current Illness: COVID 19 a month earlier

ID: 1036609
Sex: F
Age: 66
State: MI

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

Lab Data:

Allergies: PCN, Sulfa - rash

Symptoms: Tingling in cheeks and face. 25mg Bendadryl given. Stated improvement of tingling after about 15 minutes, however, swallowing juice that was provided was difficult. Patient given another 25mg Benadryl. By 3:50pm, patient stated improvement in swallowing. She left with her husband. Patient and husband instructed to go ED if any symptoms worsen. They verbalized understanding.

Other Meds: Effexor, Diclofenic, Busperone, Amour Thyroid, Losartan, Laratadine, Trazadone, Vit D3

Current Illness: denies any

ID: 1036610
Sex: F
Age: 83
State: GA

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

Lab Data: none

Allergies: no

Symptoms: Shaking chills for 2 nights, Temp 99.2 or lower, starting on 2-13-21 at about 6:30 pm until bedtime. May or may not be related to vaccine. I felt fine otherwise. No resulting illness. Did not seek treatment.

Other Meds: several

Current Illness: none

ID: 1036611
Sex: M
Age: 65
State: TX

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

Lab Data: none

Allergies: none

Symptoms: Had some itching and swelling after administration. Administered benedryl. Issues resolved.

Other Meds: flonase

Current Illness: none

ID: 1036612
Sex: F
Age: 20
State: MI

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

Lab Data: none completed

Allergies: none

Symptoms: syncopal episode began 2pm 02/13/2021. Began to get dizzy while standing so sat down in chair. Felt voices becoming further away before eyesight turned black. Patient fell out of chair but was caught by family member. Patient immediately came back to consciousness.

Other Meds: none

Current Illness: none

ID: 1036613
Sex: M
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Pfizer booster given instead of Moderna

Other Meds:

Current Illness:

ID: 1036614
Sex: F
Age: 38
State: NY

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

Lab Data:

Allergies:

Symptoms: PATIENT REPORTED NERVE PAIN SHOOTING DOWN HER RIGHT ARM FOLLOWING THE FLU SHOT. ACCORDING TO IMMUNIZING PHARMACIST SHE ALSO REPORTED PRIOR ISSUES WITH THE FLU SHOT. PREGNANCY HX UNKNOWN BUT CURRENTLY PREGNANT

Other Meds:

Current Illness:

ID: 1036615
Sex: M
Age: 52
State: IL

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Moderate pain and sensitivity at the injection site after both injections. Second somewhat more painful.

Other Meds: escitalopram, fluoxetine, zinc, magnesium, Omega 3, vit C, vit D, B complex, atorvastin, tamsolosin

Current Illness: none

ID: 1036616
Sex: F
Age: 81
State: WA

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

Lab Data: None

Allergies: Demerol

Symptoms: Redness, swelling itching and pain at injection site 8 days after injection treated with ice and Tylenol. No improvement after 5 days 2/13/2021 till 2/17/2021

Other Meds: Levothyroxine Premarin Amlodopine Lisinopril

Current Illness:

ID: 1036617
Sex: F
Age: 65
State: IL

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

Lab Data: Saw Dr. and mentioned all of the above. Based on symptoms and rash site, she believed I had a possible case of shingles. She prescribed valACYclovir HCl since I was still exhibiting symptoms. PLEASE NOTE: I had the Shingrix vaccine, BOTH doses...one in September.....2nd dose in November, 2020. The possible case of shingles was therefore mild and resolving. Dr. encouraged me to get the 2nd dose of Moderna Covid-19 vaccine and I agree!

Allergies: Effexor (adverse reaction....headaches) Sporonox (adverse reaction...hot spots)

Symptoms: AFTER pain at injection site, mild headaches, mild nausea, malaise for two days, at about 4 AM (36 hours after injection), I woke up to terrible, sharp pain on left upper portion of back. Too uncomfortable to lay back down. Took 400 mg of Ibuprofen. Felt 80% better, enough to go back to sleep. Pain returned before ibuprofen ran out. Husband discovered red rash with line of small dots, rash like where pain was indicated. Redness was gone after a few hours and bruising of yellow and blueish colors with small dots remaining. Next day, Tue 2/16/21, symptoms improved, but still present, pain still sharp and shooting into left side back neck and left shoulder, down left back. That evening, at 10:30 PM, thinking it was muscular, husband put Biofreeze on affected area and just his touch resulted in excruciating pain. He had a history of shingles and wondered if I had it. I made an appointment with Dr. for Wed. 9:00 AM. Symptoms had improved even more, but rash dots still present and shooting pain into neck and shoulder still present.

Other Meds: Vitamin D3 - 32,000 IU a week Citracal Calcium Supplement Slow Release - 1200 mg (vitamin D included in supplement is calculated in Vitamin D line item) Lunaki Elderberry Gummies Immune Support (with Vitamin C and 7.5 mg Zinc)

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm