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: 1038056
Sex: F
Age: 40
State:

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

Lab Data:

Allergies: Seasonal allergies; mild allergies to wheat and milk

Symptoms: Soreness at site of injection and headache on the first day; sore throat, headache, and body aches on the second day following vaccination

Other Meds: Zyrtec

Current Illness:

ID: 1038057
Sex: F
Age: 24
State: PA

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

Lab Data:

Allergies:

Symptoms: Fatigue, headache, muscle pain, and chills from 5:05-12am. With acetaminophen, symptoms lessened and woke up with no symptoms .

Other Meds: Mili birth control

Current Illness:

ID: 1038058
Sex: M
Age: 61
State: FL

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Penicillin, fulva

Symptoms: The fist 48 hours had a sore shoulder. On the 7 1/2th day I felt a pinching sensation, slightly sore at injection point. This morning I noticed the injection site red and slightly more sore than usual.

Other Meds: odefsey, multivitamin w/ minerals, valacyclovir, low dose aspirin,

Current Illness: N/A

ID: 1038059
Sex: F
Age: 34
State: MI

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Rocephin

Symptoms: Migraine started later that evening, on and off the next two days, nausea, chills migraine starting 72 hours later

Other Meds: Ibuprofen

Current Illness: None

ID: 1038060
Sex: M
Age: 64
State: IL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: I didn't go to the doctor

Allergies: None that are known

Symptoms: The vaccine was given to me at seven o'clock on Friday night. I had a really bad time after that. I had headache, pain, cold sweating, tired, very ill, the pain did not let me sleep, overheated, I had to rest for two days and I did not go to work until Tuesday.

Other Meds: Medications for pressure

Current Illness: COVID-19 in the month of November 2020.

ID: 1038061
Sex: F
Age: 75
State: AZ

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

Lab Data: Took temperature at home at 5 am on 2/18/2021

Allergies: No

Symptoms: Temperature at 101 at 5 am on 2/18/2021

Other Meds: Ipratropium nasal spray prescription. PreserVision by Areds 2 Hair skin & nail health supplement by Nutrilite Balanced health omega by Nutrilite Heart Health o egg supple the by Nutrilite Calcium Magnesium & Vitamin D

Current Illness: None

ID: 1038062
Sex: F
Age: 74
State: VA

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

Lab Data:

Allergies: NO

Symptoms: 1) HEADACHE, NAUSEA , FATIGUE - STARTED ABOUT 7:00PM ON 2/16 LASTED ABOUT 2 HOURS 2) ARTHRITIS FLARE UP - WORSE ARTHRITIS PAIN EVER, OCCURED ABOUT 9:00PM ON 2/16, LASTED ABOUT 2 HOURS 3) SLIGHT SORENESS AT INJECTION SITE ON 2/17 IN MORNING

Other Meds: AREDS 2

Current Illness: NO

ID: 1038063
Sex: M
Age: 32
State:

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

Lab Data: None

Allergies: Penicillin

Symptoms: Fever between 99.5 and 101, chills, shuvering, body aches, headache.

Other Meds: None

Current Illness: None

ID: 1038064
Sex: F
Age: 68
State: IL

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Latex Penicillin Codine

Symptoms: 8 days after the injection area became red , slightly puffy and itchy

Other Meds: Calcium with magnesium K2 D3

Current Illness:

ID: 1038065
Sex: F
Age: 42
State: FL

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: doxycycline, robaxin

Symptoms: Covid Arm, circular reddened area on the arm.

Other Meds: Vitamin D, B12

Current Illness: None

ID: 1038066
Sex: F
Age: 38
State: PA

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

Lab Data: None this far. I called my PCP who advised me to call my Obgyn. The Obgyn I was a patient of since i was 18 retired and I have only seen my current provider twice. When i called my current provider and explained the situation the nurse dismissed my concerns and told me it was due to breakthrough bleeding from my IUD. I reiterated to her that i have never experienced breakthrough bleeding-ever- and she told me they would just evaluate me in three weeks at my year scheduled appt. I called the local hospital where I was vaccinated and they connected me to the emergency room where I was told they cannot give medical advice over the phone and if I felt I needed to be seen to come in. No one has any information regarding vaginal bleeding and Covid vaccine. I currently am staying home from work today to try and find some help or recommendations to resolve this!

Allergies: NKDA Seasonal allergies

Symptoms: The day after receiving my second dose of the Covid-19 vaccine I experienced bright red vaginal bleeding. I currently have an IUD in place and have no had a period ever since this device was placed (and also replaced twice). This is completely abnormal for me! I am still experiencing bleeding. No cramping or any other of the known side effects were experienced.

Other Meds: Viibryd 40mg qd Topomax 50 bid Sucralfate 1gm bid PRN

Current Illness: None

ID: 1038067
Sex: F
Age: 36
State: IL

Vax Date: 12/16/2020
Onset Date: 02/05/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None yet. Will be seeing my PCP soon

Allergies: None

Symptoms: Paresthesia . Started in my left hand then progressed to involve bilateral arms and legs. Gets worse at the end of the day. No other symptoms. No motor weakness noted so far

Other Meds: None

Current Illness: None

ID: 1038068
Sex: F
Age: 56
State: CO

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Erythromycin

Symptoms: Approx 16 hrs after the 2nd dose: fatigue, muscle pain, stabbing pain, nausea, headache, dizziness

Other Meds: DAILY: famciclovir 250mg; modafinil 100mg; pantoprazole 40mg; sertraline 100mg; multi-vitamin; D3; Omega 3; B12 PRN: sumatriptan 100mg; albuterol HFA 90mcg

Current Illness: none

ID: 1038072
Sex: F
Age: 11
State: NM

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: has not been feeling weel; running a fever of 100 degrees; had a "sore arm" from the injection; the "GARDASIL 9 did hurt; This spontaneous report as received from a company representative and refers to her daughter, a 11-year-old female patient. There was no information about the patient's concurrent conditions, concomitant therapies or medical history provided. On 03-FEB-2021, the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9), diphtheria toxoid, pertussis acellular vaccine (unspecified), tetanus toxoid and meningococcal vaccine (unspecified); (exact doses, routes of administration, anatomical locations, lot # and expiration date were not reported for any of them); all for prophylaxis. On the same date, she experienced vaccination site pain (reported as hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) did hurt) and she had "a sore arm" from the injection. Since 04-FEB-2021, she was not feeling well and had a fever of 100 degrees (units not provided). The outcome of the events was reported as not recovered. The reporter considered vaccination site pain to be related to hpv rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9). The causality assessment between the rest of the events was not reported. This is one of the two reports from the same reporter.; Sender's Comments: US-009507513-2102USA003519:

Other Meds:

Current Illness: Prophylaxis

ID: 1038073
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: could not swallow anything; jaw swelled; her throat swelled up; This spontaneous report was received from a female patient of unknown age who reported on herself via other company. There was no information about the patient's concurrent conditions, concomitant therapies or medical history provided. On an unknown date, the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) (exact dose, route of administration, anatomical location, lot # and expiration date were not reported) for prophylaxis. On an unknown date, 2-3 weeks after taking the vaccine, her throat swelled up and jaw swelled, she could breath but could not swallow anything and had to go to Emergency Room (ER). The outcome of the events was unknown. It was also reported that she was getting ready to get her COVID vaccine pretty soon but wanted to know about anything common in COVID vaccine and measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II). Causality assessment was not provided.

Other Meds:

Current Illness:

ID: 1038074
Sex: U
Age:
State: MA

Vax Date: 12/01/2020
Onset Date: 01/01/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Test Date: 202101; Test Name: Blood test; Result Unstructured Data: (Test Result:elevated than normal range,Unit:unknown,Normal Low:,Normal High:); Test Date: 202101; Test Name: Urine test; Result Unstructured Data: (Test Result:Normal,Unit:unknown,Normal Low:,Normal High:)

Allergies:

Symptoms: raised rash on my entire legs and arms; allergic reaction; Elevated blood pressure; This case was reported by a consumer and described the occurrence of raised rash in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On 1st December 2020, the patient received the 1st dose of Shingrix. On 2nd January 2021, 32 days after receiving Shingrix, the patient experienced raised rash. In January 2021, the patient experienced allergic reaction and blood pressure high. On an unknown date, the outcome of the raised rash, allergic reaction and blood pressure high were unknown. It was unknown if the reporter considered the raised rash, allergic reaction and blood pressure high to be related to Shingrix. Additional details were provided as follows: This case was reported by patient. The age at vaccination was not reported. The age group was not reported but it was selected as an adult as per vaccine indication. The patient broke out with a raised rash on my entire legs and arms but no rash on my torso, face, feet, or hands. The patient did not had have fever, elevated blood pressure, no signs of an infection. The patient seek medical attention prior week to the report and blood and urine labs were drawn and all metabolic function is was normal. The patient inquired Is was it possible to had a very delayed allergic reaction and was concerned about taking the booster. The reporter had taken photo graphs which may help. The reporter consented to follow via mobile phone.

Other Meds:

Current Illness:

ID: 1038075
Sex: U
Age:
State: OH

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

Lab Data:

Allergies:

Symptoms: Seizure; Patient unable to drive for at least 6 mons to avoid repeat episode of seizure; This case was reported by a physician via sales rep and described the occurrence of seizure in a 63-year-old patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced seizure (serious criteria GSK medically significant) and activities of daily living impaired. On an unknown date, the outcome of the seizure and activities of daily living impaired were unknown. It was unknown if the reporter considered the seizure and activities of daily living impaired to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The patient experienced seizure post Shingrix dose. The patient would unable to drive for at least 6 months to avoid repeat episode of seizure. The reporter stated the patient was a fellow provider and not his patient and he had no further details. The reporter consented to follow-up.

Other Meds:

Current Illness:

ID: 1038076
Sex: F
Age: 40
State: UT

Vax Date: 11/01/2019
Onset Date:
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Skin has pain, similar to bee stings; Rash on her wrists and inside her legs / Rash appeared purple-like in color. The rash also itched; purple-like in color; rash; This case was reported by a consumer and described the occurrence of skin pain in a adult female patient who received Herpes zoster (Shingrix) for prophylaxis. In November 2019, the patient received the 1st dose of Shingrix. On an unknown date, less than 2 years after receiving Shingrix, the patient experienced skin pain, itchy rash, skin discoloration and rash. The patient was treated with antivirals nos (Antiviral (Drug Name Unknown)). On an unknown date, the outcome of the skin pain, itchy rash, skin discoloration and rash were unknown. It was unknown if the reporter considered the skin pain, itchy rash, skin discoloration and rash to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The patient reported that she received dose 1 and after an unspecified period of time, she developed a rash on her wrists and inside her legs. The rash appeared purple-like in color. The rash also itched. The patient also noted that her skin has pain, similar to bee stings in the affected rash areas. The patient got some alleviation of symptoms by using antiviral medications, not specified. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 1038077
Sex: F
Age:
State: NE

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

Lab Data:

Allergies:

Symptoms: Headache; Nausea; Stomach pain / colon wasn't calming down; Diarrhea / colon wasn't calming down; This case was reported by a consumer via and described the occurrence of headache in a 62-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced headache, nausea, stomach pain and diarrhea. On an unknown date, the outcome of the headache, nausea, stomach pain and diarrhea were recovered/resolved. It was unknown if the reporter considered the headache, nausea, stomach pain and diarrhea to be related to Shingrix. Additional details were provided as follows: The patient had reported the case for herself. The age at vaccination was not reported, however it could be 60 years. The patient had her 1st dose in fall of 2018. The patient experienced headache, nausea, stomach pain and diarrhea following that dose. The symptoms lasted for 2-3 days except for the stomach pain and diarrhea which lingered for about a week. The patient described as her colon was not calming down. The reporter did not consent to follow-up. For tolerance of 2nd dose, refer case US2021AMR035701.; Sender's Comments: US-GLAXOSMITHKLINE-US2021AMR035701:Same reporter.

Other Meds:

Current Illness:

ID: 1038078
Sex: M
Age:
State: MD

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

Lab Data:

Allergies:

Symptoms: informed them of the erection dysfunction; This case was reported by a nurse via call center representative and described the occurrence of erectile dysfunction in a male patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced erectile dysfunction (serious criteria GSK medically significant). On an unknown date, the outcome of the erectile dysfunction was unknown. It was unknown if the reporter considered the erectile dysfunction to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The patient experienced erection dysfunction after first dose, but nurse practitioner unsure if Shingrix caused this. The reporter enquired about any information on any studies showing erectile dysfunction after the first dose of Shingrix. The reporter unable to provide vaccine or patient details. The reporter did not consent to follow-up.

Other Meds:

Current Illness:

ID: 1038079
Sex: F
Age: 72
State:

Vax Date: 02/02/2021
Onset Date: 01/04/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Passed Out; flushed; sleeping all day; kind of like a fever; nauseated; Headache; A spontaneous report was received from a healthcare professional (HCP) concerning a 72-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced passing out (loss of consciousness), flushed, sleeping all day, kind of like a fever, nausea and headache. The patient's medical history was not reported. Concomitant products known to have been used by the patient, within two weeks prior to the event, included pantoprazole. On 02 Feb 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot number: 007M204) for prophylaxis of COVID-19 infection. The patient stated that on 04 Feb 2021, the patient got up in the morning and didn't feel very well. She stated that she was flushed, had a headache and a fever. She had a coffee and sandwich and talked to her husband and then they got up and passed out. They slept all day and did not feel well. The patient stated that she was nauseated and felt like she had a fever and a real, dull headache. Treatments for these events were not reported. Action taken with mRNA-1273 in response to this event was not reported. The outcome for the events passing out (loss of consciousness), flushed, sleeping all day, kind of like a fever, nausea and headache was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Further information has been requested.

Other Meds: PANTOPRAZOLE 40

Current Illness:

ID: 1038080
Sex: M
Age: 55
State: CA

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bells Palsy symptoms; A spontaneous report was received from a consumer who was also a 65-year-old, male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and developed Bell's palsy symptoms/ facial paralysis. The patient's medical history was not provided. Products known to have been used by the patient, within two weeks prior to the event, included duloxetine hydrochloride. On 29 Jan 2021, approximately seven days prior to the onset of symptoms, the patient received their first of two planned doses of mRNA-1273 (Lot# 041L20A) intramuscularly for prophylaxis of COVID-19 infection. On 04 Feb 2021, the patient went to the dentist and started to develop Bell's palsy symptoms afterwards. Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, Bell's palsy symptoms, was not reported.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the events, a causal relationship cannot be excluded. However, patient's unspecified dental procedure may have been contributory.

Other Meds: CYMBALTA

Current Illness:

ID: 1038081
Sex: M
Age: 50
State: CT

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: amoxicillin, sulfa

Symptoms: body aches, chills, fatigue, headache, dizziness--lasted approximately 36 hours

Other Meds: probiotic, glucosamine, fish oil

Current Illness: none

ID: 1038082
Sex: F
Age: 54
State: MA

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

Lab Data:

Allergies:

Symptoms: Initially complained of left arm heaviness with 20 later progressed to bilateral jaw tightness,mild dizziness,denied CP , SOB. Handover to parametics,placed on cardiac monitor, NSR 78, EKG completed . BP 149/82 HR 78 O2 99%, skin dry. Shortly after jaw pain subsided along with dizziness. PRN angio placed in right AC by parametics. Patient declined nurse to call her family member and transported to BMC- ER fully alert and oriented x3.

Other Meds:

Current Illness:

ID: 1038083
Sex: M
Age: 78
State: FL

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

Lab Data:

Allergies: NONE

Symptoms: Developed a fever of 101, pain and swelling in my shoulder, sluggish feeling. Fever was gone the next day. The only residual was pain in the shoulder.

Other Meds: LOSARTAN, SIMVASTATIN, MIRTAZAPINE

Current Illness: Had COVID-19 in December

ID: 1038084
Sex: M
Age: 80
State:

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

Lab Data:

Allergies:

Symptoms: Needle retracted before full dose was given, less than half dose was administered. Revaccinated in opposite arm according to regs.

Other Meds:

Current Illness:

ID: 1038085
Sex: F
Age: 61
State:

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: P92 BP172/98 121/85 Diaphoretic, dizzy, hot. EMS evaluated EKG done transfer to ER 5:35

Other Meds:

Current Illness:

ID: 1038086
Sex: F
Age: 65
State:

Vax Date: 02/07/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red, itchy welt. Benedryl. 5 days

Other Meds:

Current Illness:

ID: 1038087
Sex: F
Age: 65
State: IN

Vax Date: 02/06/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Zithromax, sulphate drugs, amoxicillin, doxycycline

Symptoms: Red splotch on and near injection site, raised and warm to touch

Other Meds: Levothyroxin 88MCG

Current Illness: None

ID: 1038088
Sex: F
Age: 41
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Pharmacist did not perform intramuscular injection properly and underdosed - majority of injection was wasted (ran down patient arm) and did not go into muscle.

Other Meds: Topamax 100mg/bid Buproprion XL 150mg/QD Lisinopril 20mg/QD

Current Illness: None

ID: 1038089
Sex: F
Age: 52
State:

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 02/16 Low grade fever 99.2 feeling hot like Nausea and diarrhea Feeling Tired/weak On 02/17 Still feeling a bit tired some Nausea

Other Meds:

Current Illness:

ID: 1038090
Sex: M
Age: 77
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Aches, slight fever, fatigue, feeling ill. Lasted about 1 18/2 days.

Other Meds:

Current Illness:

ID: 1038091
Sex: M
Age: 39
State:

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: H/a, ears ringing, stomach upset, anxious. EMS evaluated. Stayed longer and felt better went home

Other Meds:

Current Illness:

ID: 1038092
Sex: M
Age: 49
State: NY

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Mild flu symptoms: headache, tiredness, congestion

Other Meds: Wellbutrin

Current Illness: None

ID: 1038093
Sex: F
Age: 68
State: IN

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

Lab Data:

Allergies: None

Symptoms: Headache fever chills bodyaches

Other Meds: None

Current Illness: None

ID: 1038094
Sex: F
Age: 44
State: MN

Vax Date: 02/06/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Neomycin

Symptoms: Mild itching, stiffness, redness around injection site. Covers an area approx 8 inches by 4 inches

Other Meds: Iron and vitamin D

Current Illness: None

ID: 1038095
Sex: F
Age: 51
State: AL

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

Lab Data: none

Allergies: doxycycline, morphine, sulfa

Symptoms: CONGESTION, FATIGUE, HEADACHE, DIARRHEA; duration lasting 18 hrs; TYLENOL 1000MG ONE TIME DOSE, SUMATRIPTAN, Flonase nasal spray one time dose; effective

Other Meds: Levothyroxine, sumatriptan, esomeprazole, gemfibrozil, fish oil

Current Illness: none

ID: 1038096
Sex: F
Age: 31
State: VA

Vax Date: 01/26/2021
Onset Date: 02/09/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: No testing performed.

Allergies: none

Symptoms: Pt is G1P0. At the time she received the vaccine on 1/26/21 she was 13 weeks pregnant. She had normal 1st trimester ultrasound and normal prenatal labs. Her EDD is August 5, 2021. On 2/9/21 she had a spontaneous miscarriage. No subsequent complications. No history of drug or alcohol abuse. No s/sx of other causes of a early 2nd trimester miscarriage. Of note the 1st trimester genetic testing was unable to be performed due to low fetal free cell DNA when she was at 10w. We were in the process of repeating the labs when the miscarriage happened. No history of COVID infection, no s/sx of COVID infection at the time of the miscarriage or subsequently. She was not tested.

Other Meds: prenatal vitamin malarone daily for malaria prophylaxies

Current Illness: none

ID: 1038097
Sex: F
Age: 62
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt was at work, reported "feeling drunk". Exhibited slight slurring of speech, jocular manner. Was unsteady on her feet, "not lightheaded really but more like I had a few shots... and I don't drink". Pt was kept under observation for approx 30m from reporting onset of symptoms to supervisor. Observed and interviewed at pharmacy. Pt's daughter was notified to come pick her up. Checked in with pt the following day, symptoms had resolved.

Other Meds:

Current Illness:

ID: 1038098
Sex: F
Age: 58
State: PA

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: SKIN RASH OCCURRED 2 DAYS AFTER VACCINE WHICH PRESENTED ON TORSO, ARMS , UPPER LEGS AND GROIN AREA. RASH DISSAPATED TWO DAYS LATER WITH SLIGHT ITCHINESS OF PRESENTED AREAS.

Other Meds: MULTI-VITAMIN SALMON OIL CAPSULES

Current Illness: NONE

ID: 1038099
Sex: F
Age: 69
State: DC

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

Lab Data: None

Allergies: None

Symptoms: First vaccination on 01/19/2021; left arm - lump and rash around injection site approximately one week after injection. Both resolved within two days. Second vaccination on 02/16/2020; right arm - symptoms began night of injection; fever of 100.9; extreme headache and muscle pain, especially in posterior right thigh; lethargy. Took 400 mg of ibuprofen at 8pm on 02/17/2021. All symptoms resolved except for soreness at injection site as of 02/18/2021.

Other Meds: Levothyroxine 88mcg; Imipramine HCL 25mg; Hydrochlorothiazide 12.5mg; Losartan potassium 50mg; Restasis .o5%; Cevimeline HCL 30 mg; B-Complex Dietary Supplement; Vitamin D 25MCG; Low-dose Aspirin 81mg

Current Illness: None

ID: 1038100
Sex: M
Age: 64
State: TN

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

Lab Data:

Allergies: None

Symptoms: Chills started 9:00pm day of shot. Chills, headache and fever throughout the night. Following day of vaccine: Chills, fever 100.8 , slight headache

Other Meds: Levothyroxine, Atorvastatin, Folic Acid, Lorsartan

Current Illness: None

ID: 1038101
Sex: F
Age: 79
State: MI

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: Penicillins, Simvastatin

Symptoms: Patient broke out in hives.

Other Meds: Cetirizine HCL, Duloxetine HCL, lisinopril, omeprazole, pravastatin, trospium, verapamil

Current Illness: none

ID: 1038102
Sex: F
Age: 53
State: PA

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

Lab Data:

Allergies: Sulfa

Symptoms: Body aches, fever, headache, red painful swelling of left arm below injection site that increased and spread over 4 days

Other Meds: Omeprazole, 40mg/day; Bystolic 5mg/day; Duloxitine 90mg/day

Current Illness: None

ID: 1038103
Sex: F
Age: 65
State: NV

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Lactose, gluten, veined shellfish, various metals, various antibiotics , animal danders

Symptoms: 1st day: Swelling, redness, pain in upper right arm, site of shot. Swelled area measures 3x3?. 2nd day: Swelling, redness & pain continues with migraine, chills, slight fever, body aches, extreme tiredness, slept most of the day, upset stomach, unable to eat much. 3rd day: Not as tired, fever & chills gone, redness, swelling & pain continues at injection site but now extends under my arm into the armpit area, diarrhea started in the morning, continued throughout the day, face flushing, pain & swelling under my right arm, migraine returned.

Other Meds: Bystolic, Verapamil HCL ER, Estradiol, Zolmitriptan, Vitamin D3, VitaminB-12

Current Illness:

ID: 1038104
Sex: F
Age: 23
State: FL

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: peanuts

Symptoms: The pain is in the anterior aspect of her bilateral legs right> left. Of note, pt did have some left sided axillary LAD that started 5 days post vaccine and resolved spontaneously 3 days later. Pt also has some tenderness in the extensor surface of her right arm. Denies overlying skin changes.

Other Meds: tylenol x 1

Current Illness: None

ID: 1038105
Sex: F
Age:
State:

Vax Date: 02/15/1921
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chest and head tightness pale. EMS evaluated P90. O298% Lungs clear. Discharged home

Other Meds:

Current Illness:

ID: 1038106
Sex: F
Age: 37
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Negative test results of ulcers for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, and Herpes Simplex Virus (HSV) Types 1 and 2, NAA Source: vaginal 1 aptima swab sent ambient DXed with Aphthous Ulcers

Allergies: Penicillin Latex

Symptoms: Fatigue (Dose 1 & 2) Headache (Dose 1 & 2) Body aches (Dose 1 & 2) Sweats (Dose 2 only) Reynaud's flares while inside (Dose 2 only) Aphthous Ulcers (Dose 2 only) Rash/Hives (Dose 1 only)

Other Meds: Allegra claritin multi vitamin vit. D Probiotic

Current Illness: none

ID: 1038107
Sex: F
Age: 32
State: MI

Vax Date: 02/13/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: VANCOMYCIN UNYCIN

Symptoms: SWOLLEN LYMPH NODES (2 IN THE NECK, 1 LEFT LOWER PART OF HEAD), HEADACHE

Other Meds: N/A

Current Illness: N/A

ID: 1038108
Sex: F
Age: 73
State: CT

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Allergic to adhesive

Symptoms: Large itchy red rash at vaccination site on left arm.

Other Meds: low dose aspirin (which I told them before I was vaccinated)

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm