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: 1041710
Sex: F
Age: 49
State: NY

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

Lab Data: None

Allergies: Penicillin

Symptoms: At injection site and under injection site are two round, slightly hard and itchy round patches.

Other Meds: NuvaRing birth control

Current Illness: None

ID: 1041711
Sex: M
Age: 43
State: UT

Vax Date: 02/06/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: MTI: reported as normal

Allergies: allergy to sulfa-hives

Symptoms: Began to have pain around ear and behind right eye. Headaches moved to upper back of head. Felt weird on right eye. headache got worse, took ibuprofen. Next morning right side of face couldn't move or blink, then entire right side of face unable to move. Diagnosed at Urgent Care with Bell's Palsy. Started on prednisone and gabapentin. Following day, seen in the ER, had normal MRI. Started on antiviral acyclovir. Pain was still intense, given Norco. 12 days since vaccine.

Other Meds: none

Current Illness: healthy

ID: 1041712
Sex: M
Age: 57
State: MA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Morphone

Symptoms: arm pain from area of injection to the shoulder. Pain was significant for the first week. Continues to this day, 3 weeks later, some days less pain than others. Can be very painful to move arm and at time with just ache/throb.

Other Meds: Omerprazole, multi vitamen, vitamen D

Current Illness: None

ID: 1041713
Sex: M
Age: 81
State: AZ

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

Lab Data: none

Allergies: Prednisone and Diphenhydramine IV

Symptoms: Hurt at touch for 1 day.

Other Meds: Aspirin (Baby) Amlodipine Besylate Atenolol 1/29/21 Azelastine HCL nose spray X 3 Cetirizine Hydrocloride (Zyrtec) Finasteride 1/31/21 Lamotrigine (Lamictal) 7/28 Levothroxine Meclizine Not dail

Current Illness:

ID: 1041714
Sex: M
Age: 63
State: CA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Second and now third day have speech trouble, articulating is difficult, stumbling somewhat, typing is very difficult. No fever, cough, or flu-like symptoms.

Other Meds: Aspirin, Coreg, Clonidine, Plavix, Crestor, Furosemide, Humalog KwikPen, Hydralazine, Isosorbide Mononitrate, Lantus SoloStar, Losartan, MoveFree, Multivitamin, Trillipix, Turmeric, Vitamin D-3, Zetia, Trulicity

Current Illness: None

ID: 1041715
Sex: M
Age: 74
State: OH

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

Lab Data: None

Allergies: Sulfa, Niaspan, Lavalo, Fenoprofen, Generic-Medrol 4mg

Symptoms: About 1 and 1/2 hrs after the injection, the site of the injection I had a hard bump, back and knees were hurting a little, and about 5hrs later all around my mouth I had what looked like eczema blisters which lasted for about 14 days. I applied Docosanol cream, 10% and they have now cleared up completely.

Other Meds: Pantoprazole 40mg 1 am,Levothyroxine 125 mcg,Metformin 500mg,

Current Illness: Had covid-19 Oct-Nov

ID: 1041716
Sex: M
Age: 66
State: WV

Vax Date: 12/23/2020
Onset Date: 01/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: x-rays of sinus, blood work both negative. treated with numerous medications

Allergies: cephalexin caused some depression in past not really an allergy.

Symptoms: Severe Sinus drainage starting 2 days prior to second dose. Constantly fatigued. Brain fog, or delay in being able to respond to questions. Trembling of hand and of body at times. Anxiety also at times.

Other Meds: Zyrtec daily, Flonase 2 sprays each nostril daily. Crestor 10mg daily, ASA 81mg, docusate 100mg daily. After symptoms start have taken couple courses of steriods, hydroxyzine, for sinus issues. Also Augmentin, then changed to doxycyclin

Current Illness: no

ID: 1041717
Sex: M
Age: 74
State: FL

Vax Date: 02/07/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills

Other Meds: metformin Statins flomax

Current Illness:

ID: 1041718
Sex: F
Age: 23
State: LA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Latex sensitivity (not an allergy).

Symptoms: 20 hours after the first dose of the Pfizer vaccine I developed right flank pain that felt like a kidney stone. The pain was mild at first but got quite severe within an hour to the point where I was on the floor crying. My boyfriend talked me into going to the ER, and I felt very nauseated in the elevator and the car. At the Hospital?s ER I received pain medication (Toradol and an opiod I can?t remember the name of), and a CT scan to determine if I had a kidney stone. No stone was seen on CT. After discussing the events with Dr., we determined that the Pfizer vaccine was the most likely, yet still quite unlikely, cause of my symptoms. I was sent home with some pain (Norco) and nausea (Zofran) medications and was told to follow up if the lain didn?t resolve over the next few days. My pain slowly faded and was gone by the next morning. Later that day (Jan. 16, 2021) I noticed I felt like I had a sunburn starting just superior to my right iliac crest and descending anteriorly about 20 cm, but my skin had no visible abnormalities. A few days later on Jan. 21 I noticed the area was slightly red. I took a photo and sent it to my mother, who is a PCP, asking what I should do and she instructed me to try applying topical Hydrocortisone. I did so 2-3 times per day as needed and the redness resolved within a few days. The sunburn sensation faded slowly but lasted until about a week ago (Feb. 12). Yesterday (Feb. 17) I noticed that my skin in that area is slightly numb. I can feel pressure and temperature, but I am unable to tell the difference between a touch and a light scratch. Sensation outside the affected area is normal.

Other Meds: Insulin (Novorapid), birth control (Junel Fe, Tevau).

Current Illness: N/A.

Date Died: 02/17/2021

ID: 1041719
Sex: F
Age: 92
State: WV

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

Lab Data:

Allergies: Fosomax

Symptoms: Pt received moderna vaccine #2 at 1:30pm. No s/s of adverse reactions. Ate dinner at 4pm. She was in her room at 430pm and she slid out of her chair and was laying on her Right side. She reported she slid out of her chair because she needed to go urinate per staff. She denied pain. At 630p complained of right hip pain. mobile xray was ordered. At 825pm resident was sleeping x 30 mins in her bed when she was found to have no pulse or respirations. She ceased to breathe. Mobile xray did not make it on time.

Other Meds: Depakote, lasix, memantine, metoprolol, senna s, vit D3, miralax, xarelto, remeron

Current Illness: Resident slid out of recliner at 430pm on the date of vaccine and death. Denied pain and ROM was without issues. At 630pm she complained of right hip pain. Mobile xray was ordered. Resident passed in her bed after sleeping for 30 mins. Xray did not make it on time, therefore, unsure of fracture.

ID: 1041720
Sex: F
Age: 46
State: MD

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Labs, CT scans. EKG?s, ultrasounds, urine tests, February 10 , February 16 & February 17th

Allergies: Environmental NKDA

Symptoms: Felling faint, nausea, SEVERE pain daily since February 10th of unknown origin. They did CT scans, ultrasounds, lab work, and I?ve seen a GYN specialist to rule out an ovarian cysts. They gave me Ibuprofen and Diazepam. And now they?re calling in Cipro to rule out a kidney infection. They don?t know why I?m having severe left side pain. Oh I was also given Morphine in ER

Other Meds: Zyrtec

Current Illness: I had severe abdominal pain for 2 days after receiving my first dose but it went away. Because of this adverse reaction and all of the testing done, I just found out that I have a congenital abnormality.

ID: 1041721
Sex: M
Age: 52
State: TX

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: UNK

Symptoms: sore arm within 6 hours. Fever 100.5-101.2 headache and cough

Other Meds: UNK

Current Illness: UNK

ID: 1041722
Sex: F
Age: 72
State: TX

Vax Date: 02/06/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Pt given a kenalog injection in her glute and advised to put hydrocortisone cream on site and take benadryl 12.5mg Q 6 Hours

Allergies: Titanium

Symptoms: Pt received vaccine on 2/6/21 and began with localized injection site itching on 2/15/21. Pt did have about a 40mm ring around where injection was supposedly given. Pt c/o area red, warm to touch, and severely pruritic.

Other Meds: Gabapentin, KCL, Janumet, Meloxicam, Losartan, Atorvastatin, Actos, Glyburide, Omeprazole

Current Illness: None

ID: 1041723
Sex: M
Age: 66
State: CA

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

Lab Data: None

Allergies: KNMA

Symptoms: Local hives, ascending on both arms. Administered 50mg Benadryl PO. Monitored for 15 minutes. When leaving facility LVN reports hives minimizing. No complaints for patient

Other Meds: Not available

Current Illness: not reported

ID: 1041724
Sex: M
Age: 28
State: WI

Vax Date: 01/14/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: HEADACHE, BODY ACHES

Other Meds:

Current Illness:

ID: 1041725
Sex: F
Age: 84
State: PA

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

Lab Data: Pt will return on 3/1/21 to have lab work completed.

Allergies: No Known Allergies

Symptoms: Pt possibly received normal saline diluent instead of the Pfizer vaccine. There was an error in preparation. Pt was contacted on 2/16/21. No adverse reaction reported.

Other Meds: hydrocortisone 2.5 % topical cream with perineal applicator 02/15/2021 apply a thin layer to the affected area(s) by topical route 2 times per day for 30 days Vitamin D3 25mcg (1,000 unit) multivitamin 02/15/2021 --

Current Illness: UNKNOWN

ID: 1041726
Sex: F
Age: 75
State: CA

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

Lab Data: no

Allergies: No

Symptoms: ten minutes after I got the vaccine they had me sit and wait and I got a hot flush on my chest and neck. I felt dizzy, light headed. my heart was pounding. nurse came and checked my blood pressure it was 186/86. normal BP is 120-130. she took it again 10 minutes later and it was 170. the whole attack lasted about 25 minutes.

Other Meds: high blood pressure meds (only taken at night) aspirin

Current Illness: no

ID: 1041727
Sex: F
Age: 52
State: WV

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

Lab Data:

Allergies: sudo cedrane hydrochloride

Symptoms: 8 hrs after the vaccine i started feeling nausea and tired. about 12 hrs. i was freezing cold , high fever, muscle aches, lasted all through the night. next day i still had nausea, bad muscle ache. on sat i started to have soreness and large nymphonids, swelling, i was dizzy, light headed, cold and clamy. Continued to feel bad into Sunday. woozy dizzy, waves of nausea, indigestion, heart burn, right upper quadrant pain. some degree of head ache everyday. yesterday my puffy arm started to go down .

Other Meds: mag tab SR, Calcium Gluconate, Calcitriol, effexor, metformin, armor thyroid, inspra, chlorthalidone, Prilosec, amitriptyline, probiotic, Zyrtec, vitamin D3, C Tumeric Complex, krill oil, CoQ- 10, vitamin B12, Elderberry gummies, maxil

Current Illness:

ID: 1041728
Sex: F
Age: 73
State: OH

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

Lab Data: None

Allergies:

Symptoms: COVID-19 Vaccine EUA 6 hours after receiving the vaccine I developed terrible chills (no fever), headache, fatigue and body aches. This lasted for 48 hours. I slept most of this time. I had COVID back in November for 3 weeks and these symptoms were just like when I was sick although only at ~50% of the degree.

Other Meds: Crestor, Valtrex, Singular, Osteo-Biflex, Vit D, Calcium, Fish Oil, Flovent inhaler, Xyzal, Lisinopril, Hydrochlorothiazide

Current Illness: none

ID: 1041729
Sex: F
Age: 59
State: WI

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

Lab Data:

Allergies: Maxzide - Premarin - Nickel

Symptoms: Received the shot at 10:30am on Wednesday 2/17/2021. At 1:29am on Thursday 2/18/2021, Arthritis flared & had inflammation in every joint. My hands swelled to twice threir size & became stiff. Within a couple hours the pain became debilitating, it hurt move & the pain was more serve with walking. At 3:15am Friday 2/18/2021 the inflammation started coming down. It is now 2:15pm Friday 2/19/2021, I am still having iflammation that is tolerable & the swolling in my hands has gone down ds ar

Other Meds: Losartan - Bupropion SR - Synthroid - Betamethasone Dipropionate Ointment

Current Illness: NA

ID: 1041730
Sex: F
Age: 72
State: AK

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

Lab Data:

Allergies: Penicillin, ASA,NSAIDS Had similar reaction sx, severity to Shingrix Vaccine # 2, 4/2020

Symptoms: Received first Moderna vaccine 01/14/21 lot # 041L06A

Other Meds: Flovent, Claritin Lisinopril, synthroid, allopurinol, Prilosec, K+Citrate, Loperamide, PO multivit, VitD Align, acetominophen, Pregablin

Current Illness: Sciatica, Stage 3 kidney Ds. Hx of asthma, multiple joint osteoarthritis with 4 joint replacements 7/2/20 Choleangitis and cholelithiasis, tx w/ ECRP

ID: 1041731
Sex: F
Age: 72
State: CA

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Azithromycin

Symptoms: 2 inch round itchy rash appeared 6 days after vaccine given. Used hydrocortisone cream several times per day. Rash disappeared after 6 days.

Other Meds: Estradiol.5 mg. Amitriptyline 10mg, Amitiza 8 mcg, Centrum Silver, Calcium with Vit. D, Fiber tabs, Vit. E

Current Illness: None

ID: 1041732
Sex: M
Age: 78
State: IA

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

Lab Data: Wife took me to ER where they did EKG monitored BP and did bloodwork after checking my pacemaker. Gave me medicine intravenously, did a second EKG. I was released to go home after heartrate returned to normal. I was informed my heartrate was 180bpm upon arrival and that I should contact my Cardiologist as soon as possible. Reporting this adverse affect before seeing my Cardiologist as I do not expect to take the second dose with the side effects and family scare just taking the first dose. I will not be seeing her until next week.

Allergies: azithromycin

Symptoms: Flushed, nauseous, serious headache and extremely tired within first hour after receiving the injection. took 2 Ibuprofen and laid down. Ate supper with the family, headache still really bad. Stepped outside for a few minutes and my heart began to race wildly. Called hospital after I couldn't get it to calm down with breathing technique after trying for 40 minutes. Too many bpm for me to count myself.

Other Meds: Vitamin D3, Lantus SoloStar Insulin, Losartan, MetFormin, levothyroxine, Metoprolol, Ibuprophen

Current Illness:

ID: 1041733
Sex: F
Age: 72
State: GA

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

Lab Data:

Allergies: Constrast

Symptoms: B/P 180/120, T-99.9, sever H/A, sever body / joint pain, including jaws, weakness

Other Meds: Veparamil 160 mg Bid Simvastatin 20 mg Daily Losartan HCL 160/25mg daily Ramipril 10 mg. Am Ramipril 5 mg. Pm Carvedilol 3.125 mg Hs ASA 81 mg every other day

Current Illness: Hypertension Fibromyalgia Breast cancer survivor

ID: 1041734
Sex: F
Age: 74
State: ME

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: All over rash and itch intermittently, started at site and spread to bilateral arms and bilateral legs

Other Meds: simvastatin, fenofibrate, peroxitine, omeprazole, preservision, glucosamine and condritin, 81mg asa, vit D

Current Illness: no

ID: 1041735
Sex: F
Age: 66
State: NJ

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

Lab Data:

Allergies: None

Symptoms: About 9 pm on day of vaccine started feeling nauseous with some muscular aches. Increasingly more uncomfortable and By 9:45 began vomiting, accompanied by chills, sweats, weakness, headache, neck ache and severe muscular pain all over as well as joint pain. These conditions persisted fit about an hour. Once my stomach emptied I had no further vomiting but all other conditions persisted throughout the night. Next morning still nauseous and severe head and neck pain. Called my dr who said I could take Tylenol. Did so at 11 am. Helped head and neck pain a bit and allowed me to sleep most of day. Still very weak with muscle aches . Only tea and some pieces of bread to eat. Next day 2/19 took third dose Tylenol. Still confined to bed, slight headache, extreme fatigue and muscle aches. Still no appetite so sipping water and tea.

Other Meds: Sertraline 100mg daily Vitamin D

Current Illness: None

ID: 1041736
Sex: F
Age: 71
State: RI

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

Lab Data:

Allergies: Ambien and versed

Symptoms: Pt arrived in observation area with husband after receiving her first Covid 19 vaccine. Pt sat through most of her allotted time to wait but started to feel lightheaded and dizzy. Pt has a significant pmhx that makes her at risk for Covid 19 and wanted to be checked out in medical room. Pt was moved to a wheel chair and moved to medical room. Pt vs were taken and initial bp was 123/50 and was increased to 137/64 a few moments later. Pt sat in the wheel chair and rested while vs were taken every 15 minutes. Pt bp decreased to 104/47 and felt better. Pt was released to observation area and then to check out.

Other Meds: Warfarin, lasix, potassium, mag oxide, levothyroxin, latoprolol, vit d3

Current Illness: No illness

ID: 1041737
Sex: F
Age: 72
State: AR

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: about 8 days after vaccination, began to have itching at the injection site, and the next day, pain in the arm. Also, malaise, felt chilled, but no temp.

Other Meds: Singulair, buspirone, effexor, nexium, quinapril, verapamil, celebrex, flomax

Current Illness: None

ID: 1041738
Sex: M
Age: 44
State: ID

Vax Date: 02/05/2020
Onset Date: 02/07/2020
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: See above.

Allergies: Cyclobenzaprine caused "edema."

Symptoms: -Age 25 dx with DM1 -12/2020 HbA1c 10% on insulin pump -2/5 second dose of Moderna vaccine (in R arm), R hip pain, resolved -2/7 R hand red/swollen, R second and third toes red/swollen -2/9 ED, given prednisone 40mg po qday and diphenhydramine for ?vaccine-related immune reaction. Afebrile, HR 101, BP 144 systolic. -2/10 Rheumatology outpatient visit, afebrile, ?acute polyarthritis of R hand and R foot, prednisone increased to 60mg po qday -2/11 ED afebrile, xrays done, 2g ceftriaxone, colchicine, doxycycline. -2/12 back to the ED. R hand more swollen. R toes perhaps improved. Admitted. -2/12 MRI R hand - "There are small effusions in the second third and fourth MCP joints. There is some subtle synovial enhancement about the MCP joints best visualized on sagittal imaging. May be a small erosion in the fifth metacarpal head. There is some additional synovial enhancement about the lateral wrist. There are some subtle enhancement peripheral to extensor tendons at the wrist consistent with tenosynovitis. No other abnormality is apparent." Given 500mg IV methylpred and 80mg po qday prednisone. Initially improved in first 24hrs and then edema returned. Discharged. No antibiotics. No markers for infection. -2/18 outpatient Rheum. R hand still swollen. Tried 3rd MCP join aspiration without fluid. Rapid taper of oral steroids as not helping. Had steroid injection R extensor wrist and 3rd MCP joint. Acute inflammatory polyarthritis affecting right hand and right foot. ?due to or triggered by COVID vaccine. Patient without h/o similar events/symptoms.

Other Meds:

Current Illness: None.

ID: 1041739
Sex: F
Age: 68
State: MA

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

Lab Data:

Allergies:

Symptoms: Rash/redness/irritation at injection site 2 weeks after receiving first dose of COVID vaccine.

Other Meds:

Current Illness:

Date Died: 02/13/2021

ID: 1041740
Sex: M
Age: 70
State: MN

Vax Date: 01/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient died on 2-13-21

Other Meds: Escitalopram, gabapentin, trazodone, atorvastatin, hydrocodone/acetaminophen, ondansetron, lidocaine 5% patch, aspirin 81mg, pantoprazole, finasteride, calcium citrate, cholecalciferol, potassium, furosemide.

Current Illness:

ID: 1041741
Sex: F
Age: 57
State: GA

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

Lab Data: None

Allergies: Sulfa

Symptoms: Heat, swelling, redness and pain at injection site; body aches & fatigue despite taking NSAID. 2 days so far unable to perform activities of daily living

Other Meds: Levothyroxine, Wellbutrin, Escitalopram

Current Illness: No

ID: 1041742
Sex: F
Age: 37
State: WA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Per patient had "bloodwork" in ED with normal results.

Allergies: None

Symptoms: 1/21/2021: Hives, fever, chills, body aches. Hives on face, abdomen, back and legs. Went to emergency room and was given Benadryl, steroids and loratadine via IV. Sent home with Rx for all. Hives improved. Patient stopped taking prescriptions and hives return. Patient returned to ED on 1/31 for similar treatment. Returned to ED on 2/4 for swollen lips, face and allover hives. Given epinephrine. Per patient labs looked "ok". 2/10/2021: no tests done. Patient prescribed loratadine 20 mg BID; singulair 10 mg daily, doxipine 20 mg q hs, benadryl 25-50 mg q 4-6 hours prn. Patient weaned off steroids at this time. Mild to moderate hives return every 2-3 days.

Other Meds: None

Current Illness: None

ID: 1041743
Sex: F
Age: 31
State: PA

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

Lab Data:

Allergies: Kiwi

Symptoms: None stated.

Other Meds: Birth control

Current Illness: None

ID: 1041744
Sex: F
Age: 41
State: MI

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

Lab Data:

Allergies: None known

Symptoms: I had very mild adverse events at first (fatigue, headache, muscle aches). On the third day, I felt ?normal? again. However on day four, I had headache/head congestion/felt lightheaded upon standing from a seated position. On day five, I have the same symptoms, but also had some anal bleeding (a hemorrhoid?) but no pain. It was gushing and very bright for about 2 minutes first thing in the morning but then was very spotty and mild throughout the rest of the day.

Other Meds: Xanax (as needed), women?s multipurpose daily vitamin, Micronor (low dose birth control), Prozac, trazadone, Zyrtec, lamictal

Current Illness: None known

ID: 1041745
Sex: F
Age: 40
State: MI

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: Bees-swollen/red/bruising locally

Symptoms: about 15 min after vaccination patient complained of itching at injection site, felt warm around neck. She appeared flushed and blotchy around site. SHe was kept for 15 min more. Denied chest or throat tightness. She complained of feelling warmth down left leg. BP 106/70 pulse 74 O2 sat 99%. Patient had not mentioned any hx of bee allergy during consultation, only that she felt faint/sick after receiving Hepatitis A vaccine before.

Other Meds: Prozac, Naproxen, Vitamin D, injections for allergy

Current Illness: none

ID: 1041746
Sex: F
Age: 70
State: NY

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

Lab Data:

Allergies: Taxol, vancomycin, gluten (rashes), reglan(jittery), Indocin ( light headedness)

Symptoms: 10 minutes after receiving her first dose of Covid vaccine, patient felt dry, itchy throat and had a dry cough. She was brought to us by EMS staff for medical evaluation. BP was elevated. Denies any other symptoms. Face slightly flushed, chest CTA, RRR, able to communicate well, A&O. BP 184/115 left arm, repeat after 10 minutes: 164/102. has hypertension and took her med today. Symptoms resolving and after approx 20 minutes, completely resolved. Patient declines to be transferred to local healthcare facility and agreed to call her PCP once she returned home to notify of BP and possible reaction to vaccine. Feeling much better, she stated her husband was here and she was going home.

Other Meds: Cardizem CD 120 mg po qd

Current Illness: none

ID: 1041747
Sex: F
Age: 34
State: CO

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Anterior cervical adenopathy

Other Meds: Multivitamin

Current Illness: None

ID: 1041748
Sex: F
Age: 92
State: OH

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

Lab Data:

Allergies:

Symptoms: Third dose of vaccine administered. 1st was on 12/30/20 and 2nd was on 2/9/21 and 3rd on 2/19/21. No adverse affects at this time.

Other Meds:

Current Illness:

ID: 1041749
Sex: F
Age: 48
State: IL

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

Lab Data: none

Allergies: dilaudid

Symptoms: presented with fever of 103.3 14 hours after 2nd injection. dry heaves presented with high fever, body aches, soreness at injection site. fever fluctuating between 100.3 and 101.5 for 2 days after despite alternating tylenol and ibuprofen. day 3 and fever is still present and 100.5. other reactions minimal at this time with the exception of tiredness and sore arm.

Other Meds: Albuterol inhaler, armour thyroid 180 mcg daily.

Current Illness: none

ID: 1041750
Sex: M
Age: 20
State: WI

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: CHILLS, NAUSEA

Other Meds:

Current Illness:

ID: 1041751
Sex: F
Age: 62
State: PA

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

Lab Data: none

Allergies: None

Symptoms: muscles aches and headache 8 hrs after vaccine. severe left arm/neck pain that night. 4 dizzy spells the following day with increase muscle aches, joint pain in ankles, wrists and shoulders/neck, headache, fatigue. Overall not feeling well and joint pain, arm pain lasted 2 1/2 weeks. These adverse reactions has cause me not to get the 2nd vaccine.

Other Meds: Lisinnopril, Simvastatin, CoQ10, Vit D, ASA, Vit B12,

Current Illness: None

ID: 1041752
Sex: F
Age: 62
State: VA

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

Lab Data:

Allergies: Unknown

Symptoms: Patient received second dose of Pfizer vaccine and after about 20 minutes of receiving dose began to feel dizzy and vomit. Heart rate slightly elevated. Patient was taken to emergency room for further evaluation.

Other Meds: Unknown

Current Illness: Unknown

ID: 1041753
Sex: F
Age: 66
State: MI

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

Lab Data: none

Allergies: amoxicillin

Symptoms: Patient was administered vaccine in the left deltoid. A golf ball size hard bump immediately appeared. Cold compresses were applied and patient remained in the pharmacy for observation for 45 minutes. Patient was allowed to leave after 45 minutes when bump was significantly smaller in size

Other Meds: none

Current Illness: none

ID: 1041754
Sex: F
Age: 64
State: TX

Vax Date: 01/12/2021
Onset Date: 02/02/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: UNK

Allergies: UNK

Symptoms: Three weeks after vaccine patient experienced Headache, Fatigue, nausea, chest pressure, deep, cough. WAs hospitalized 2/3/-2/4 for elevated blood pressure on observation. took next week off to regulate blood pressure. Saw PCP on 2/10 and was released for work on 2/15. Dr., hospitalist at Medical Center, .

Other Meds: UNK

Current Illness: UNK

ID: 1041755
Sex: F
Age: 20
State:

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

Lab Data: SARS-COV2 PCR test 2/18/21: result= negative

Allergies: None known, but minor local reaction to flu vaccine annually

Symptoms: 4 hours post-vaccination: pain and soreness in the arm where the injection was given; soreness got progressively worse for 24 hours and then rapidly improved 12 hours post-vaccination: malaise, nausea, stomach pain, muscle aches, chills (no fever), fatigue, headache, and light-headedness onset; symptoms persisted for 24 hours following onset and improved overnight. 24 hours post-vaccination: axillary lymphadenopathy, currently persistent Overall, adverse effects felt like flu-like symptoms or a severe hangover

Other Meds: Spironolactone 50 mg BID PRN (acne)

Current Illness: n/a

ID: 1041756
Sex: F
Age: 25
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None.

Allergies: NKA NKFA

Symptoms: Chills and hot/cold started evening of 6th day post-dose. Morning of 7th day post-dose woke up with headache, fever, chills, muscle aches (neck/shoulder and lower back), and nausea which persisted throughout the day. Max temp was measured as 101.0?F. Morning of 8th day post-dose woke up with a mild headache, fatigue, and lack of appetite. Morning of 9th day post-dose woke up with a headache that resolved by midday. No pain relievers or medication were taken.

Other Meds: Multivitamin, oral contraception

Current Illness: None, other than side effects from first dose of COVID vaccine administered on 1/13/2021 and earlier side effects from second dose administered on 02/10/2021.

ID: 1041757
Sex: M
Age: 80
State: IA

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

Lab Data: Multiple lab and xrays - normal.

Allergies: None

Symptoms: Patient developed fever and severe weakness about 24 hours after second COVID-19 vaccine. Spouse called ambulance and taken to the ED. Patient unable to get out of bed by self due to weakness. Patient admitted to observation unit due to fever and fatique for PT and strengthening.

Other Meds: Furosemide,Metoprolol,MVI,Potassim Chloride,Tylenol PM, Cetriz

Current Illness:

ID: 1041758
Sex: F
Age: 29
State: MA

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

Lab Data: None

Allergies: Medication allergies: SULFA, Macrolide Antibiotics , Doxycycline, Doxycycline Hyclate, Minocyclins, Z-Pack

Symptoms: Chills, headache, nausea (comes/goes in waves) and at injection site swollen, sore and red

Other Meds: Birth Control

Current Illness: None

ID: 1041759
Sex: F
Age: 51
State: FL

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

Lab Data: n/a

Allergies: codeine

Symptoms: Patient received the incorrect second dose. Patient should have received Pfizer 2nd dose but the vaccinator made an error and administered the moderna vaccine.

Other Meds: n/a

Current Illness: n/a

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm