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: 1039277
Sex: F
Age: 83
State: MA

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

Lab Data: None.

Allergies: MSG.

Symptoms: After several days her arm felt itchy, looked in the mirror and had a rash around the site, just little red dots. The area got worse, she made an appointment for a dermatologist for the next day. It doubled in size, and then doubled again and as an artist it was interesting. Her husband researched the symptoms and said that it's COVID arm and it's usually typical in people in their 30's and 40's. She went to the Dermatologist on 2/11/21 who said that it's at the site of the injection. He told her to take Cortisone for that day, Clobetasol 0.5%. She did that for the day, and he sent in a prescription to start the next day hydrocortisone 2.5% cream 2-3 days a day. It got much worse. Today it is a brownish area, fading, the redness has gone as well, itchy at times as well. She does have pictures that she is willing to submit.

Other Meds: Zioptan eye drops, Irbesartan, vitamin D, vitamin C.

Current Illness: None.

ID: 1039278
Sex: F
Age: 39
State: MI

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 1039279
Sex: F
Age: 71
State: ME

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

Lab Data: no

Allergies: seasonal allergies- ragweed

Symptoms: pt stated that on the first day after the vax her left arm is red and itching around the injection site. The redness is worse on the second day. Pt has not contacted a PCP at this time.

Other Meds: metoprolol

Current Illness: no

ID: 1039280
Sex: F
Age: 71
State: AR

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Betadine, Adhesives

Symptoms: On the 8th day after receiving my Moderna COVID-19 Vaccine EUA shot, I woke to a red, 2-inch, raised, , itchy rash at the site of my shot. I looked up the symptoms, which were all related to a condition being called COVID-vaccine arm. The article said to contact my health provider (Dr.); I did. It futher suggested I report it to the vaccine provider. I was told to report it on this form. I am. The article - and my physician - said to monitor the site and to call if I had other symptoms/the symptoms worsen/the symptoms didn't go away. The itch went away on the 12th day. The redness went away on the 13th day. I still plan to get my 2nd shot.

Other Meds: Metformin, Lisinopril, Pravastatin, Xyzal,B w/ C,Caltrate w/D

Current Illness: none

ID: 1039281
Sex: F
Age: 64
State: MA

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

Lab Data: None

Allergies: Oxycodone - angioedema

Symptoms: Left orbital area numbness still unresolved as of post vaccination Day 6.

Other Meds: Hctz; Protonix; Simvastatin; lo dose ASA; echinacea; turmeric, synthroid;

Current Illness: None

ID: 1039282
Sex: M
Age: 80
State: OH

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

Lab Data: Visited the ER on 02/14/21. Lab studies completed there.

Allergies: All Purpose Cleaner

Symptoms: Left arm pain when moving arm over your head. Hives to body. Cellulitis to left foot and ankle.

Other Meds: High cholesterol medication

Current Illness: Lower back pain when changing from sitting to standing position around 02/03.

ID: 1039283
Sex: F
Age: 77
State: PA

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

Lab Data: Lab studies a couple days later revealed normal platelets and normal coags.

Allergies: iodine, penicillin, sulfa, nabumetone

Symptoms: Patient developed significant, dark purple bruising under the arm (axilla) on same side as injection but also significant bruising on left breast. Also with hives on abdomen.

Other Meds: pravastatin, aspirin, calcium, vitamin c, vitamin d

Current Illness: back pain, high cholesterol

ID: 1039284
Sex: F
Age: 56
State: IL

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: I had a rash on the right side of my abdomen that traveled over to the left just past my belly button. It wasn't bad initially. There were small bumps but got worse. After my surgery, on 12/23/020 there was no rash at the incision points. The rash was more angry after the vaccine in January 2021. I went to see my dermatologist and prescribed a topical ointment.

Other Meds: I use a generic nasonex.

Current Illness: No

ID: 1039286
Sex: M
Age: 26
State: VA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Tested at 2:00 pm on the 1/6/2021 - negative result - COVID

Allergies: break out in head to toe rash - Ceftan (antibiotic)

Symptoms: Vaccine was .05 cc injection; 12 hours later - chills, never had a true fever, fatigue, muscle aches, and a headache. That night I went to bed earlier - got 10 hours of sleep and felt worse then when I get sick. That lasted exactly 12 hours. By noon the following day, it had disappeared. Took Aleve. I returned to work the following day.

Other Meds: none

Current Illness: none

ID: 1039287
Sex: F
Age: 37
State:

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Ten days after receiving my second dose of the Moderna vaccine, I noticed a cluster of red bumps on my leg. Over the next few days those bumps started to blister and I was in horrible pain, so I went to Urgent Care, where they diagnosed it as Shingles. I'm in my 30's and hadn't been overly stressed, so I was told by the healthcare provider to mention the Shingles in case it came about because of the vaccine. Since I had just received the vaccine, the timing seemed suspicious. I was put on an antiviral medication. It's been 12 days after I first noticed the bumps and I seem to be healing up. I finished my antiviral medication yesterday.

Other Meds: Enskyce

Current Illness: No

ID: 1039288
Sex: F
Age: 91
State: IN

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

Lab Data:

Allergies: None

Symptoms: Diarrhea, nausea with dry heaves which resulted in light headedness. Resolved with fluids and rest later on in the day.

Other Meds: Calcium/Vitamin D Escitalopram Indapamide Levothyroxine Omeprazole

Current Illness: None

ID: 1039289
Sex: F
Age: 46
State: AZ

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

Lab Data:

Allergies:

Symptoms: Pharmacy District Manager: Patient had what was presumed to be a seizure. No epinephrine or any medication was administered on site. Paramedics and Fire Dept was called. She did come to within a couple minutes but was unaware of where she was. She was transported to Hospital. (head school nurse) confirmed with me that she was released from the hospital later that same afternoon.

Other Meds:

Current Illness:

ID: 1039290
Sex: M
Age: 22
State: PA

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

Lab Data:

Allergies:

Symptoms: Fever, headache, arm soreness, rash

Other Meds:

Current Illness:

ID: 1039291
Sex: F
Age: 53
State: PA

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

Lab Data: none

Allergies: Sulfa

Symptoms: Had fever, body aches, chills and headache 12 hours after the vaccine was given, that lasted almost 24 hours. Then subsided. About 8 hours later I developed a migraine headache that lasted 5 hours.

Other Meds: none

Current Illness: none

ID: 1039292
Sex: F
Age: 83
State: CA

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

Lab Data: NOne

Allergies: Simvastatin, Prevacid(?), Hydrochlorthiazied

Symptoms: Left jaw visible swelling, and perceived left side of tongue and left side of throat "felt swollen"; this occurred at 2 am, 17 hours post vaccination, and again a week later at 11 pm at night; both times symptoms did not impared breathing or swallowing and resolved after taking Benadryl, sipping water, and gargling with salt water

Other Meds: Bupropion, Lisinopril , Furosemide Metorpolol

Current Illness: None

ID: 1039294
Sex: F
Age: 95
State: MN

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

Lab Data:

Allergies:

Symptoms: Multiple falls and weakness

Other Meds:

Current Illness:

ID: 1039295
Sex: F
Age: 44
State: NE

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

Lab Data:

Allergies: None

Symptoms: Fever, nausea, body aches, headache

Other Meds: None

Current Illness: None

ID: 1039296
Sex: F
Age: 35
State: WI

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

Lab Data:

Allergies:

Symptoms: FEVER HEADACHE CHILLS BODY ACHES

Other Meds:

Current Illness:

ID: 1039297
Sex: F
Age: 19
State: KS

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

Lab Data: None

Allergies: None

Symptoms: Pt was given ProQuad instead of MMR vaccine

Other Meds: No

Current Illness: No

ID: 1039298
Sex: F
Age: 76
State: CA

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Lyrica, Codeine, Oxycodone, ambien, Advil Sleep, Gavapentin

Symptoms: Headache, nausea, chills, dizziness, exhaustion, body aches, thought process diminished, excessive urination....for over a week

Other Meds: Celexa, Exedrin,

Current Illness:

ID: 1039299
Sex: M
Age: 33
State: NM

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

Lab Data: n/a

Allergies: Codeine, nickel, shellfish, peanuts

Symptoms: Headache, soreness at site of injection

Other Meds: Valcyclovir, 500 mg Wellbutrin, 300 mg

Current Illness: n/a

ID: 1039300
Sex: M
Age: 77
State: CO

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Sulfa, penicillin, Olmesartan

Symptoms: Severe pain in hands and fingers. Began on Feb 4, 2021 and are essentially gone by Feb 16, 2021

Other Meds: Olmesartan, Simvastatin, Levothroxine, Aspirin, Senior Multivitamin, Calcium bone supplement

Current Illness: None

ID: 1039302
Sex: F
Age: 37
State: NJ

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

Lab Data:

Allergies: None

Symptoms: swollen and painful left supraclavicular node

Other Meds: None

Current Illness: None

ID: 1039303
Sex: F
Age: 68
State: MO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt reports a 2" area on her upper arm that is raised, feverish, and sore. The area will look purple/bruised and then will clear up before turning purple again. She said after a shower it will sometimes look red/purple again. She is reporting a sore area on her left lower leg/shin area also. She has a 7" x 4" area below her knee that is raised, swollen, and very sore. She doesn't know if this is related to the vaccine or not, but has no other explanation for it.

Other Meds:

Current Illness:

Date Died: 02/15/2021

ID: 1039304
Sex: M
Age: 73
State: CA

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

Lab Data: 01/31/21 Rapid Test (-) COVID 02/02/21 Rapid Test (-) COVID 02/04/21 Rapid Test (-) COVID 02/02/21- WBC 20.92, Na 142, BUN 59- MD was notified

Allergies: Flomax

Symptoms: Resident getting rehab therapy in the facility and has a long history of Parkinson's Disease. On 01/29/21, he received the COVID vaccine on left deltoid, resident was recently hospitalized due to Pneumonia and was on antibiotic IV and was recently placed on GT feeding due to severe dysphagia from his Parkinson's disease. On 01/31/21, started having increased congestion. On 02/02/21, started having increased temperature and WBC went up >20,000 on 02/03/21, started on Vancomycin IV on 02/04/21 but was transferred to the hospital. Facility was notified today (02/18/21) that resident expired in the hospital.

Other Meds: Amantadine HCl Tablet 100 MG, Fluticasone Propionate Suspension 50 MCG/AC, Metoprolol Tartrate Tablet,Rotigotine Patch 24 Hour 6 MG/24HR, Magnesium Oxide Tablet 400 MG, Heparin Sodium (Porcine) Solution 5000 UNIT/ML,Aspirin EC Tablet Delaye

Current Illness: Parkinson's disease, S/P GT Placement, HTN, Allergic Rhinitis, Protein Calorie Malnutrition, Herpes Viral Infection, Dysphagia, S/P Pacemaker Insertion

ID: 1039305
Sex: F
Age: 73
State: OH

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

Lab Data:

Allergies:

Symptoms: Attended vaccine clinic with friend. After receiving vaccine and moving to observation area, pt reports noticing "her lips feeling normal but the tip of her tongue feeling tingly". No other s/s of reaction noted after reviewing s/s of reaction with pt. VSS BP 126/68, HR 74. Resp 16. Facial expressions symmetric, grips strength equal, arm strength equal, leg strength equal. Water provided to pt. 2:44p Pt reports lips feeling normal but tip of tongue still feels tingly but I am fine". Pt t remain in observation area and is not interested in going to the ER as "I am feeling better". 3:01p S/S resolved, tongue is no longer tingly. Reviewed s/s of reactions vs side effects. Agrees to notify PCP of response after vaccine and also agrees to call 911 with any s/s reaction upon leaving Hospital.

Other Meds:

Current Illness:

ID: 1039306
Sex: F
Age: 87
State: CA

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

Lab Data:

Allergies:

Symptoms: 1047: After receiving COVID vaccine, pt c/o tightening in left side of chest 1050: BP 148/70 HR 75 RR 16 SpO2 98% Temp 37.2 Benadryl 25 mg po given. 1110: Observed for 20 mins after Benadryl given. Resolved, VS stable, "felling better." Advised if symptoms return/persist to contact PC P. Left with family member.

Other Meds:

Current Illness:

ID: 1039307
Sex: F
Age: 85
State: IL

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: no

Allergies: Norflex, Codeine and Aspirin

Symptoms: Itchy, red like a sun burn, I do have hives but its controlled.

Other Meds: Azelastine HCI, Atorvastatin 10mg, Multivitamin, Calcium Citrate, Eye drop

Current Illness: no

ID: 1039308
Sex: F
Age: 32
State: WI

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

Lab Data:

Allergies:

Symptoms: HEADACHE, VOMITING, FEVER

Other Meds:

Current Illness:

ID: 1039309
Sex: M
Age: 88
State: HI

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

Lab Data:

Allergies:

Symptoms: While being monitored after receiving second dose of COVID 19 vaccine, patient developed fatigue and was noted to have a blood pressure of 76/41. No other physical complaints. Wife noted patient had decreased oral intake recently but otherwise denies any recent illness or positive sick contact. Was brought to the ED and given 500ml of normal saline IV.

Other Meds: Aspirin 81mg Carvedilol 6.25mg Irbesartan 300mg Metformin 850mg Multivitamin Pravastatin 20mg Terazosin 10mg

Current Illness:

ID: 1039310
Sex: F
Age: 50
State: MA

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

Lab Data:

Allergies: Bee stings Morphine IV

Symptoms: Patient experienced "tingly" and what she described as a "weird" sensation on her tongue within minutes of receiving vaccine. Patient appeared flushed and nauseous. Treatment was two 25 mg diphenhydramine tablets with water. Patients symptoms resolved within 30 minutes of observation but patient was observed for 40 minutes total in clinic. Follow-up continued every 30 minutes to an hour over the phone with confirmed resolution of previously stated symptoms.

Other Meds: Prograf Prednisone Labetalol aspirin mycophenolate hydralazine sertraline gabapentin Vit D amlodipine Zetia Magnesium oxide Tylenol CBD lotion applied on shoulder 2 nights prior to vaccine

Current Illness: Kidney transplant patient as of 2015. Hypertension High cholesterol Bursitis Herniated disks in lower back Obesity Nerve damage in left forearm and right foot

ID: 1039311
Sex: F
Age: 85
State: MN

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

Lab Data:

Allergies:

Symptoms: Falls. weakness

Other Meds:

Current Illness:

ID: 1039312
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: Lips puffy, puffy above eye and puffy at throat

Other Meds:

Current Illness:

ID: 1039313
Sex: M
Age: 66
State: OH

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

Lab Data: none

Allergies: NKA

Symptoms: Before given vaccine, patient stated he has passed out from vaccines before. He received the dose, stated that I provided good technique but would stay with his wife for the 15 minute period afterwards just in case. He started to feel lightheaded/dizzy and voluntarily laid down on the floor. We provided him water, and he was sitting up, standing up, and able to leave within the next ten minutes.

Other Meds: none known with Rite Aid

Current Illness: none known at time of vaccination

ID: 1039314
Sex: M
Age: 53
State: ME

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

Lab Data:

Allergies: PENICILLINS SULFA ANTIBIOTICS

Symptoms: Patient stated area around vaccine began getting red 2/16/21. It started as a small dot and has now grown to a "silver dollar size". The area is raised, red and warm to the touch.

Other Meds:

Current Illness:

ID: 1039315
Sex: F
Age: 56
State: AZ

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

Lab Data:

Allergies:

Symptoms: From District Pharmacy Manager: Patient fainted after getting into the observation area (maybe about 3-5 minutes after receiving vaccine). Fire Dept was called. She did not go to hospital and did go home with her husband who was driving.

Other Meds:

Current Illness:

ID: 1039317
Sex: F
Age: 32
State: NJ

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

Lab Data:

Allergies: None.

Symptoms: 12 hours after receiving my second dose of the Pfizer vaccine I experienced the start of chills. Within a few hours after that I woke up with severe chills, body aches, joint pain, and a very swollen and painful lymph node in my left axilla. By the 24 hour mark everything improved but I am now experiencing some nausea and bloating.

Other Meds: Vyvanse, D3, Zyrtec, vitamin A, OCP

Current Illness: None.

ID: 1039318
Sex: F
Age: 28
State: NY

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

Lab Data:

Allergies:

Symptoms: Reported chills, arm pain, fever 100F, nausea, body aches.

Other Meds:

Current Illness:

ID: 1039319
Sex: F
Age: 75
State: NC

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: CT scan, MRI, EEG, on 01/20 All negative.

Allergies: None

Symptoms: Extreme weakness in left leg to the point that she could not stand or transfer between chairs or wheelchair. Lasted about 5 hours. This occured about 24 hours after the injection. Same event occured after the second onjection on Feb 16. 24 hours later she had weakness in the left leg that lasted about 4 hours. She is bach to pre vaccine mobility.

Other Meds: None

Current Illness: None

ID: 1039320
Sex: F
Age: 55
State: WA

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

Lab Data:

Allergies: None

Symptoms: At 3 am I woke up feeling very cold. Took my temp at 7 am and it was 99. Had a slight headache and warm and cold off and on. I took 1 Advil at 8 am and alternated every 4 hours with tylenol. By 2 pm I felt fine and was able to go for a walk.

Other Meds: Multi vitamin

Current Illness: None

ID: 1039321
Sex: F
Age: 49
State: PA

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

Lab Data:

Allergies:

Symptoms: Chills, fatigue, headache, nausea, sweats, dizziness

Other Meds:

Current Illness:

ID: 1039322
Sex: M
Age: 76
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Rash at site for one week. Mild fever on 2/17

Other Meds: Losartan, levothyroxine, aspirin, rosuvastatin

Current Illness: None

ID: 1039323
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: Severe muscle aches 48 hrs post vaccination. Intermittent burning/tingling sensation in right arm, started Saturday afternoon. Saturday and Sunday night unable to write notes at work, unable to sleep on that side. Took Acetaminophen 2/15/21, slight improvement, Took Ibuprofen 2/16/21 with more improvement.

Other Meds:

Current Illness:

ID: 1039324
Sex: M
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: Dizziness, anxiety.

Other Meds:

Current Illness:

ID: 1039325
Sex: F
Age: 51
State: PA

Vax Date: 01/09/2021
Onset Date: 01/30/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Reglan

Symptoms: Symptoms have not gone away. I still have (on and off) the back of my left shoulder up my neck into my jaw is where it's hurting. This usually comes with a migraine, but I don't have one today. It's just odd because I've never had this before, all the symptoms all at once. I've noticed under my left arm pit on occasions, sometimes when I'm laying at night feel swollen and in my groan as well. I have had some weird symptoms. I do get chills of and on but not at this very moment. My left ear has became hurting where the jaw pain is. I have to have my ears cleaned every so after so not sure if that has to do with my pain going on. I saw the ENT on December 30 and going to see them again on February 24th.

Other Meds: Buspar 10 mg 3times a day Premarin.625mg Cymbalta 120 mg Gabapentin 600 mg two times a day Hydralazine 50 mg two times a day Levothyroxine 125mcg Metformin 1000 mg daily montelukast 10 mg daily Nadolol 20 mg two times a day,

Current Illness:

ID: 1039327
Sex: F
Age: 45
State: MN

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Mammogram, CBC, CXR, clinic exam including breast exam

Allergies: Sulfa, Prevacid, Macrobid, Cephalexin, Zofran, Doxycycline, Rifaximin, Cipro

Symptoms: very enlarged lymph node (visibly enlarged) on left side supra clavicular initially, now lymph nodes bilat swollen, bilat inner wrist rashes that are like burns.

Other Meds: Estradiol, Vit D, Vit C, Zinc, Tylenol, Claritin

Current Illness: none

ID: 1039328
Sex: M
Age: 33
State: NM

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

Lab Data:

Allergies: Codeine Nickel Shrimp Peanuts

Symptoms: Headache, chills, fever, body aches, soreness at site of injection (until following afternoon). Took motrin to fend off fever

Other Meds: Valcyclovir 500 mg Wellbutrin 300mg

Current Illness: n/a

ID: 1039329
Sex: F
Age: 57
State: WI

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

Lab Data:

Allergies:

Symptoms: CHILLS FATIGUE, HEADACHE

Other Meds:

Current Illness:

ID: 1039330
Sex: F
Age: 42
State: UT

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

Lab Data: None.

Allergies: History of multiple different allergies, history of anaphylaxis reactions to allergy shots.

Symptoms: After receiving vaccine, pt started experiencing red face, itchyness, and shortness of breath. Pt was examined and took 50mg benedryl that she brought with her. Within 5 minutes of taking benedryl, she stated she was feeling better. Redness went down along with itchy feeling around her neck and chest.

Other Meds: Unknown.

Current Illness: Unknown.

ID: 1039331
Sex: F
Age: 55
State: WI

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

Lab Data: None

Allergies: Sulfa, Cinobac, Pyridium, some antidepressants

Symptoms: Nausea, shooting pains throughout body, dizziness (almost passing out), ringing sound in head, fever and chills, weakness, fatigue, soreness at injection site - 15 hours post-injection - took Tylenol. Mild nausea, occasional dizziness, no appetite or thirst, fatigue, weakness, soreness at injection site - 1 day post-injection - no treatment. Mild nausea, occasional dizziness, no appetite or thirst, fatigue, weakness, soreness and blotchy rash at injection site, blotchy rash on sides of neck, chest, tops of arms, and face - 2 days post-injection

Other Meds: Buproprion, Sertraline, Cephalexin, fish oil, CoQ10, probiotic, magnesium, multivitamin

Current Illness: Tinnitus

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm