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: 1039169
Sex: M
Age: 65
State: AL

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

Lab Data:

Allergies:

Symptoms: pt anxious has flushed feeling; face red; has previous anxiety observed for 15 minutes; pt says he has ipipen and will go to er if symptoms worsen or still present in24 hrs. insisted on leaving.

Other Meds:

Current Illness:

ID: 1039170
Sex: M
Age: 51
State: MN

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

Lab Data: Progress Notes at 2/15/2021 2:30 PM Status: Signed Comprehensive audiometric evaluation performed today at the request of ENT Department. Please see test results including scanned audiogram under the Procedures Tab in Chart Review. FINDINGS: Otoscopic examination revealed clear canals, bilaterally. Tympanometry revealed normal ear canal volume, admittance and peak pressure, bilaterally. Pure tone air and bone conduction revealed normal sloping to moderate sensorineural hearing loss in the right ear and profound sensorineural hearing loss (no responses) in the left ear. Word recognition scores were excellent in the right ear and no responses in the left ear. TIME: 30 minutes

Allergies: None

Symptoms: SSHL in the left ear. 100% hearing loss in the left ear, very loud tinnitus, vertigo and loss of balance.

Other Meds: Humalog Insulin, Lantus insulin, protonix, simvistatin, lisinopril, vitamin C, calcium with vitamin D, baby asprin.

Current Illness: None

ID: 1039171
Sex: F
Age: 48
State:

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

Lab Data:

Allergies: sulfa drugs, penicillin

Symptoms: "covid arm" - raised, red, itchy rash at the site of the immunization 7 days after receiving the shot.

Other Meds: Symbicort, albuterol and daily multivitamin

Current Illness: None.

ID: 1039172
Sex: F
Age: 48
State: AL

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

Lab Data: None

Allergies: NKDA

Symptoms: 24hr post vaccine initial cold, body aches, and pains side effects similar to flu vaccine with a bit more severity. These subsided after 48hrs post vaccine. Site of injection became swollen, bruised and painful. 48hr post vaccine mark striking pain in shoulder blade with muscle cramping in the shoulder area. As the day continued shooting pain through elbow and into forearm. After several days of this pain, then as it has continued in these areas it began to migrated also into my middle finger with slight numbness (cold and tingling in digits 4 and 5.) The pain has not eased or subsided. It does however increase if I lean my body forward (meaning bending at the waist so that weight shifts to shoulders.) Have been nursing with heating packs and advil but little over all relieve.

Other Meds: Alive multi-vitamin ultra potency

Current Illness: None

ID: 1039173
Sex: F
Age: 77
State:

Vax Date: 01/28/2021
Onset Date: 02/02/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Sulfa (anecdotal)

Symptoms: Red, bull's eye rash that grew over time, swollen and lumpy arm, hot and itchy. Lasted about 10 days.

Other Meds: Sotalol, baby aspirin Vit D3, Multi-vitamin, generic Mucinex, acidophilus, zinc

Current Illness: None

ID: 1039174
Sex: F
Age: 40
State: WI

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

Lab Data:

Allergies: Pertussis vaccine

Symptoms: moderate-severe adrenergic response within 15 minutes after injection. Pallor, diaphoresis, nausea, dizzy, lightheaded, tachycardia, hypotension, weakness, numb toes, tingling in mouth. Given liquid diphenhydramine at site. Recovered.

Other Meds: Fluoxetine Vitamin D3

Current Illness:

ID: 1039175
Sex: F
Age: 41
State: CA

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

Lab Data: No

Allergies: Cats

Symptoms: It is like having raised chicken skin. Irregular bumps, larger than goosebumps. They look like chicken skin but all over the arms, torso and legs except for calves. They have not seemed to effect my breathing, my oxygen levels seem normal but I am tired. I had a light headache at the beginning. I believe my fatigue is related to the vaccine. I went for a walk yesterday and today I am more tired than yesterday. I normally haven't had any time for exercising but I decided to go for a walk yesterday and felt fine but today I am just more tired and feel slow. So at first I thought the bumps were white but I had somebody look at the bumps and they said the bumps are pink. The COVID specialist at work said I may have COVID rash. I waited 24 hours in hopes it would go away but they are still there. They are not itchy but they feel weird. It feels better when it is not touching something, it feels like whelps and there are many of them. They are pinkish white. I can provide photos if needed.

Other Meds: Vitamin D 2000 iu, Womens Multivitamin-garden of life womens, zinc gummy, elderberry pill

Current Illness: No

ID: 1039176
Sex: F
Age: 58
State: WI

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

Lab Data: none

Allergies: ciloxin, crinone,lactose intol,mold ,dust, msg and sulfites

Symptoms: nausea and lightheaded

Other Meds: albuteral prn : Breo Fluticasone nasal spray,progesterone cream:/spironolactone:Vitamin D3 fish oil.

Current Illness: N/a

ID: 1039177
Sex: M
Age: 74
State: MN

Vax Date: 02/12/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: CT

Allergies: Metformin - causes diarrhea

Symptoms: Hemorrhagic Stroke

Other Meds: Calcium supplements, Albuterol Inhaler, Glipizide, Aspirin 81 mg, Testosterone injections every 3 weeks, Januvia,

Current Illness: none

ID: 1039178
Sex: F
Age: 78
State: MI

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

Lab Data: none

Allergies: adhesive, latex, a pain pill that starts with "d"

Symptoms: My Mom had an an allergic reaction four hours after receiving her first dose of the Pfizer Covid 19 vaccine. Her face swelled up and became red....worse on the right side than the left...her eyes were swollen as well. It lasted this way for four days....it is a little better now, but her face is still a little swollen (seven days after shot). She had a headache on and off and felt tired (which we understand is not an allergic reaction, but rather an immune response). Her family physician suggested taking antihistamines before her second shot. Needless to say, we are apprehensive about what the outcome from the second shot will be like for her.

Other Meds: Eliquis, blood pressure and water retention pills, thyroid pills, tumeric, herbs to help gallbladder

Current Illness: none

ID: 1039179
Sex: F
Age: 68
State: OR

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On approximately Day 9 after receiving the vaccine injection, my arm formed a red patch about the size and shape of a package of cigarettes. The patch was red, swollen, and very itchy. This last 5-7 days.

Other Meds: metformin 500 mg daily rosuvastatin 10 mg daily turmeric 700 mg daily Nature Made Diabetes Health Pack Supplement

Current Illness: None I am reporting the side effect here since I do not see any place else to note it on this form. On approximately day 9, at the site of the vaccine shot, my arm formed a patch about the size and shape of a cigarette package. The patch was red, swollen, and very itchy. This lasted 5 to 7 days.

ID: 1039180
Sex: F
Age: 42
State: AZ

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

Lab Data: None

Allergies: Influenza vaccine , sulfa, Augmentin, Flagyl , Morphine, Robinol, compazine , Reglan , Phenergan, Latex, coffee, melon

Symptoms: I was in observation for about 45 min due to the symptoms I had with the first dose. About 10 min after vaccination, I felt itching on my face, and it progressed to my back and hands. I also started coughing, no rash. In the evening, at home I started feeling shortness of breath and started using my albuterol inhaler and symbicort. I had a feeling like someone was sitting on my back, squeezing my left side, my left lung. I also experienced chest pain. I had to use symbicort and albuterol for about 5 days and the symptoms persisted for at least 3 days, itching, cough, chest pains. The symptoms went away and they returned 3 days ago. Now I am once again starting to experience cough and shortness of breath.

Other Meds: None

Current Illness: None

ID: 1039181
Sex: F
Age: 74
State: FL

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

Lab Data: None

Allergies: None.

Symptoms: Felt light headed about 4 hours after arriving home. Then about 2hours later my arms started to shake/tremors. I took of Ativan and went to bed. No side effects in the morning.

Other Meds: Zyrtec allergy pill, Centrum Silver multivitamin

Current Illness: None

ID: 1039182
Sex: F
Age: 82
State: NY

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Admitted to the Emergency Room on February 6, 2021 Full blood workup EKG Urine CT scan on head on pelvis Lung Xray

Allergies: shellfish, penecillin, depakote.

Symptoms: Chest pains, vomiting, chills, aches, dizziness, swollen and red face and neck. Also hallucinating.

Other Meds: Vitamins C, B-12. Cholesterol pills, synthroid, trazadone.

Current Illness: Nothing, but had COVID April 2020

ID: 1039184
Sex: F
Age: 65
State: NC

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

Lab Data:

Allergies:

Symptoms: Mild Chills 12 - 15 hours after vaccine. Morning of day 2 after vaccine became of swollen and tender lymph node in armpit of vaccinated arm.

Other Meds: Levothyroxine, Famotidine, Aleve

Current Illness:

ID: 1039185
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: Headache x14 days

Other Meds:

Current Illness:

ID: 1039186
Sex: F
Age: 4
State: NH

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

Lab Data: 2/12/21: Rapid covid: negative Covid PCR: negative 2/14/21: Rapid strep: negative Rapid Covid: negative Covid PCR: negative Strep Culture: negative Blood work showed: Hgb: 12.7, Hct: 38.3, Plateltes: 4, IPF: 22.4% 2/15/21: Blood work: Hgb: 12.6, Hct: 37.1%, Platelets: 7 k cells/uL Right femur xray: normal 2/16/21: Hgb: 12.4, Hct: 36.1%, Platelets: 10 K cells/uL Covid: positive Right femur xray: normal Right thigh ultrasound: normal

Allergies: NKDA/NKA

Symptoms: Patient presented with rash on face, upper extremities and trunk spreading to top of thighs 11 days after receiving mmrv vaccine and seen in the office on 2/12/21. Had exposure to covid the day before. Rash was believed to be consistent with post- MMRV vaccine. Patient seen again on 2/14/21 for non-blanching rash that was still slightly spreading and now on left cheek. No fever, cough, sore throat or headaches. Laboratory work was ordered (see next question) On 2/15/21, patient went to the emergency room for acute onset right upper leg pain. Given setting with severe thrombocytopenia, was advised to go to Hospital Emergency Department. 2/16/21 Seen at Hospital Emergency department. Diagnosed with ITP (Idiopathic thrombocytopenic purpura) and positive for covid. Patient was discharged home with instruction to return if leg pain persists or fever develops 2/18/21 Patient seen via telemedicine for a follow-up appointment. Started with fevers 100.4-101.8 and right leg pain. Advised to go to emergency room.

Other Meds: None

Current Illness:

ID: 1039187
Sex: M
Age: 81
State: MN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: NONE

Allergies: NKA

Symptoms: WEAKNESS, CONFUSION, LETHARGY

Other Meds: Medications Schedule Med days Assigned Amlodipine 5MG by mouth 06:00 AM Started: 2/12/21 12:34 PM Daily 1 x a day Night shift Leader Aspir Low 325MG by mouth 06:00 AM Started: 12/11/20 8:14 AM Daily 1 x a day Night shift Leader Clonidine 0.

Current Illness: NONE

ID: 1039188
Sex: F
Age: 97
State: MI

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

Lab Data: Paramedics came on site and family refused any care.

Allergies: Unknown

Symptoms: Approximately 10 minutes after receiving her vaccination patient fainted, then once she gained conciousness she vomitted a small amount of water. Family that was present, said that this is a somewhat common occcurence as she's had several episodes similar to this within the past year.

Other Meds: Unknown

Current Illness: Atrial fibrilation (per family) Transischemic adverse events (TIA)'s (per family) Major stroke in December of 2020

ID: 1039189
Sex: F
Age: 58
State: KY

Vax Date: 01/25/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Seafood, Latex

Symptoms: States did have a rash after first dose on 12/28/20 on right arm for 10 days. Did not and chose not to report. Several days post 2nd injection, patient received full body/trunk rash on 2/11/21 and it remains ongoing. Pt. states she is currently taking benadryl for rash

Other Meds: Vitamin D

Current Illness: No

ID: 1039190
Sex: M
Age: 49
State: PA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Only allergies are seasonal and allergic to grass and ragweed

Symptoms: I developed a rash on the back of my right hand, which the documentation i was provided with at time of vaccination included rash as a severe allergic reaction. I also developed chills that would hit me at random times of the day for a week. These chills occurred every day for a week.

Other Meds: only supplements taken are a pre-workout and protein post workout

Current Illness: None

ID: 1039191
Sex: F
Age: 46
State: PA

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient developed fast heart rate and shortness of breath 1 day after vaccine, then a very pruritic morbilliform rash 1 week later.

Other Meds: None

Current Illness: None

ID: 1039192
Sex: F
Age: 61
State: WA

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

Lab Data: Doctors monitoring at site, paramedics attended and transferred me to hospital (my husband took me) waited for three hours in emergency and started feeling better went home 4 hours and 30 minutes after injection saw no one at hospital as they were very busy.

Allergies: Sulfites Corn Eggs preservatives

Symptoms: Burning at site.. immediately feeling lightheaded, heavy chest pains within 3 minutes and maintained for two hours Rapid rise in Blood Pressure within 5 minutes of injection staying at over 180/109 for two hours Hives 90 minutes after injection Sharp pain in facial nerves, neck lasting days

Other Meds: Aimovig, levothyoxine, Nucynta, Budesomide

Current Illness: Migraines

ID: 1039193
Sex: M
Age: 16
State: IL

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

Lab Data: None ordered.

Allergies: PCN and dogs,cats

Symptoms: Patient received a Moderna vaccine under 18 years old. No adverse effects occurred. Only had a sore arm for 2-3 days. Parent states she will notify the HCP.

Other Meds: None

Current Illness: None

ID: 1039194
Sex: F
Age: 82
State: CA

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

Lab Data: none

Allergies: cat allergies, asthma, cold air, scents

Symptoms: severe dizziness, severe chills, fever (101.6) , body aches, weakness and flue like symptoms

Other Meds: losartin potasium, levothyroxine

Current Illness: none

ID: 1039195
Sex: F
Age: 92
State: CA

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

Lab Data: MODERNA VACCINATION 02/18/2021 AT 1030

Allergies: nka

Symptoms: VOMITING POST ARRIVAL TO OBSERVATION AREA LASTING 10 MINUTES. 130/98 84 24 X4 ACCOMPANIED BY DAUGHTER VOMITTING STOPPED AND PATIENT WAS STABLE AND WENT HOME WITH DAUGHTER

Other Meds: Effexor, levothyroxine, Dramamine, aspirin, losartan potassium atorvastatin, lutein centrum calcium citrate

Current Illness: none

ID: 1039196
Sex: F
Age: 44
State: WI

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

Lab Data:

Allergies:

Symptoms: FEVER HEADACHE DIZZINES BODY PAINS

Other Meds:

Current Illness:

ID: 1039197
Sex: M
Age: 33
State:

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

Lab Data:

Allergies:

Symptoms: Bilateral kidney pain (1 day), low back pain (1 day), headache (1 day)

Other Meds:

Current Illness:

ID: 1039199
Sex: M
Age: 48
State: NY

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

Lab Data:

Allergies:

Symptoms: Very sore arm for approximately 18 hours after the injection in left arm. Applied ice packs. Soreness completely gone after that timeframe. Have been experiencing tingling in left thumb and hand for past 24 hours. Unsure if related to vaccine.

Other Meds:

Current Illness:

ID: 1039200
Sex: F
Age: 50
State: AR

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None.

Allergies: None known

Symptoms: Day after the dose was administered: Fever of 99, pain/soreness/swelling at site of injection, tiredness Two days after the dose was administered: Fever of 101, pain/soreness/swelling at site of injection, tiredness, headache, aches Three days after the dose was administered: pain/soreness/swelling at site of injection, tiredness, aches

Other Meds: Melatonin

Current Illness: None

ID: 1039201
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies:

Symptoms: 1416: Pt states heart coming out [sic] and lips and tongue are numb. 1417: HR 108 SpO2 100% 1418: Benadryl 10 ml [25 mg] given. 1440: HR 85 SpO2 100%. I recommended she stay for at least 30 mins. Patient chose to leave against recommendation after Benadryl and assessment.

Other Meds:

Current Illness:

ID: 1039202
Sex: F
Age: 70
State: AR

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

Lab Data: None

Allergies: Sensitive to dairy, wheat, high histamine food and processed foods.

Symptoms: Dizziness and Weakness for about 30 hrs diminishing as time passed. Dizziness lessened during this time frame. Weakness also diminished during this timeframe but lasted on and off for a couple more weeks occasionally. Both Completely gone now.

Other Meds: Probiotic, vitamin D3, vitamin b-12 injections, clonazepam (occasionally)

Current Illness: Fibromyalgia

ID: 1039203
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Heavy arm tingling in right side of neck. Experienced after last shot not as bad. EMS evaluated. Stayed until 2:30 then home

Other Meds:

Current Illness:

ID: 1039204
Sex: M
Age: 85
State: MN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: NONE

Allergies: LISINOPRIL

Symptoms: WEAKNESS, FEVER, BODY ACHES

Other Meds: Medications Schedule Med days Assigned Aspirin 81MG by mouth 08:00 AM Started: 5/10/19 1:00 PM Daily 1 x a day MC LCM Celexa 10MG by mouth 08:00 AM Started: 5/16/19 8:00 AM Daily 1 x a day MC LCM Donepezil 10MG by mouth 08:00 PM Started: 10

Current Illness: NONE

ID: 1039205
Sex: F
Age: 68
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Headache, tylenol, no results, only took 4- 500mg tablets because the pain didn't ease I stopped and started using Ice pack, no result, head still hurts on Thursday February 18. So I just rested. Pain at injection site, Tylenol, after the 4 tablets and no relief and used ice pack, arm feels better. Fatigue, rested

Other Meds: Nifedipine, protonix, lisinopril, htcz, zoloft, co q 10, vitamin d3, lipitor, lumigan

Current Illness: None

ID: 1039206
Sex: F
Age: 70
State:

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: HEADACHE

Other Meds:

Current Illness:

ID: 1039207
Sex: F
Age: 27
State: WA

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: codeine

Symptoms: "COVID arm", large red splotch/rash at injection site, defined borders, no itching, lesion is painful to the touch, swollen lymph nodes in armpit of the same arm as injection

Other Meds: loryna birth control, spironolactone 100mg BID, vitamin D3 2000 IUs, vitamin B12 1000 IUs

Current Illness: NA

ID: 1039208
Sex: F
Age: 44
State: OH

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

Lab Data: Na

Allergies:

Symptoms: Major chills start 10pm.. lasted most of night. Took Motrin .. tossed and turned will chills with chattery teeth until about 3pm slept an he and a half and chills agains. 9a motrin fever of 102.2.. headache arm sore all over upper arm! Motrin at 2pm headache stopped fever also

Other Meds:

Current Illness:

ID: 1039209
Sex: F
Age: 54
State: OR

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

Lab Data: 1420 - BP: 104/74 HR: 76 RR:20 1425 - BP: 100/76 HR: 82 RR:20 02 sat: 99 on 5.5L simple mask 1430 - BP: 118/80 HR: 95 RR:22 02 sat: 98 on 5.5L simple mask

Allergies: Benadryl, Compazine, Opioids

Symptoms: 1345 - Vaccine Given 1410 - Pt reported moderate-severe chest tightness that extended down bilateral sides. Lips and fingers were going numb and pt appeared pale. 02 via simple face mask at 5.5L started at this time. 1420 - symptoms "starting to get better" per patient but still reported tightness and that is was now moving slightly higher towards the throat. Ambulance called at this time. 1428 - Epi Pen given in left thigh 1430 - Patient reports feeling anxious and bilateral hands are beginning to contract with patient stating "I can't move my hands" Patient was taken to hospital via ambulance at this time 1430

Other Meds:

Current Illness:

ID: 1039210
Sex: M
Age: 63
State: IN

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

Lab Data:

Allergies: None

Symptoms: Severe arm ache at injection site. Headache. Slight Fever Tired Could not sleep General poor feeling All took place early morning right after shot

Other Meds: Lisinopril Simvastatin Citerizine

Current Illness: None

ID: 1039211
Sex: M
Age: 40
State: AZ

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Pt prescribed albuterol inhaler and steroid dose pack for shortness of breath on 02/18/2021 and advised to go to ER if symptoms worsen or do not improve for further testing and imaging.

Allergies: none

Symptoms: 2 days post vaccine Pt reports that he experienced sever flu like symptoms with the worse being fatigue, tachycardia, and shortness of breath. He reports the symptoms lasted for about 1 day except the tachycardia and shortness of breath. He reports 8 days after onset of adverse symptoms with complaints of continue shortness of breath with walking or going up stairs. At time of visit Patient positive for tachypnea and tachycardia. Wheezes audible throughout lung fields.

Other Meds: none

Current Illness: none

ID: 1039212
Sex: F
Age: 62
State: PA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: On Tuesday, February 16th, I got a covid test, because I didn't know what else to do, I had a fever so I had to know if I could be near my family,, which was negative My physician thought all along it was a delayed reaction to the Vaccine.

Allergies: none

Symptoms: First Vaccine was 1/8/21, just had sore arm, Had 2nd vaccine , 13 hours later like many people, chills , almost 103 temperature, sweating, very sore arm. Next day fine. Then on February 14 I got a fever in the afternoon and continued to have a fever until yesterday 2/17/21 On Sunday 2/14/21 the fever started at about 4:00, I went up to about 101.0., then it went between 100 and 100.6, accompanied by chills. On Monday 2/16/21 and Tuesday 2/17/21 I continued with fever and chills, the fevers did not start until the afternoon at about 3:00 and would continue all evening, in the morning when I woke up, no fever, felt okay, a little off Then yesterday on 2/17/21, the highest fever I got was 99.6 and that was at 2:00 p.m. and then I was normal all night and feel great this morning. And it is now 3:18 p.m. which is the bewitching afternoon hour for me and I am good, Feel great , so I think it is over. I was on the phone with my physician twice who said he thought it was a delayed reaction to the 2nd dose. The reactions started on the 8th day post my 2nd vaccine dose

Other Meds: Paxil, Synthroid, Valsartan, and Hydrochlorothiazide

Current Illness: none

ID: 1039213
Sex: F
Age: 83
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Redness, heat, itching, mild swelling in area of approx 7x7 cm surrounding injection site. It is ongoing since first identified on 2/16 at 08:00. Physician consulted this date with diagnosis of cellulitis and/or allergic reaction. Doxycycline prescribed.

Other Meds: Topical clobetasol prn

Current Illness: Chronic scleroderma morphea

ID: 1039214
Sex: F
Age: 22
State: PA

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

Lab Data:

Allergies: amoxicillin, Dimetapp, bee stings

Symptoms: Extreme muscle fatigue, weakness, diarrhea, headache, dizziness, excessive fatigue.

Other Meds: Lo Loestrin birth control

Current Illness: None

ID: 1039215
Sex: F
Age: 62
State: IL

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Zero

Allergies: None

Symptoms: On left up arm, bicep, and red patch. No itching, no bumpiness, no pain, and comes and goes.

Other Meds: lasartan and hydrochlorothiazide and vitamin D

Current Illness: none

ID: 1039216
Sex: F
Age: 55
State: NC

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

Lab Data: no

Allergies: sulfa drugs

Symptoms: pt states that she developed itching, redness and swelling around the injection site. The 2nd day the redness and swelling had increased in size and was hot to the touch. The 3rd day the redness has doubled in size but is not as swollen, hard or sore. Pt said she thinks the injection was not given to her in the muscle that is was down to low on her arm. Pt stated she has called her PCP and was not given any medical advice.

Other Meds: no

Current Illness: no

ID: 1039217
Sex: M
Age: 57
State: MN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Reports receiving Epinephrine in the emergency room, a steroid injection, and antihistamine.

Allergies: Barley, Hopps, Tylenol

Symptoms: At 10:45 am on 02/11/2021 begin to have difficulty speaking. Reports the symptom as "losing his voice". He states that the symptom continued to get worse and at 11:15 am he could not speak and was experiencing shortness of breath and throat tightness. He was taken to the local emergency room by another staff member. Does report he has had a history of having a anaphylatic response but not to a vaccine. He does not have a epinephrine pen prescribed to him.

Other Meds: Takes blood pressure medication unsure of name

Current Illness: None

ID: 1039218
Sex: M
Age: 29
State: WI

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: CHILLS, FATIGUE, FEVER

Other Meds:

Current Illness:

ID: 1039219
Sex: F
Age: 38
State: OH

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Back pain, sciatica. Started day after vaccine and continuing currently.

Other Meds:

Current Illness:

ID: 1039220
Sex: F
Age: 52
State: OK

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

Lab Data:

Allergies: Asthma - have mild allergies to trees, dust, severe to mold and pollen Cannnot take PCN, stay away from ASA

Symptoms: profound sore arm difficulty in lifting by 8pm after shot, Fever and chills by 12 midnight with temp running 101.9, muscle joints ache had these symptoms until 6:30pm on Saturday 13th

Other Meds: Synthroid, Breo, Lexapro, Singular, Zyrtec

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm