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: 1037221
Sex: F
Age: 41
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills Severe sweating Headache Nausea vomiting Elevated blood sugar

Other Meds: Insulin Levothyroxine Lasinpril Claritin Aldactone Gabapentin Vitamin c Elderberry

Current Illness:

ID: 1037222
Sex: F
Age: 50
State: AZ

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

Lab Data: none

Allergies: penicillin, sulfa

Symptoms: Symptoms began 18 hours after vaccine and lasted 12 hours: fever (101.7), joint pain, headache, myalgia, pain with deep breath. I used acetaminophen 3 times.

Other Meds: none

Current Illness: none

ID: 1037223
Sex: F
Age: 56
State: TX

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

Lab Data: None

Allergies: Sulpha drugs

Symptoms: Light red rash around injection site appeared approximately 9 days after receiving vaccine. Slight itching at site. Slight swelling of upper left arm where injection was administered.

Other Meds: Escitalopram 10 mg Levothyroxine.125 mg Atorvastatin 20 mg Multi vitamin - daily Vitamin D - once a week

Current Illness: None

ID: 1037224
Sex: F
Age: 31
State: OR

Vax Date: 01/14/2021
Onset Date: 02/03/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Seafood, tree nuts

Symptoms: Shortness of breath/ wheezing which was made better with 1 puff of albuterol. This is the first time I have had to use my inhaler in 3 years, so the only thing that was different is that I got my COVID shot a few weeks prior.

Other Meds:

Current Illness:

ID: 1037225
Sex: F
Age: 50
State: WA

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

Lab Data:

Allergies:

Symptoms: Dizziness for 30 minutes post-shot. Began within a minute or two of receipt of the shot. Mostly gone within 30 min. Entirely recovered within 1 hour.

Other Meds:

Current Illness:

ID: 1037226
Sex: F
Age: 45
State: NY

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

Lab Data: none

Allergies: NKDA

Symptoms: Patient received second dose Moderna vaccine Feb 6 days ago in right arm Noticed some numbness lip that evening Had generalized aches, "brain fog" for five days Then 5 days after vaccination noticed pins and needles in cheek just on left side; she has sensation--but not as much as on right side of face More tingling worse with brushing teeth--has sensation like anesthetic is wearing off Seems slightly better today. Patient is not highly concerned but wanted it reported to CDC. Physical exam not consistent with motor paralysis of Bells palsy; neuro exam WNL except slightly decreased sensation to light touch right forehead and cheek versus left; not progressing, mild.

Other Meds: none

Current Illness: none

ID: 1037227
Sex: F
Age: 79
State: FL

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

Lab Data: None

Allergies:

Symptoms: Face became very hot, vision blurred momentarily; I continued to feel very hot although the car window was down and it was a cool day; then I realized that my nasal passages were swelling. First symptoms subsided after 10 min, nasal passages were returning to normal after 15 min. No treatment given. I didn't even report it as I didn't see anyone to report it to until I was pulling out of the Fairgrounds.

Other Meds:

Current Illness:

ID: 1037228
Sex: M
Age: 40
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: Symptoms began at 6pm. Fever, headache, runny nose, chills, pain in left arm, nausea. Took 1 Advil at 7pm. Advil is cutting the pain.

Other Meds: Vitamin B. Fiber. Men?s one a day multivitamin. Turmeric. Apple Cider Vinegar. Claritin. M Drive elite supplement. Pantoprazole Sodium. Elderberry. Flonase Vitamin C Vitamin D Zinc Ashwaganda

Current Illness: Heartburn

ID: 1037229
Sex: F
Age: 0
State: MD

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

Lab Data:

Allergies: Ace inhibitors

Symptoms: My arm was sore on the 1st day but about 6 or 7 days later my arm was swollen just below my shoulder down to my elbow and today it is still swollen

Other Meds:

Current Illness:

ID: 1037230
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: Tre nuts

Symptoms: Large swollen lump at injection site.

Other Meds: N/A

Current Illness: N/A

ID: 1037231
Sex: F
Age: 72
State: NJ

Vax Date: 01/26/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Ringing in ears, starting in late afternoon, worsening every evening. Started about a week ago and happens every day.

Other Meds:

Current Illness:

ID: 1037232
Sex: F
Age: 40
State: CO

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

Lab Data: 2/15/21 18:05. BP 122/70, HR 81 sinus rhythm, resp 20, 99% O2 on room air.

Allergies: Penicillin

Symptoms: In monitoring area shortly after vaccination, patient reported to EMS observation staff she was experiencing "lip tingling." In speaking with staff during assessment, patient's symptoms progressed to c/o lower lip swelling and trouble swallowing. Redness and swelling noted around mouth and nose. IM epinephrine administered at 18:08 and 911 called for transport to hospital.

Other Meds: denies

Current Illness:

ID: 1037233
Sex: M
Age: 71
State: CA

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none. Dr visit.

Allergies: Toradal, flagyl and MRI contrast

Symptoms: Initially, Mild hives on stomach and chest. Two days later hives on back on bottom. 4 days to clear with antihistamines and topical steroids.

Other Meds: Trulance, Lactolose

Current Illness: none

ID: 1037234
Sex: F
Age: 21
State: AZ

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

Lab Data:

Allergies:

Symptoms: Low grade fever, fatigue, loss of apetite

Other Meds:

Current Illness:

ID: 1037235
Sex: F
Age: 53
State: HI

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

Lab Data:

Allergies: Infrequent reaction of hives for shrimp and itch for oranges Contact dermatitis for rubber

Symptoms: Earlier that morning took 25mg of Benadryl to address allergic reaction of contact dermatitis. After receiving Covid Moderna vaccine: 30 minutes after shot: tiredness, mild lightheadedness 60 minutes after shot: light rash noticed on forearms and palms with itchiness. The light rash and itch lasted for approximately 3 hours from initial shot. Took 25mg of Benadryl as the arm with the contact dermatitis continued to itch beyond the 3 hours. 17 hours after the shot, woke up with an enlarged tongue. 19 hours after, took picture and sent to Dr. and was directed to take 50 mg of Benadryl and go to the emergency room. 22 hours after, received epinephrine shot and famotidine. Oximeter reading and pulse rate were within normal range, blood pressure was high.

Other Meds: Amnitripyline, benadryl

Current Illness: None

ID: 1037236
Sex: F
Age: 46
State: WI

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

Lab Data: I went to urgent care on 1/10/21

Allergies: Sulfa drugs and pet dander

Symptoms: After first shot I had difficulty swallowing along with blister like sores on my tongue. I took Benadryl allergy when I got home, but it didn't help. I ended up going to urgent care the next day because I wasn't feeling any better. The doctor felt it was more so a immune response then an allergic reaction. So for my second shot my doctor prescribed 50mg of Prednisone 7 hours before and 1 hour before the injection. Also Benadryl 50mg 1 hour before the injection. The second shot I did not have the tongue and throat issues, just dry mouth and horrible taste in mouth right after vaccine.

Other Meds: Vitamin D and Warfarin

Current Illness:

ID: 1037237
Sex: F
Age: 38
State: CA

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

Lab Data: None

Allergies: ACE Inhibitors/Lisinopril

Symptoms: 1st vaccine, arm pain at injection site for 3 days. 2nd vaccine, approx 13 hours after injection, severe body/muscle aches, fatigue, throbbing headache, inability to sleep the night of the vaccine. Used Tylenol after having symptoms for approx 14 hours after onset of symptoms, and it immediately improved all symptoms. Symptoms lasted approx 24 hours, then felt fine. Headache lingered longer, but wasn?t as bad as it was the day after vaccine. Headache gone 52 hours after injection.

Other Meds: Symbicort Pantoprazole Atenolol

Current Illness: None

ID: 1037238
Sex: F
Age: 84
State: OR

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

Lab Data: None

Allergies: Amoxicillin, Clarithromycin, Sulfa, Carbidopa-Levodopa, Cefuroxime, Ciprofloxacin, Zoledronic acid

Symptoms: An 84 year-old female resident at a memory care/long-term care facility had accidentally received a 3rd dose of COVID-19 vaccine (Pfizer) on 2/17/2021. Already received 2 doses of COVID-19 vaccines (Pfizer) on 1/25/2021 and 2/15/2021. Then the resident was transferred sometime between 2/15 and 2/17. These are two separate care facilities but operated under same management. A facility care coordinator stated they did not receive COVID-19 vaccination records. Therefore, the coordinator carelessly registered her to receive a 1st dose of COVID-19 vaccine (Pfizer) on 2/17/2021, when visited the site to conduct vaccine clinic. The vaccine administration record showed that this was the resident's first time getting COVID-19 vaccine. After pharmacy staff found out about the accidental third shot, contacted the coordinator on 2/17 afternoon and found out that the coordinator was not aware that this resident had already received the 2 doses of COVID-19 vaccines. Per the coordinator, the resident seems normal and stable.

Other Meds: Not reported

Current Illness: Not reported

ID: 1037239
Sex: F
Age: 52
State: MD

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

Lab Data: none

Allergies: none

Symptoms: Area where vaccine was given started to feel a little achy and itchy. A 6cm x 4cm red area of skin was noted at the site of the injection.

Other Meds: none

Current Illness: none

ID: 1037240
Sex: F
Age: 32
State: CO

Vax Date: 02/14/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: 02/16/21-blood work, urine sample

Allergies: Allergic to tomatillos, Hydromorphone, Dilaudid

Symptoms: At 4pm MST, on Sunday, Feb. 14th, I received my first dose of the Moderna vaccine in my left upper arm. I waited 15 minutes and felt fine. My arm quickly began to hurt, but nothing that seemed out of place. By that evening, I barely could move my arm it was so painful. I specifically did not take any pain relieving medication prior to the injection. However, by midnight Sunday night, into Monday morning, I had to take Advil due to how significant the pain was. On Monday, Feb. 15th, I woke up to a very sore arm, I felt tired. Through out the day, I began to feel a bit crummier, just more tired and a bit nauseous. I went to bed Monday night, and around midnight, Tuesday, Feb. 16th, I woke up with significant nausea. I then began throwing up. I threw up for about six-seven hours. I could not keep any water down. I also had a small amount of diarrhea. I originally thought I must have food poisoning, but I had eaten the same thing as my husband, and he was fine, he though had not gotten the vaccine. I eventually was able to get some sleep. Tuesday, Feb. 16, I missed work, and spent the day in bed, with a low grade fever, significant body aches, chills, and no energy. I continue to feel very sick. I ended up calling urgent care, they had a traveling urgent care, come to me on the evening of Feb. 16th. I was treated for dehydration and adverse effects of the vaccine. I was given an IV. They took blood work, and beyond my elevated heart rate and being dehydrated, so did not find anything to be wrong. As of today, Wednesday, Feb. 17th, I feel fine. My arm pain has basically gone away, and I fell back to normal. It should be noted that I had COVID-19 in Feb. 2020, so basically a year ago.

Other Meds: Adderall-30mg 1x daily Birth control pill 1x daily

Current Illness: NO

ID: 1037241
Sex: M
Age: 38
State: MD

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

Lab Data:

Allergies: Beans Penicillin Dill

Symptoms: Sever Back Pain going up the left arm from injection site into the central back.

Other Meds: Gabapentin Depokote

Current Illness: Epilepsy Limes Disease

ID: 1037242
Sex: F
Age: 72
State: IN

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Codiene

Symptoms: Rash at injection site arm was warm. Several days after this has pain in right arm felt like in the muscle. Still have pain in the arm and two red spots on ly arm.

Other Meds: Moexpril Synthroid Crestor

Current Illness: None

ID: 1037243
Sex: F
Age: 67
State: AZ

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

Lab Data: n/a

Allergies: penicillin and sulfa

Symptoms: 2/2/21 received COVID vaccine at hospital clinic. 2/6/21 headache began then 2/10/21 numbness on the left side of face including eye, eyebrow, nose, and mouth. 2/11/21 Primary doctor visit diagnosis Bell's palsy on left side meds given prednisone, Valacyclovir, increased metformin, and amlodipine. Still having symptoms of numbness, no taste, eye lid doesn't close makes eye water and frequent headaches.

Other Meds: Valsartan, Metformin, HCTZ, Fenofiertae, Atorvastatin, asprin

Current Illness: n/a

ID: 1037244
Sex: F
Age: 64
State: HI

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

Lab Data: at 15:30, BP was 197/112. at 15:40, BP was 212/112. at 15:45 BP was 210/85. at 16:07, BP was 189/101. at 16:19, BP was 192/97. Oxygen sat was 100% at 15:45.

Allergies: history of chronic hives. reaction to multiple unknowns. Prior history of hives allergy reaction - with numbness presentation on entire body, went to ER and was monitored.

Symptoms: Patient received dose at 15:00. at 15:25, numbness started, extending to entire body. at 15:30, pharmacist took blood pressure and admin one 25mg tablet of Benadryl. Blood pressure was checked throughout time of monitoring from :1530 until 16:25 until husband picked her up. Patient said she was going to urgent care for follow-up and made appointment with PCP on 02/19 Friday.

Other Meds: Levocetirizine 5mg BID, Hydroxyzine 10mg 1 QHS, AUVI-Q 0.3mg PRN

Current Illness: none

ID: 1037245
Sex: F
Age: 72
State: CA

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

Lab Data: None

Allergies: Penicillin, Cecil or, sulpha

Symptoms: Upper left arm got itchy and a rash appeared, covering most of upper left arm. Low grade headache all day, feeling lethargic

Other Meds: Zyrtec, advair discus, Nexium, liprinisol, bi-est 50/50, Mucinex-D, atorvastatin, hydroxizine, belladonna, baby aspirin, cymbalta, estriol cream, progesterone cream, calcium D-3, magnesium, cranberry, biotin, B-Complex 100, arthritis streng

Current Illness: L3-L4 herniated disc, allergies

ID: 1037246
Sex: M
Age: 81
State: NV

Vax Date: 01/28/2021
Onset Date: 02/07/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Rash started on back, spread to stomach, chest, down arms 10 days after shot. Went to dermatologist and was given Triamcinlone 0.1% cream 454 gm to apply 2x/day. Appearance of rash has been reduced but is still present. Was told by IVIG nurse to report symptoms.

Other Meds: Plavix, glipizide, lasix, l-thyroxine, metropolis tartrate, gabapentin, lescoe LX, tamulosin, allopurinol, IVIG Octagam 10% 35 grams 1x/week. Tylenol as needed, b-12, centrum silver, mucinex as needed, omega 3 fish oil.

Current Illness: None

ID: 1037247
Sex: M
Age: 70
State: CA

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

Lab Data: None

Allergies: Morphine

Symptoms: Very sore at injection site later in day/Monday 15th-used ice that night and it calmed down by morning. Minor tenderness on Tuesday. Body aches and slight pain throughout my body on Tuesday 16th, Seem to subside on Wednesday. Today, Wednesday felt a little dizzy. Will observe.

Other Meds: Tylenol

Current Illness: Swelling in left knee -slightly torn meniscus

ID: 1037248
Sex: F
Age: 41
State: IL

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

Lab Data:

Allergies: Penicillin Ketec Allergy to latex tape need to use paper tape

Symptoms: After 7 days of receiving the vaccine I started noticing an itchy/burning feeling at the site of the injection. As the day progressed the site feels uncomfortably itchy as well as swollen and red about an inch in diameter. I applied hydrocortisone cream on it tonight and I'm still feeling the burning/itchy feeling. It is also painful to the touch. This is only the first day.

Other Meds: None

Current Illness: None

ID: 1037249
Sex: F
Age: 22
State: CA

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

Lab Data:

Allergies: Keflex and sulfa antibiotics

Symptoms: I have not been able to do average things with my right arm, like writing with a pen. I went to take my shower and there is a two inch thick 3 inch wide abscess on my deltoid. It hurts tremendously and I do not know what to do besides hot water and pressure. My first vaccine area on the left arm still hurts whenever touched. So I am unsure what is going on because the first one had no abscess but hurt badly , but I?m in terrible pain with this huge abscess on my shoulder area.

Other Meds:

Current Illness:

ID: 1037250
Sex: F
Age: 69
State: OH

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

Lab Data:

Allergies: 14 - medicines. Please ck w/ Dr.

Symptoms: Became Very Nauseous.

Other Meds: Cymbalta, Bursbar, Lipitor, aspirin, multivitamin, vitamin B12, vitamin C and D, biotin, flaxseed

Current Illness: None

ID: 1037251
Sex: M
Age: 31
State: ID

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

Lab Data: None

Allergies: Soy

Symptoms: Covid Vaccine appeared to be interfering with antidepressants. On 2/16, at 9:00 AM, began experiencing brain shocks and very pronounced tics, as well as confusion and extreme depression. Symptoms the same as when decreasing or eliminating sertraline from medication regiment. Went away by 11:00 PM on 2/16.

Other Meds: Provigil, Trazadone, Clonidine, Sertraline, Trintellix, Montelukast, Flovent

Current Illness:

ID: 1037252
Sex: F
Age: 48
State: OR

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

Lab Data:

Allergies: Penicillin Horse serum tetanus

Symptoms: 2-4-21 2000 Nausea/upset stomach 2-5-21 0100 Fever/chills, HA, injection site pain, joint pain, muscle pain, tiredness, nausea/upset stomach, loss of sense of taste and smell 2-6-21 HA, injection site pain/swelling, joint pain, muscle pain, tiredness, nausea/upset stomach, lymphadenopathy, nausea/upset stomach, loss of sense of taste and smell 2-7 -21 HA, injection site pain/swelling, joint pain, muscle pain, tiredness, nausea/upset stomach, lymphadenopathy, nausea/upset stomach, loss of sense of taste and smell 2-8-21 HA, injection site pain/swelling, muscle pain, tiredness, nausea/upset stomach, lymphadenopathy, loss of sense of taste and smell 2-9-21 HA, injection site pain/swelling, muscle pain, tiredness, nausea/upset stomach, lymphadenopathy, diarrhea 2-10-21 Fatigue, lymphadenopathy, vertigo 2-11-21 Fatigue, lymphadenopathy, vertigo 2-12-21 Fatigue, lymphadenopathy, vertigo 2-13-21 Fatigue, lymphadenopathy, vertigo 2-14-21 Lymphadenopathy, vertigo 2-15-21 Lymphadenopathy, vertigo 2-16-21 Lymphadenopathy, vertigo 2-17-21 Lymphadenopathy, vertigo

Other Meds: Spronilactone Ocella Monolucast ER Effexor

Current Illness: None

ID: 1037253
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies: Unknown, codiene cause naseau

Symptoms: Called the pharmacy as I either have covid arm or adhesive capulitis/frozen shoulder - doing exercises daily to regain normal movement in arm. Also have mouth sores - multiple white small bumps along my gum line and lower teeth. I am reporting those now. Not sure if brushing my teeth will spread them. Never had anything like these. My mouth is sore where the bumps are.

Other Meds: Fluticasone Propionate 50 mcg - twice a day, Calcium citrate 1200 mg, magnesium 200 mg, D3 125 mcg, DHEA 50 mg, Schiff Digestive Advantage Probiotic

Current Illness: Have been seeing a Ear, Nose, throat doctor for ear drum problem. Going to put a tube in my ear.

ID: 1037254
Sex: F
Age: 28
State:

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Inflamed cyst, painful, redness

Other Meds: N/a

Current Illness: N/a

ID: 1037255
Sex: M
Age: 39
State: CA

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

Lab Data: Potentially related. I tested positive for covid 19 on September 22nd 2020. I had minimal symptoms and have recovered.

Allergies: Juniper

Symptoms: I received the vaccine Saturday afternoon. During the 15 minute waiting period I was warm but not feverish. No further adverse affects noticed for the remainder of the day. Sunday my left arm was sore at the injection site but no other issues. Sunday night/Monday morning I woke up at 1:30am and had diarrhea. I returned to bed and tossed and turned for another hour. I woke up at 2:30am and vomited. I had a restless night sleep for the remainder of the night. Monday I couldn?t get out of bed and suffered from chills. Tuesday I was tired but relatively fine. Wednesday I felt pretty much normal. Thursday was fine.

Other Meds: Finasteride. Vitamin D

Current Illness:

ID: 1037256
Sex: F
Age: 71
State: CA

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Not know

Symptoms: Itchiness and rash in the arms 4-5 days after vaccination

Other Meds: Metformin 500 mg Atarvostatin 5 mg

Current Illness: None

ID: 1037257
Sex: M
Age: 58
State: IL

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

Lab Data:

Allergies: None

Symptoms: Immediately experienced chills; elevated pulse/heart rate and low oxygen; elevated fever; pulse/heart rate went to 120; fever went to 102.5; and oxygen at 94. After 4 hours, metrics returned to within normal range. Weak and tired the rest of evening and into the next day.

Other Meds: None

Current Illness: None

ID: 1037258
Sex: F
Age: 81
State: WA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Erythromycin

Symptoms: About 7 to 8 days after receiving first dose patient started breaking out in rash in armpit area towards breast then to her back. She did follow-up with primary care and was diagnosed with shingles. She is recovering although delaying 2nd dose.

Other Meds: Unkown

Current Illness:

ID: 1037259
Sex: M
Age: 70
State: CA

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

Lab Data: None

Allergies: Morphine

Symptoms: Very sore -Left arm at injection site. Used ice Monday night to calm it down. Almost gone Tuesda morning - Gone on Wednesday. Tuesday - body aches & pain. Felt much better on Wednesday. Wednesday had slight feelings of dizzyness and a sense of some loss of balance. Will monitor

Other Meds: Levothyroxine, Acetaminophen, Lipitor

Current Illness: Swelling in left knee - slightly torn Meniscus

ID: 1037260
Sex: F
Age: 36
State:

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

Lab Data: None

Allergies: None

Symptoms: Super sore and warm to the touch, massive headache that won?t go away. Tired excessively

Other Meds: D3 and fish oil vitamins Ibuprofen 800 mg every 6hours Tylenol 1000mg

Current Illness: None

ID: 1038544
Sex: F
Age: 67
State: FL

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

Lab Data: CT and MRI were negative, unsure of labwork

Allergies: PCN (hives), contrast dye (unsure reaction), benedryl

Symptoms: Vaccinated 2/11 and symptoms started 2/13 at noon. Sudden bronchial spasms, obstructive apnea, cyanosis. EMS gave a breathing tx, O2 sats WNL. Declined transfer to hospital at that time for fear of Covid. Client exhibited confusion, oriented x 0, short term memory loss. Bronchial spasms resumed, EMS again called, transported via EMS to MC. Diagnosed with transient global amenesia and hypercapnia. Client was transported to MC for CT and MRI for r/o stroke. Stroke was ruled out. Client with c/o severe H/A, nausea, dizziness, myoclonic seizures. Severe h/a which lasted 4 days. Still experiences mild memory loss, confusion, and h/a are becoming less severe. Client states that sensory processing is slowed

Other Meds: Medoprazole and a Statin (name?)

Current Illness: none

Date Died: 02/10/2021

ID: 1038633
Sex: M
Age: 84
State:

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

Lab Data:

Allergies:

Symptoms: Moderna COVID vaccine administered 2/9/21. Patient expired in home on 2/10/21, at around 2100. Patient had h/o CVA in2001 with long standing sequelae. On day of administration, team attempted to draw lab specimen with vein finder, but patient was possibly Narrative: Moderna COVID vaccine administered 2/9/21. Patient expired in home on 2/10/21, at around 2100. Patient had h/o CVA in2001 with long standing sequelae. On day of administration, team attempted to draw lab specimen with vein finder, but patient was possibly dehydrated. CG/wife reported to APRN on 2/10/21, patient was sleeping and snoring and then began to sleep more quietly. She checked on patient and found that he had no pulse and had passed away

Other Meds:

Current Illness:

ID: 1284988
Sex: F
Age: 78
State: CA

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

Lab Data:

Allergies: Phenegron Sulfa

Symptoms: Vacinne given left arm 2/2/2021 3 days later Fri. 2/5 I left side of my face developed a sore face began to swell all way to my mouth.I've had cellulitis in the past. Began taking Kleflex saw my general medicine who advised me to contact your office

Other Meds: See attached Sheet

Current Illness: Same

ID: 1284989
Sex: F
Age: 86
State: NY

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

Lab Data: None done immediately Family will contact MD on Tuesday 2/16/2021

Allergies: None

Symptoms: Back and head arched back. eyes Rolled back arms flexed and extended lasting 1minute. Pt recovered on her own walked her own into building. Family reported episode occurred 45 min to 1 hr after receiving . vaccine

Other Meds: Risper.done

Current Illness: None

ID: 1284990
Sex: F
Age: 69
State: NY

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

Lab Data: None

Allergies: Soy

Symptoms: Patient complained of slight headache post vaccination. She stated "did not take my blood pressure pill and did not drink water". V/S BP 168/76 P 68 T 97.6, O2Sat 98% RA. Offered and accepted electrolytes drink, and rested for 25 mins. V/S rechecked BP 142/64 P 62, O2Sat 99% room air PTD. Patient stated she feel better relaxation and fluid intake. No further complain reported. Patient left the clinic in stable condition accompanied by family member.

Other Meds: Losartan 100mg po daily

Current Illness: None.

ID: 1391332
Sex: F
Age: 73
State: OH

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: EKG

Allergies: None

Symptoms: DiscomfoRt in chest- tightness/puLLing sensation - palpatations decrease in sleep swelling/soreness in L ARM x 5 days -shoulder to elbow

Other Meds: Unknown

Current Illness: None

ID: 1857204
Sex: M
Age: 1
State: MA

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

Lab Data:

Allergies:

Symptoms: Half dollar sized bright red area around injection site. No treatment needed at this time

Other Meds:

Current Illness:

ID: 1037261
Sex: M
Age: 58
State: AZ

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

Lab Data:

Allergies: N/A

Symptoms: Fatigue

Other Meds: Metformin, Insulin, Lisinopril, Pravastatin

Current Illness:

ID: 1037262
Sex: F
Age: 70
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none taken

Allergies: amoxicillin azithromycin

Symptoms: Fever 102.9 have been taken Tylenol 500mg 2 doses every 5 hours. Legs feel very heavy had to use the furniture to walk around. Very tired.

Other Meds: olmesartan medoxomil 10mg liothronine sod 25mcg

Current Illness:

ID: 1037263
Sex: F
Age: 69
State: FL

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: At health department benedryl shot given. Treated by Mets on transfer to hospital with steroid, benedryl, and albuterol,oxygen. Same at hospital. Blood work chest X-ray at hospital.

Allergies: None

Symptoms: Pain in arm, tingle in fingers. Pain in leg tingle in toes right after shot. Forty minutes after shot, mouth and neck became swollen, then lips started swelling and were numb. On the way back to facility, tongue and throat started swelling. Wheezing started after that.

Other Meds: Advair, levothyroxine, prednisone, zolpidem

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm