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: 1041308
Sex: F
Age: 71
State: NC

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Did not seek medical aid. Followed at homr

Allergies:

Symptoms: Fever 102.5 with shaking chills and abdominal cramps

Other Meds: Diavan 80 qd, metformin bid, metoprolol 25 q d, k citrate bid, allopurinol, halobetasol, estradiol vaginally, Vit D 3, Zn, Mg, chromium, co q 10

Current Illness: None

ID: 1041309
Sex: M
Age: 42
State: TN

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: 1. That night I had an elevated blood pressure (around 140/100) but it did return to normal levels (typically 125/80) the next day. 2. Also that night, I had significant body aches (joints and muscle) that was strong enough to effect my sleep. 3. I developed a sore throat 3 days post vaccine that persisted approximately 2-3 days.

Other Meds: Aspirin, Ursodiol, Magnesium, Amlodopine, Metoprolol, Vitamin B, Senna, Tacrolimus, Vitamin D, Fish Oil

Current Illness: None

ID: 1041310
Sex: F
Age: 67
State: OR

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Blurred vision and inability to focus right after the vaccine. Still experiencing blurred vision.

Other Meds: actemra

Current Illness:

ID: 1041311
Sex: F
Age: 57
State: TX

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

Lab Data: NA

Allergies: Unknown

Symptoms: Severe Headache; extremely scratchy eyes, Fever; Fatigue; Site pain; Body aches; Slightly disorientated, for about 24-48 hours

Other Meds: Unknown

Current Illness: Unknown

ID: 1041312
Sex: F
Age: 82
State: FL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: CBC/CMP (2/15): Unremarkable Serum Toxicology (2/15): Alcohol, quantitative (0-3mg/dL) was found to be 12mg/dL EKG (2/15): NSR, rate 80 bpm, no ST elevation, and no signs of ectopy CT C-Spine w/o contrast (2/15): Severe multilevel degenerative changes with severe canal and severe bilateral foraminal stenosis from the C3-C4 through the C6-C7 levels. No acute fracture CT Brain w.o Contrast (2/15): 1. Age indeterminate lacunar infarct anterior limb right internal capsule. This more than likely is chronic in nature. Nevertheless, if deemed clinically warranted, follow-up MRI brain may be more helpful. 2. Otherwise, no other acute intracranial disease. 3. Moderate chronic small vessel ischemic white matter changes. Mild atrophy

Allergies: Penicillins, Tramadol, Cephalosporins, Estrogens, Opioids, Sulfa, Pneumococcal vaccine, Quinelones, Prednisone

Symptoms: Within 15-minutes of vaccination with second dose, the patient reported SOB/DIB, chest tightness, and sensation of throat closing . EMS administered 1mg Epinephrine and patient developed stridor. Patient became hypertensive (189/85). EMS administered another 1mg Epi and 50mg Benadryl IV. ETCO2 waveform was normal. EMS placed patient 15Lpm oxygen via non-rebreather mask. EKG showed NSR, rate 80 bpm, no ST elevation, and no signs of ectopy. Patient was transported to Emergency Department. In the ED, patient was hypertensive (204/91), but felt improved after EMS administration of epinephrine. Patient refused admission.

Other Meds: Acyclovir, Allopurinol, Alprazolam, Aspirin, Biotin, Clonidine, Ubidecarenone, Hydroxyocobalamin, Gabapentin, Hydralazine, Lansoprazole, Meloxicam, Nitroglycerin, Sertraline, Irbesartan, Hydrocodone/Acetaminophen

Current Illness: None Reported

ID: 1041313
Sex: M
Age: 69
State: FL

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

Lab Data:

Allergies: Vaseline bases products, neoprene and certain tapes.

Symptoms: Headache, lightheaded, aches like flu symptoms.

Other Meds: VItamins, ibueral

Current Illness: None

ID: 1041314
Sex: F
Age: 70
State: SC

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

Lab Data:

Allergies: About 18 years ago I had rapid heartbeat and anxiety after getting dental anesthesia (Mepovocaine/Carbocaine) several times and had to switch to Septocaine which has less central nervous system impacts.

Symptoms: I felt fine for the first 5 minutes after my Pfizer shot (my first shot), but then started to have rapid heartbeat, anxiety and felt warm. The nurse checked my breathing and checked for rashes and said it was not an anaphylactic reaction. Symptoms subsided after 5 or so minutes and I went home and have not had further side effects. But my question is, should I get my second shot in 3 weeks?

Other Meds: Clopidogrel 75 mg and baby aspirin Synthroid 100 mcg variety of supplements

Current Illness: Tingling in feet and calves started about 2 months prior - probably neuropathy but diagnosis not confirmed.

ID: 1041315
Sex: F
Age: 70
State: FL

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

Lab Data: None

Allergies: Medications: Flagyl, Lisinopril

Symptoms: Itchy or tingly skin on arms and legs, and hives (15) on arms and legs. Diphenhydramine 25 mg didn't relieve symptoms.

Other Meds: Hydrochlorothiazide 25 mg, Levothyroxine 50 mcg, B complex vitamins, Calcium 770mg, Vitamin D 1000IU, Vitamins K1, K2 and Magnesium

Current Illness: None

ID: 1041316
Sex: F
Age: 36
State: MA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Soreness at injection site, headache and fatigue the following two days

Other Meds: None

Current Illness: PCOS, migraines

ID: 1041317
Sex: F
Age: 38
State: KS

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

Lab Data:

Allergies:

Symptoms: COVID VACCINE CLINIC Subjective Patient is a 38 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She was given the Pfizer vaccination in the left deltoid muscle. During her 30 min waiting period after the injection, the patient began to experience throat tightness and wheezy. She denied sob, cp, facial swelling, tongue swelling. She reports of above symptoms about 20 minutes after receiving vaccine. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting . PMH: Previous Reactions: allergies including anaphylaxis to shellfish, peanut oil and sulfa drugs. Reaction of arm swelling to location of shot and wheezy when she got the flu shot 7 years ago. Asthma hx. She had taken Singulair, cetirizine and albuterol prior to coming. She did not take any benadryl prior to her injection as pt reports that her sister whom is a nurse told her not to take benadryl in case it masks a reaction. ALLERGY REVIEW OF SYSTEMS: Patient complains of frequent throat clearing (slightly upon arrival. with throat itching) and wheezing Patient denies chills, fever, malaise/fatigue, facial swelling, itching in ears, sore throat, eyes watering, eyes itching, puffy eyes, eye redness, cough, chest tightness, shortness of breath, rash, hives, eczema, cysts, itching of skin, vomiting, abdominal pain, diarrhea, muscle aches, joint pain, dizziness and headaches Objective Vitals Vitals: 02/19/21 0933 02/19/21 0944 02/19/21 0952 02/19/21 1002 BP: (!) 143/83 134/81 126/80 123/70 Pulse: SpO2: 100% 100% 100% Physical Exam Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is not ill-appearing, toxic-appearing or diaphoretic. Comments: No facial or lip swelling HENT: Mouth/Throat: Lips: Pink. Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Uvula midline. No pharyngeal swelling, oropharyngeal exudate, posterior oropharyngeal erythema or uvula swelling. Eyes: General: Lids are normal. Extraocular Movements: Extraocular movements intact. Conjunctiva/sclera: Conjunctivae normal. Neck: Trachea: Trachea and phonation normal. Cardiovascular: Rate and Rhythm: Regular rhythm. Tachycardia present. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Comments: Slightly tachycardia (103) Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds and air entry. No stridor, decreased air movement or transmitted upper airway sounds. No decreased breath sounds, wheezing, rhonchi or rales. Comments: Speaking full sentences. Musculoskeletal: Cervical back: Full passive range of motion without pain. Skin: General: Skin is warm. Findings: No rash. Comments: Injection site w/o erythema or swelling. No adhesive reactions Neurological: General: No focal deficit present. Mental Status: She is alert. Psychiatric: Mood and Affect: Mood is anxious ( slightly). Thought Content: Thought content normal. Judgment: Judgment normal. Re-evaluation of lung sounds and throat was done periodically about every 5-10 minutes. No acute findings seen/heard. Assessment/Plan Treatment included: albuterol, antihistamines, water and solu-medrol IM and pepcid, albuterol (pt used her own). Follow up response to treatment: excellent. Scale of 0-10 based on symptoms of tightness was 7 at first. Upon discharge was 3-4/10. Patient discharge: Stable to go home and follow up with PCP and her allergist. Differential Diagnosis: Anaphylaxis/anxiety (dyspnea, stridor, drooling, tongue swelling) We discussed close monitoring at home and when/if she were to take her epi-pen and call 911 if symptoms were to worsen. She's to let her allergist know about her visit today. She may need to have other medications taken prior to her #2 dose of Pfizer according to her allergist recommendations. Pt appreciative and is ready to go home. Pt wheeled out to front door by security. Accompanied by husband.

Other Meds:

Current Illness:

ID: 1041318
Sex: F
Age: 86
State: MI

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

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient had an Allergic Reaction unknown cause . Onsite EMS was called vitals were taken BP 136/80 BG 74 HR 92. Patient treated, and released aginst medical advice.

Other Meds:

Current Illness:

ID: 1041319
Sex: F
Age: 86
State: PA

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: 2/11/21 Lumbar Puncture

Allergies:

Symptoms: 2/8/21 pt noted to have BLE weakness. 2/10/21 pt admitted to Hospital and diagnosed with Guillain-Barre Syndrome. She received 5 days of IVIG treatment. 2/15/21 she was discharged from acute care and admitted to inpatient rehab where she is still admitted at this time.

Other Meds:

Current Illness:

ID: 1041320
Sex: F
Age: 49
State: GA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Heart monitor for 3 days

Allergies: Amoxicillin Bactrim Sulfa Xopenex inhaler nickel

Symptoms: tingling and pins and needles on the left side of face, slight numbness on bottom lip and bottom of the mouth. Slight swallowing problem. High blood pressure, dizziness, shivering. Got some Benadryl ( chewing tablet) from the paramedic on site. Went to the ED got more Benadryl, steroids and pepsid IV. Tingling subsided after 2 hours and numbness in the mouth too. Next day had major vertigo and heart rate was high and heart palpitations . Had some PVC which is still there. headaches come and go

Other Meds: amlodipine 5mg Levothyroxine 50 MCG

Current Illness: none

ID: 1041321
Sex: F
Age: 55
State: TN

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

Lab Data: CT Scan, MRI,

Allergies: Pencillin, Keflex, IV Contrast with dye, bee stings

Symptoms: Flu-like symptoms, face going numb, right side weakness, double vision in right eye, migraine headache. Stroke like symptoms

Other Meds: All medications that I currently take are prescribed by my physician.

Current Illness: No illnesses was taking place at the time of the vaccine.

ID: 1041322
Sex: F
Age: 73
State: CA

Vax Date: 02/06/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: One week after receiving shot, developed swelling at vaccination site, rash and itching. Prior to this, was being followed by V-Safe but this happened after they stopped contacting me. 2-19-21 - currently have slight rash and itching.

Other Meds: Lopressor, Atorvastatin, Fluticasone, Multi-vitamin, B-Complex, B-12, Potassium, Vitamin D

Current Illness: None

ID: 1041323
Sex: M
Age: 34
State: TX

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

Lab Data: None

Allergies: No known allergies

Symptoms: Patient arrived to post-observation area at 16:50 after 15 minutes had been completed, complained of some nausea and numbness to right leg with some burping. Patient was asked to stay an extra 15 minutes. After monitoring him for an extra 15 minutes, patient stated that adverse effects resolved.

Other Meds: Levothyroxine 10mcg

Current Illness:

ID: 1041324
Sex: F
Age: 50
State: PA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Sulfur medication

Symptoms: Woke up Wednesday morning the day after the shot with horrible pain in my left thigh and calf. I couldnt get out of bed. The pain also made my left foot numb. The pain was constant throbbing. After some ibuprofen it was a little bit better but still painful. I did call the Tele Nurse who gave me some suggestions. One was to call my doctor. I had an virtual appt that afternoon to discuss the pain. They said the muscle pain was my bodies reaction to the shot since it was a weak area for me. I do have previous back issues. I was having back pain the day before the shot.

Other Meds: Lisinproil 5mg Loratadine 10mg Citlophram 40mg

Current Illness: none

ID: 1041325
Sex: F
Age: 68
State: AZ

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

Lab Data:

Allergies: Sulfa, Atarax, Leeks, Strawberries, Parabens (methylparaben, ethylparaben, etc). Adhesive on bandages, Albuterol inhaler prn

Symptoms: At 11:20 PM, I was about to go to bed when I started to get cold on my hands. Then I became cold all over and had worsening chills throughout the night. I could not get warm despite lots of blankets and clothing. I was shivering all through the night until about 5:00 AM. I did not sleep well at all I woke up not feeling well, with my both hip joints aching. That is unusual for me. I have a low-grade fever and am very tired. No chills at this time. This in addition to soreness at the injection site.

Other Meds: Hydroxychloroquine, Cevimeline, 81 mg aspirin, Levothyroxine, Vitamins D, C, super B, Zinc, C-Progest SR, melatonin

Current Illness: Sjogren's Syndrome; Hypothyroidism

ID: 1041326
Sex: F
Age: 65
State: FL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: I got up around 9:00 am and felt weak. I ate breakfast and began to feel achy and nauseous so I went back to bed. For the rest of the day I experienced: Feaver 102.4 Feaver 100.6 Severe vomiting 3x chills sweats body aches pain behind my eyeballs headache extreme weakness I continued to rest and take Tylenol all day to break the fever. The next morning, 2/17/2021 I woke up with a fever of 100.4 and took Tylenol. All other symptoms were gone by 2/17 except for low grade fever and fatigue. Fatigue continues still as of this reporting 2/19/21

Other Meds: Losartan HCG

Current Illness: none

ID: 1041327
Sex: F
Age: 79
State: FL

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

Lab Data:

Allergies: Bactrim, cipro, contrast

Symptoms: lips swollen and facial rash

Other Meds: Plaquenil, Valsartan, Crestor, Calcium, Vitamin B, C Temazapan Synthroid

Current Illness: none

ID: 1041328
Sex: F
Age: 72
State: CO

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: pain, redness, spreading redness at injection site - lasted 4 days. Felt like wasp bite, changed from about 1x3" to about 4" round, worse at evening. Not severe enough to prevent sleep.

Other Meds:

Current Illness:

ID: 1041329
Sex: F
Age: 68
State: AZ

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

Lab Data: None, just took Advil and drank lots of water. And I slept a long time!

Allergies: None

Symptoms: Received shot at 6:00 am. At 4pm started to experience chills, then fever and body aches. Gone by 7 am the next day.

Other Meds: None

Current Illness: None

ID: 1041330
Sex: M
Age: 51
State: UT

Vax Date: 01/20/2021
Onset Date: 02/26/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Extreme pain in left shoulder, inability to move left shoulder/arm, swelling in arm, extreme fatigue, extreme muscle pain in upper back.

Other Meds: Motrin & Tylenol

Current Illness: None, mild muscle strain in left shoulder

ID: 1041331
Sex: F
Age: 22
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Nausea: 2 hours after shot, intense at night and the morning after injection Chills: 2 hours after shot, lasted a day and a half Vomiting: morning after injection Headache: started 2-3 hours after injection until 2 days later Sore Joints, specifically knees: when walking day after injection soreness at injection site: evening after injection to three days out

Other Meds: Portia ( birth control)

Current Illness: none

ID: 1041332
Sex: F
Age: 52
State:

Vax Date: 01/16/2021
Onset Date: 01/01/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PATIENT REPORTS NAUSEA/VOMITING. GETS WORSE WITH ORENCIA INJECTION. LOST 12 LBS

Other Meds:

Current Illness:

Date Died: 02/11/2021

ID: 1041333
Sex: M
Age: 78
State: MN

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Penicillin, Vicodin

Symptoms: He developed a fever on 1/8, become unable to swallow and bedbound. He was already end of life and Hospice care at the time of the vaccine.

Other Meds: Lorazepam, Seroquel, Trileptal, Senna Plus, Acetaminophen, Aspirin, Buspar, Sinemet, Cyanocobalamin, Depakote, Aricept, Pepcid, Hydrochlorothiazide, Provera, Melatonin, Namenda, Dolophine, Milk of Magnesia, Morphine, Omeprazole, Sorbitol, F

Current Illness: End stage Dementia, End stage Parkinson's Disease, on Hospice care. Dependent in all cares, non-verbal.

ID: 1041334
Sex: F
Age: 42
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Allergy to sulfa drugs

Symptoms: I got the shot at noon on Friday, February 12th. Felt pretty well with arm pain at injection site and flush face the rest of the date. On Saturday, the 13th, I was fatigued, extreme arm pain at injection site, flush face, and cold all day. Sunday, the 14th, much the same as Saturday until evening when extreme dizziness and diarrhea set in. Woke up in the night with extreme dizziness and nausea. All day Monday, 2/15, I had lethargy, lightheadedness, dizziness, flush face, body aches and chills. Tuesday, 2/16, same exact symptoms as Monday. Wednesday, 2/17 was still mild body aches and flush face. Thursday, lesser body aches but still flush face. Today, 2/19, I still have flush face and fatigue.

Other Meds: Emergen-C, daily vitamin, DHT blocker, Vitamin D

Current Illness: None

ID: 1041335
Sex: F
Age: 46
State: OK

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

Lab Data:

Allergies: Erythromycin, azithromycin, penicillin

Symptoms: Evening of vaccination, felt a knot in throat. Did not have any trouble breathing, eating or drinking. The next day on 1/29/2021 felt body aches, headache, nausea, diarrhea.

Other Meds: Metformin 1000mg; calcium/Vitamin D 600/400units; gabapentin 100mg; omeprazole 20mg; hydrocodone acetaminophen 7.5/325mg; morphine sulfate ER 15mg; spironolactone 25mg; cetirizine 10mg; Montelukast 10mg; Coreg 12.5 mg; folic acid 1mg 5 tabs

Current Illness:

ID: 1041336
Sex: F
Age: 35
State: AK

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None needed

Allergies: amoxicillin, penicillin

Symptoms: I had muscle aches in left arm and hardness around injection area a couple hours after receiving the shot, in addition to muscle aches in my other arm and fingers. Then I started to get a slight fever about 11 hours after receiving the second shot, which was accompanied by chills. I took an over the counter pain reliever which helped ease symptoms. The morning after receiving the shot I was experiencing fatigue, muscle aches (in areas previously described and in my legs), and intermittent chills and slight fever which I continued to take over the counter mediation for. I was dizzy a little bit the next day, but that could have been part of the fatigue. I had a short burst of coughing around noon the next day (after receiving the second dose) which lasted about half an hour. About 24 hours after receiving second dose the fever and chills stopped after I sweat quite a bit.

Other Meds: Sertraline 100mg, levothyroxine sodium 50mg

Current Illness: none

ID: 1041337
Sex: F
Age: 74
State: CO

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: first day had runny nose and feeling of a cold coming on. Second day feel like I have the flu with light headedness and queasy although not vomiting yet

Other Meds: Morphine - 15 mg, solifenacin 5 mg, zonisamide 75 mg, levothyroxine 88 mcg, trazadone 150 mg, vitamin D3 2000 iu, calcium 1200 mg, atoravastin 10 mg, multi vitamin

Current Illness:

ID: 1041338
Sex: F
Age: 33
State: MI

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

Lab Data:

Allergies: Penicillin

Symptoms: Over an hour post vaccination with the COVID-19 vaccine, she reported a tightness in her lungs and a rapid heartbeat. She sat down in an office with a table top fan blowing on her and was evaluated and monitored. When I arrived, she was not having difficulty breathing or communicating with me, but still felt some chest tightness. Her Pulse Ox was 94 and while monitoring began to improve. Her symptoms continued to improve without any medical intervention. Approximately 30 minutes after the initial signs, she was feeling well and was able to stand up and walk without any issue.

Other Meds:

Current Illness:

ID: 1041339
Sex: F
Age: 72
State: OH

Vax Date: 02/14/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: Sulfa and blueberries

Symptoms: Rash on face and neck blotchy and red spots.

Other Meds: Metoprolol, Atorvastatin , 81 mg aspirin, and multivitamin

Current Illness: none

ID: 1041340
Sex: M
Age: 52
State: TX

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: 2/17/2021-positive CoVid

Allergies: unknown

Symptoms: developed covid-like symptoms on 2/15, tested positive 2/17

Other Meds: unknown

Current Illness: unknown

ID: 1041341
Sex: F
Age: 75
State: NY

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None. I spoke with my primary and was told to ice it and take Tylenol on February 19, 2021.

Allergies: Codeine, Latex

Symptoms: 5 inch rectangular rash in left arm in site of vaccine injection. This was the second vaccine.

Other Meds: Methotrexate, Plaquenil, prednisone, Nadolol, Hydrochlorothyazide, Senior Vitamins, Biotin, Calcium, Vitamin D , Biotin

Current Illness: None

ID: 1041342
Sex: F
Age: 36
State: WI

Vax Date: 02/05/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: a cold sore has developed on the left of my mouth area

Other Meds:

Current Illness:

ID: 1041343
Sex: F
Age: 69
State: OK

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Penicillin, yeast molds

Symptoms: Extreme flu type reaction. Achy bones and muscle. Mostly achy in long bones like legs, arms and rib cage. Moaned all night. Lasted 12 hours started about 8 hours after vaccinated. No cough, a little nauseated but did not throw up.

Other Meds: Diabetes: Kogbiglyze XR 2.5/1000 mg; Heart:Metoprolol ER 50mg & Aspirin 81mg;; Thyriod:NPThyroid 90mg; Cholestrol:Ezetimibe 10mg; Zinc; D3K2; Benadryl

Current Illness:

ID: 1041344
Sex: F
Age: 38
State: MA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Advised to go to the ER by my PCP day 3 when I called them but I never went.

Allergies: None

Symptoms: Fever of 102.5 and chills for over 24 hrs. Headache and body aches for 4 days High blood pressure for 3 days Dizziness for 6 days

Other Meds: None

Current Illness: None

ID: 1041345
Sex: F
Age: 33
State: RI

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: no

Allergies: pork

Symptoms: A few hours after the vaccine I developed a mild headache. About 11p the headache got worse, I developed chills, and was extremely dizzy and about 2-3am the chills got really bad and I developed nausea. The next day I had chills and was still nauseous to the stomach and I was really tired. I had bad arm pain also and within the next 24 hours after all symptoms subsided. I felt tired the remainer of the week and the arm still hurting a little also.

Other Meds: no

Current Illness: no

ID: 1041346
Sex: F
Age:
State: MN

Vax Date: 01/28/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Sulfa, doxycycline, dust mites, horse, hay, potato starch

Symptoms: Dizzy after 30 minutes. By noon felt disoriented and had a headache. Fatigued about 1300. Left work to go home, to bed at 1800. On next day had a fever 101.9, chills and sweats, headache, sore throat, confusion, nausea, and intense pain at injection site, neck and back pain, extreme fatigue. All prior symptoms continued until the evening of January 31. Slept almost continuously until February 1. On this day still had chills, confusion, fatigue and a headache. Did go to work on February 1. Most symptoms were improved by February 4. Mildly confused until February 9.

Other Meds:

Current Illness:

ID: 1041347
Sex: F
Age: 66
State: SC

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Burning/stinging on elbow of the injection site arm. No visible marks on elbow. Also sore if I lean on it. Not knowing what it was I put Vaseline on it last night. This morning I had red streaks going from my elbow towards my hand. Now, several hours later, the red has disappeared and my elbow no longer seems sore. I just thought I should report in in case there is a cataloguing of different effects.

Other Meds: None

Current Illness: None

ID: 1041348
Sex: F
Age: 77
State: WI

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

Lab Data: Normal PLTs

Allergies: Hydromorphone and codeine

Symptoms: Patient developed spontaneous ecchymosis around the right eye. There is no other medical explanation of her spontaneous eye bruising identified

Other Meds: Tylenol Ibuprofen Anastrazole Atorvasttin Enalarpril Hydralazine Lamictal Levothyroxine

Current Illness: None

ID: 1041349
Sex: F
Age: 69
State: IN

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Amitex, Amoxcillian

Symptoms: I had arm soreness evening the day of Vaccine, Next day Arm injection site swollen about size of Walnut and it hurt to raise my arm. Later was feeling really cold and my legs felt ice cold. Later in evening I started chilling, just went to bed and covered up. Next day better by afternoon.

Other Meds: Bupropion,Atenol, Amilodipine,OlmesaMedox, Hydralazine, Cont.

Current Illness:

ID: 1041350
Sex: F
Age: 86
State: SC

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Pt referred by her outside PCP to a neurologist for nerve conduction study per pt report which is scheduled for March 02,2021.

Allergies: PCN

Symptoms: Pt reports day after vaccine 01/22/2021 she had approx. a quarter size, red, harden, elevated area to LUA . She states it was extremely painful and days following injection pain worsened to radiate down her arm which started to cause numbness and tingling. She presented today for 2nd covid injection which was not recommended by her PCP due to current ongoing problem since her last vaccine. She was wearing splint to left wrist upon arrival per pt report due to pain and some numbness that she has been having. Pt states per PCP looked at area and she was referred to neurologist for nerve conduction study due to ongoing serve pain.

Other Meds: gabapentin, fursomide

Current Illness: None

ID: 1041351
Sex: M
Age: 48
State: AZ

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache, fever, body aches, chills

Other Meds: None

Current Illness:

ID: 1041352
Sex: M
Age: 65
State: MD

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: Head CT and MRI showed an incidental 6 mm colloid cyst in the 3rd ventricle. EEG normal. ECG and telemetry normal. Complete blood count and comprehensive chemistry panel were normal.

Allergies: none

Symptoms: 65 y.o. man was in excellent health until episode on 2/13. At 11:30 PM he drove from his home to do work in a cow barn. His wife joined him to help at about 12:15 AM and she found him to be disoriented and confused. He has no memory of what happened during the preceding 45 minutes. No indication of any fall or injury. He had no preceding medical problems. No medications. Had received his 1st Moderna COVID-19 vaccine at about 5:30 PM on 2/13. His wife took him to a local ER. No focal findings on neuro exam. His confusion gradually improved over the next 24-36 hours but he still can?t remember what happened at the beginning of the episode. Head CT revealed an incidental 6 mm colloid cyst in the 3rd ventricle. Transferred to Hospital for further evaluation and monitoring where seen by Neurosurg and Neurology. Had MRI and EEG. No arrhythmia on ECG or telemetry. Neurology felt the episode was due to transient global amnesia. Discharged on 2/16.

Other Meds: aspirin 162 mg daily

Current Illness: None

ID: 1041353
Sex: F
Age: 42
State: MI

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

Lab Data: None

Allergies: NKA

Symptoms: Patient reported itchiness at injection site, arm, and back. Patient administered Benadryl 25mg. Patient vitals remained WNL. Patient reported symptoms diminished 10 minutes after Benadryl taken. Patient observed for 30 minutes. Patient PCP notified with permission of patient.

Other Meds: Levothyroxine Zyrtec Singulair Celexa Advair Combivet IUD

Current Illness: none

ID: 1041354
Sex: F
Age: 22
State: WI

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Mild shortness of breath, mild chest pain, localized skin irritation 3 inches in diameter that is red, raised, and itching/sore with no open areas of skin. Ice applied to arm and ibuprofen given per Medical Director.

Other Meds: Multivitamin once daily

Current Illness: None

ID: 1041355
Sex: M
Age: 33
State: OK

Vax Date: 02/08/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: AST: 119, ALT: 55, Platelets 19,000, LDH 2150. Many more labs pending: peripheral smear, haptoglobin, HIV, hepatitis panel,

Allergies: Latex

Symptoms: Pt is currently hospitalized under my care with new onset thrombocytopenia, with platelets at 19,000. He has abdominal pain, nausea and vomiting, and diaphoresis with chills. No symptomatic bleeding at this time. Did admit to nose bleed a few days prior to admission.

Other Meds: Norvasc 10mg QD, Coreg 25mg BID, Zoloft 100mg QD, Elavil 100mg QHS

Current Illness: Carbon monoxide poisioning approximately 1 month prior.

ID: 1041356
Sex: F
Age: 22
State: MT

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, Headache, & Chills

Other Meds:

Current Illness:

ID: 1041357
Sex: F
Age: 32
State: TX

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: positive CoVid test 2/17/2021

Allergies: unknown

Symptoms: developed covid-like symptoms on 2/16, tested positive 2/17

Other Meds: unknown

Current Illness: unknown

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm