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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1037171
Sex: F
Age: 82
State: MN

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

Lab Data: None

Allergies: Sulfonamides (Hives)

Symptoms: Increased Temperature and general Malaise

Other Meds:

Current Illness: None known

ID: 1037172
Sex: F
Age: 36
State: WA

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Large, itchy red rash at sight of infection one week later. The same rash appeared 2 days after second dose.

Other Meds: Citalopram Vitamin b12 Vitamin d

Current Illness: None

ID: 1037173
Sex: F
Age: 72
State:

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

Lab Data:

Allergies: ATORVASTATIN; LISINOPRIL; NAPROXEN; NICOTINE

Symptoms: Acute on chronic congestive heart failure, unspecified heart failure type; Bilateral pleural effusion; COPD exacerbation; COVID-19 virus not detected; Hypoxia; SOB (shortness of breath)

Other Meds:

Current Illness:

ID: 1037174
Sex: F
Age: 68
State: MN

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

Lab Data: None

Allergies: Sulfa, lisinopril, phentermine

Symptoms: Nausea, temperature, arm soreness, joint soreness, sore top of mouth headache for 2 days. Called ER Doctor and she told me to drink liquids, eat crackers and take Pepto Bismol. Finally got better but injection site still hurts and still have roof of mouth pain and slight headache.

Other Meds: Amitrptylin, atorvastation

Current Illness:

ID: 1037175
Sex: F
Age: 73
State: OR

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

Lab Data: None

Allergies: None

Symptoms: High fever began about 8 hours after injection. Delirious weak headache muscle & joint aches. Slept for 24 hours. Fatigue continues but getting better. Headache still be getting better. Arm got very red hot & itchy on day 3.

Other Meds: None

Current Illness: None

ID: 1037176
Sex: F
Age: 71
State: OR

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

Lab Data: None

Allergies: None

Symptoms: Feb. 14 -17 woke up with Laryngitis. No sore throat but no voice. Lasted 3.5 days. At the same time my left arm started feeling ?deeply achy.? Up to that point I had relatively no vaccine site pain. I had forgotten about it. Then the ache started. After a couple more days, my left arm felt like someone had hit me with a baseball bat. I couldn?t lift anything. No swelling. I take Advil to help with pain. I have no elevated temperature. Ache still persistent. Very distracting but just think it?s a delayed muscle reaction.

Other Meds: 20 mg atorvastin

Current Illness: None

ID: 1037177
Sex: F
Age: 54
State: VA

Vax Date: 01/23/2021
Onset Date: 02/07/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Normal EKG

Allergies: Amoxicillin-clavulanate

Symptoms: Developed frequent isolated ectopic beats for 36 hours after an episode of vigorous exercise 2 weeks and 1 day after second Covid vaccination.. No runs of tachycardia.

Other Meds: B Complex, Buproprion XL, Vitamin D, lisinopril-HCT, lorazepam, Turmeric

Current Illness: None

ID: 1037178
Sex: F
Age: 70
State: NC

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

Lab Data: Just took my own pulse, blood pressure, & oxygen by using a pulse oximeter that I have because my husband has cardiac history.

Allergies: Many allergies to meds - don't have time to list because this program kicks me off after minutes :(

Symptoms: This was my 2nd vaccine dose. The first dose was on 1/15/21 at 12:30pm and my side effects that started in the evening were much milder: very sore arm, nausea, body aches, fatigue which resolved after 48 hours. The 2nd dose on 2/5/21 was at 2:30pm, but the side effects started in the evening were more concerning: same sore arm, nausea, body aches, fatigue, but I also started having chest pain at 9:00pm. This was frightening to me so I took aspirin because it was heart related. When the pain lessened, I went to bed. I awake the next morning to chest pain and now tachycardia. My normal heart rate is 68-70, but now it was up to 98-100. I took more aspirin, went back to bed, and tried to slow my heart rate with deep breathing. I called my nurse expert friend who told me to go to the ER if my heart rate went to 140. I stayed in bed most of the day, trying to slow my heart rate, hydrating, eating slow portions of food and taking aspirin. My chest pain & heart rate starting lessening by the evening into the next morning. Thank God it was mostly gone by Sunday evening. My biggest concern that I would appreciate an answer to from you is : will the next COVID vaccine that I take be even more dangerous to me? Am I allergic to this vaccine or would I be okay with a lower dose? Should I not take a COVID booster if it becomes recommended?

Other Meds: Vitamins

Current Illness: None

ID: 1037179
Sex: F
Age: 33
State: MA

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

Lab Data:

Allergies: none

Symptoms: Severe pain at injection site lasting 40 hours. Headaches lasting 40 hours. Dizziness/vertigo occurred 3 times within 24 hours. Fatigue lasting 40 hours. Muscle and joint pain lasting 10 hours.

Other Meds: multi vitamin

Current Illness: hashimoto's thyroiditis

ID: 1037180
Sex: F
Age: 43
State: OR

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

Lab Data:

Allergies:

Symptoms: Patient reports pins and needles tingling sensation in left arm and leg, as well as left side of mouth. She also reports dizziness. Benadryl was administered per MD order. Patient was monitored and recovered. Stable for discharge.

Other Meds:

Current Illness:

ID: 1037181
Sex: F
Age: 38
State: IN

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

Lab Data: None

Allergies: Allergic to chocolate

Symptoms: 3 hours after receiving the second shot. I experienced chills, and extreme fatigue. The second and 3rd day, I experienced a piercing headache, fever, fatigue, weakness, and a rash across my chest and around my lips. My lips slightly swole u and itched. As of today, my lips are experiencing an allergic reaction. They itch and now are peeling. I?ve been taking Zyrtec, but it?s not helping. Tomorrow I plan on buying benedryl to help.

Other Meds: Advair- for asthma

Current Illness: None

ID: 1037182
Sex: F
Age: 36
State: TX

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

Lab Data: N/A

Allergies: N/A

Symptoms: Heart Rate at 160 Dizziness Blurred vision Fever 101.0 Chills

Other Meds: Tylenol

Current Illness: N/A

ID: 1037183
Sex: M
Age: 90
State: OH

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

Lab Data: None taken

Allergies: None

Symptoms: pain in upper arm on first two-3 days, then moving to left hip area for 2-3 days, then moving also to left knee and leg.

Other Meds: Centrum Silver, PreserVision, IC Alfuzosin, Ultra Tox

Current Illness: None

ID: 1037184
Sex: M
Age: 69
State: CA

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

Lab Data:

Allergies: none

Symptoms: Severe mental fog lasting more than 5 days and still ongoing

Other Meds: none

Current Illness: none

ID: 1037185
Sex: F
Age: 37
State: OH

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

Lab Data:

Allergies: None known

Symptoms: Within first 12-24 hours: tiredness, chills, mild headache Within 24-28 hours: continued fatigue, mild headache Within 36 hours: developed large golf-ball sized lymph node lump, below right armpit, in additon to above symptoms beginning to lessen

Other Meds: Junel Fe 1.5/30, Hydrochlorothiazide 25mg, Sertraline 50 mg, Metoprolol Succ ER 50mg, Montelukast 10mg, Diclofenac Sodium DR 75mg, Omeprazole, Acetaminophen 500mg, Vitafusion multivite gummies

Current Illness: Arthroscopic knee surgery December 2020 (reason for anti-inflammatory Rx, relapsed injury)

ID: 1037186
Sex: F
Age: 52
State: NY

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

Lab Data: Urgent care. Benadryl shot

Allergies: Penicillin as an adult

Symptoms: Hives 31 hours after shot

Other Meds: Vitamin C, vitamin D3, multi vitamin

Current Illness: None

ID: 1037187
Sex: F
Age: 34
State: AZ

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

Lab Data:

Allergies: N/A

Symptoms: Pain and soreness at injection site, headache, sharp shooting pains all over body and tiredness

Other Meds: N/A

Current Illness: N/A

ID: 1037188
Sex: F
Age: 77
State: CA

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Shellfish, Valium

Symptoms: Received 2nd vaccine on 2/4/21 developed redness below injection site on 2/7/21. Redness continued and spread down arm. Contacted clinic with this information they took report. I was told to contact my personal physician. Called on 2/9/21 was given appointment to be seen 2/10/21 she diagnosed - cellulitis and i was given Rx for Cephalexin 500 MG.

Other Meds:

Current Illness:

ID: 1037189
Sex: F
Age: 91
State: MN

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

Lab Data: n/a

Allergies: Unknown. Resident lives in Independent Living

Symptoms: Swelling and pain at the injection site, weakness in bilateral legs

Other Meds: Unkown

Current Illness: none known

ID: 1037190
Sex: F
Age: 46
State: IL

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

Lab Data:

Allergies: Shellfish, ct contrast, azithromycin, sulfa

Symptoms: 4 hours after injection I felt itchy all over (fairly mild) with no rash. Got covid arm rash on day 8 and lasted 3 days.

Other Meds: Xanax, famotidine, Zyrtec, multivitamin

Current Illness: None

ID: 1037191
Sex: F
Age: 53
State: GA

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: On the 9th day after receiving the vaccine I developed a headache, nausea, dizziness, "foggy brain" (to the extent that it felt like slight voltage going through my head at times that made it difficult to think and speak clearly). On Tuesday evening another symptom developed. On several occasions it felt as though my body suddenly heated up on the inside. The only way I can think of to describe it is like the inside of my body was a microwave oven and it heated up suddenly from the center of my chest and spread out to cover my chest, arms, neck and head. This was very alarming and kept me from sleeping most of the night. I have experienced heat flashes in the past, but it has been a few years since I have had one. This was DEFINITELY NOT heat flashes. They felt entirely different. All symptoms are still present as I type this report (five full days). Dizziness, nausea, headache are all still present, but have improved today when compared to the previous 4 days. I have not had another "heating" episode since last night (thank goodness!). I contacted my nephrologist regarding the symptoms today and spoke with the nurse. She said that she would call me back today after speaking with the doctor, but no one returned my call. I will attempt to contact them again tomorrow. If my symptoms continue tomorrow, I will attempt to make an apt. with a primary care physician.

Other Meds: Prednisone 5mg qd, Calcium 600mg qd

Current Illness: Glomerulonephritis

ID: 1037192
Sex: F
Age: 26
State: NC

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

Lab Data: None

Allergies: None

Symptoms: Itchy, bumpy, raised rash on upper left leg

Other Meds: Gianvi-birth control

Current Illness: None

ID: 1037193
Sex: F
Age: 54
State: GA

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

Lab Data: On the day of the vaccination, 2/13/21 they monitored me for 30 minutes and took my vitals three times before I was released. The rest of the weekend my spouse attended to me. On 2/17/21 I was scheduled for a dental cleaning. I went kept the appointment for my Dentist to look inside my mouth and diagnose what was going on in there and treat if possible. She lasered the fever blisters on my lip and Lasered all the ulcers' in my mouth (roof, gum line upper, lower front, and back. She stated it was a violent reaction to the shot. No electric toothbrushing, and prescribed other the counter diphenhydramine HCL 12.5 mg/5ml to swish around my mouth and spit out.

Allergies: Codeine/Codone meds, ALL BUG BITES

Symptoms: Within minutes I felt the bursting radiation of sharp heat from my head to my extremities. I liken it to a firework in the sky in a round star formation. Palpitations in my chest area with a tightness. Sharp pains around my belly button and just hot flushing of my body. Later that day I displayed full-blown COVID-19 symptoms (I had last year April). Those symptoms lasted through Monday afternoon. Tuesday I woke up to a mouth full of ulcers, sensitive gums (I could barely brush my teeth, no flossing, and chewing was painful. I also developed fever blisters on my bottom lip mid-center and to the right.

Other Meds: Mirtazapine, Rosuvastatin, Paroxetine, Januvia, Metformin, Hair-Skin & Nails Vitamin with Biotin, Calcium +D3, Magnesium, Zinc, Garden of Life Probiotic Acupuncture

Current Illness: None

ID: 1037194
Sex: M
Age: 70
State: NV

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

Lab Data: None

Allergies: PCN, Pain medicine: Vicodin, Tylenol #3-4, ultram , all causing severe itching

Symptoms: Severe diarrhea

Other Meds: Ozempic 0.125mg every Thursday, Allopurinol 300mg once a day, Atorvastatin 80mg once a day, Sertraline 200mg daily, Triamterene HCTZ 37.5/25mg daily, Lorsartan 100mg daily, Vit D 5000iu daily, Amlodipine 10mg every night, Paxsin 1mg every

Current Illness: None

ID: 1037195
Sex: F
Age: 65
State: IA

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

Lab Data:

Allergies: Augmentin

Symptoms: Large red, hot, swollen area about 3 inches by 3 inches. 102 Fever for one day. Mild fatigue for one day.

Other Meds: Wellbutrin, Baby ASA, Vit D,

Current Illness: None

ID: 1037196
Sex: F
Age: 28
State:

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

Lab Data:

Allergies: None

Symptoms: Had low grade fever (99.8), chills and achiness. Fever resolved with Tylenol. Continues to have achiness and malaise rest of the day.

Other Meds: Multi Vitamin, B complete, oxybutin, magnesium

Current Illness: None

ID: 1037197
Sex: F
Age: 35
State: NY

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

Lab Data:

Allergies:

Symptoms: patient began to feel itchy on her body after the vaccine, she was given 2 benadryls.

Other Meds:

Current Illness:

ID: 1037198
Sex: F
Age: 39
State: NY

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

Lab Data:

Allergies: None

Symptoms: Red bullseye type rash around injection site. Appeared about 8 days after shot.

Other Meds: Birth control , Wellbutrin

Current Illness: None

ID: 1037199
Sex: F
Age: 67
State: CA

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

Lab Data: n/a

Allergies: Zostavax (Pf) [Zoster Vaccine Live (Pf)], Iodine [Ivp Dye, Iodine Containing]

Symptoms: approx 48 minutes after injection, pt left after a 30 minute observation, went to restroom and had c/o facial swelling, flushing and redness. bp 172/85, hr 83, rr 18, RA sat 100%. epi 0.3mg im given at 1644.

Other Meds: glipiZIDE (GLUCOTROL) 10 mg Oral Tab Losartan (COZAAR) 50 mg Oral Tab Atorvastatin (LIPITOR) 10 mg Oral Tab predniSONE (DELTASONE) 5 mg Oral Tab amLODIPine (NORVASC) 5 mg Oral Tab Tacrolimus (PROGRAF) 1 mg Oral Cap Dorzolamide-T

Current Illness: none

ID: 1037200
Sex: F
Age: 39
State: NY

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

Lab Data: None

Allergies: Penicillin

Symptoms: Fever, severe body aches, chills, nausea, fatigue

Other Meds: Serrapeptase Montelukast Multivitamin Vitamin d Vitamin c

Current Illness: None

ID: 1037201
Sex: F
Age: 68
State: CA

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

Lab Data: None. Waiting to see if it resolves within a week, as CDC website says it should.

Allergies: Naprosyn, sulfa, phenazopyridine, some bandaids

Symptoms: Approx 4 days after shot, when redness and tenderness subsided, began to have sporadic itching at the site. By 8 days after vaccine, I developed red rash, inflammation, and intense itching at same location near the injection site. Have been using topical Benadryl and cortisone creams 3 times daily. Seems slightly less red and itchy now, on day 11.

Other Meds: D3-1000 mg, calcium 600 mg

Current Illness: None

ID: 1037202
Sex: M
Age: 21
State: WA

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

Lab Data:

Allergies: NO

Symptoms: Patient had seizure about 45 minutes after receiving Covid 19 vaccine. Dr at ER confirmed this seizure was not related to Covid vaccine. Patient didn't take Depakote for 2 days. His Depakote level was low. Patient has history of brain tumor and seizure.

Other Meds: DEPAKOTE, DUPIXENT

Current Illness: HX OF BRAIN TUMOR AND SEIZURE

ID: 1037203
Sex: F
Age: 64
State: AZ

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

Lab Data: Watch has recordings of heart rates and atrial fibrillation.

Allergies: Erythromycin

Symptoms: Moderna vaccine #1. High heart rate and atrial fibrillation reported by Watch over three day period beginning about 3 hours + after injection. . Resting heart rate was up to 167 at one time and sleeping rate was up and down in the low 100?s Did several ECGs and atrial fibrillation reported several times. Heart rate began to subside after a full two days with spikes. Monitored through weekend to be sure no further spikes. Have copies of reports. Called and reported to physician on 2/16. Called VARES and Moderna to report and no return calls as yet as no choice but to leave voice mail.

Other Meds: Travatan

Current Illness: Glaucoma

ID: 1037204
Sex: M
Age: 55
State: MD

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

Lab Data:

Allergies:

Symptoms: Pain experiencing deltoid and potentially shoulder soreness four weeks after receiving vaccine.

Other Meds:

Current Illness:

ID: 1037205
Sex: M
Age: 39
State: OR

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red itchy rash about 3 inches in diameter at the injection site in my left deltoid muscle has formed eight days after I received the shot.

Other Meds:

Current Illness:

ID: 1037206
Sex: F
Age: 27
State: PR

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

Lab Data: None

Allergies: Crustacean

Symptoms: Fever, headaches, tiredness, muscle pain, pain in general, lower back pain and urine of like pink color. Symptoms started with tiredness in general followed by fever. The treatment has been resting, hydrating myself and acetaminophen 1000 mg every 6 hours. I then lowered it to 500 mg every 4 hours. Fever has diminished but the symptom that worries me the most is the color pink on my urine.

Other Meds: Synthroid

Current Illness: Hypothyroidism, gastritis

Date Died: 02/05/2021

ID: 1037207
Sex: F
Age: 39
State: UT

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

Lab Data: contact shock trauma center and the medical examiner

Allergies: sulfa drugs

Symptoms: She had pain in the injection site Tuesday night and then during Tuesday she got worse with nausea and some fever. By Wednesday she was complaining that she could not pee even though she was drinking a lot of fluids. She continued to complain it was the worst she ever felt and then at 0600 Thursday morning she woke us up and said she needed to go to the hospital. We arrived at the hospital just before 0700 and she immediately threw up in the trash can. We went into a treatment room and they took blood and started fluids as she became incoherent. She said she had taken Tylenol so they started a drug to counter that but her liver function was all wrong and they started to look for a hospital that could transplant a liver. She was air evade about 0930 to Medical center and just over 30 hours latter she was dead. There is a pending autopsy. She was a healthy 39 year old mother who got the shots because she worked as a surgical tech and she was the single mother of a 9 year old little girl.

Other Meds: birth control, and she did do botox

Current Illness: none,

ID: 1037208
Sex: F
Age: 60
State: AZ

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

Lab Data:

Allergies: Sulfa

Symptoms: Pain/tenderness at injection site, redness and pain/tenderness below injection site, two days later headache, fatigue, diarrhea, low grade fever, muscle aches. Symptoms dissipated next day.

Other Meds: Losartan 100mg; Hydrochlorothiazide 12.5 mg; Amlodipine besylate 5 mg; naproxen sodium 250 mg.

Current Illness: None

ID: 1037209
Sex: F
Age: 76
State: OR

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

Lab Data: I evaluated her 2/11/2021. Her physical exam was normal. We did complete a MOCA test (memory/dementia screener), which was mildly abnormal (24/30, expected 26+/30), with deficits mainly in attention (serial 7s) and delayed recall (3/5 words). Labs, including CBC, CMP, ESR, TSH, B12, were normal except for a low-normal B12 (297) and low vitamin D. COVID Ab test was positive.

Allergies: ampicillin codeine seroquel talwin

Symptoms: Later in the day, a few hours after the vaccine, she had some unusual cognitive symptoms. After the vaccine, she went shopping at her local grocery/pharmacy and noticed she wasn't wearing her wedding ring. In that moment, she thought she recalled having dropped it off at her local jeweler to have it cleaned/checked, and she remembered what the young woman looked like who took her ring, etc. So she checked at the jewelry counter and they had no record of the transaction. She called the other jewelry (chain) stores and no one had her ring. She couldn't find it at home. She now believes the "memory" of dropping off her wedding ring at the jeweler was some sort of dream or hallucination, which happened a few hours after receiving the vaccine dose.

Other Meds: venlafaxine ER bupropion trazodone glucosamine B complex vitamin D

Current Illness: 1/10/2021 acute COVID illness/infection febrile illness lasted 4 days. rapid test neg. Ab test 2/11/2021 positive.

ID: 1037210
Sex: F
Age: 42
State: MD

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

Lab Data:

Allergies: Environmental allergies

Symptoms: Joint pain chills muscle aches

Other Meds: Rybelsus losartan

Current Illness: No

ID: 1037211
Sex: F
Age: 29
State: WI

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

Lab Data: N/A

Allergies: Environmental

Symptoms: Headache, brain fog, tiredness, achy, sore arm started approximately 23 hours after administration of vaccine

Other Meds: Levothyroxine, birth control, fluticasone, sertraline, buspirone, certirizine

Current Illness: N/A

ID: 1037212
Sex: M
Age: 77
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: Headache, Chills, Hot Flashes, Fatigue, Nauseous, Muscle and joint pain. No Fever. These symptoms have continued with no improvement for approx 20 hours since injection.

Other Meds: Finasteride

Current Illness: None

ID: 1037213
Sex: F
Age: 38
State: VA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Slight headache for a short period. Sore arm where injection happened the next day.

Other Meds: None

Current Illness: None

ID: 1037214
Sex: F
Age: 35
State: OR

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

Lab Data: none

Allergies: Sulfa drugs

Symptoms: Delayed arm rash with swelling, itchiness, and redness appeared today. Also experiencing right underarm lymph node pain and swelling. Planning on using an ice pack and anti-itch cream to alleviate symptoms. No fever at this time.

Other Meds: Sertraline

Current Illness: None

ID: 1037215
Sex: F
Age: 64
State: AZ

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

Lab Data: none

Allergies: iodine

Symptoms: Initial symptom swelling, hardness of the R upper arm. Later redness over dorsal surface of the R arm, soreness with shoulder mobility approx 12 hours after the injection. Off and on itchness and burning. Currently the swelling has lessened. I continue to experience itchness and burning feeling around injection site (post 5 days). Symptoms are are lessened with antihistimines but are noticiable throughout the day. I was advised by the Clinic to continue medical regime of antihistamines (benedryl) every 6 hours for the next couple of days.

Other Meds: statin, multi vitamins, glucosomine, cranberry capusules, tumeric, melatonin, CoQ 10,

Current Illness: none

ID: 1037216
Sex: F
Age: 23
State: WA

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

Lab Data: Urine test for UTI- negative

Allergies: Raw eggs

Symptoms: On Monday around 1:30 in the morning I woke up with a definite urgency to go to the bathroom. After I went I still felt like I had to go and It definitely felt like I had a UTI. I have not been sexually active in months. I went to my doctor the next day and when I took the urine sample I knew without a doubt that I definitely had a UTI from all the symptoms I was having we?re by the book. It ended up coming back that I did not have a UTI but my doctor still put me on the anabiotic?s. I then come to find out one of my coworkers who had her shot the day before me had the exact same thing happened to her and it just seemed worth reporting.

Other Meds: Birth control pill Adderall

Current Illness: NONE

ID: 1037217
Sex: F
Age: 43
State: NJ

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

Lab Data: None

Allergies: Latex, Amoxicillin, Gadolinium, Nickel, adhesive

Symptoms: Itching and swelling

Other Meds: Actos, Crestor, Cymbalta, Low does aspirin, Gemfibrozil, Multi Vitamin, Calcium, B12, D3, Iron

Current Illness: None

ID: 1037218
Sex: F
Age: 72
State: LA

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: 99.3 fever, blood pressure 144/70

Allergies: None

Symptoms: Severe rash under all undergarments, neck, all around lower bra area, more severe in back . Also around waist upper legs, wrist area, behind ears, forehead, and hairline. Severe itching, burning and stinging like hives 99.3 degree fever. Blood pressure144/70

Other Meds: Valsartin (Diovan) blood pressure 40mg Rosuvastatin (Crestor) cholesterol 10mg Fenifibrate - cholesterol 54 mg Metformin - diabetes 500 mg Metoprolol - blood pressure 25mg ALLERGIES Montelukast (Singular) 10mg Fluticasone spray P.M. Me

Current Illness: None

ID: 1037219
Sex: F
Age: 32
State: CA

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

Lab Data: I contacted my nephrologist and he ordered blood work and a urinalysis. The UA showed here was an increase in proteinuria and hematuria directly following the second dose of the COVID vaccination. Kidney function bloodwork appeared to be within normal limits. No treatment was necessary. Follow up blood work ordered within 5-7 days.

Allergies: PCN - rash only

Symptoms: Vaccine given and within 20 hrs, my urine turned reddish brown. Since I have a history of IgA nephropathy, I contacted my nephrologist and he ordered blood work and a urinalysis. The UA showed here was an increase in proteinuria and hematuria directly following the second dose of the COVID vaccination. Kidney function bloodwork appeared to be within normal limits. No treatment was necessary. Follow up blood work ordered within 5-7 days.

Other Meds: Amlodipine 10mg PO once a day

Current Illness: None

ID: 1037220
Sex: F
Age: 83
State:

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

Lab Data:

Allergies:

Symptoms: Bout of Diarrhea on Thursday and Friday. Maybe a little fatigue for a couple of days. Otherwise - no other problems.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm