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: 1041810
Sex: F
Age: 50
State: WI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: FEVER, CHILLS

Other Meds:

Current Illness:

ID: 1041811
Sex: F
Age: 86
State: FL

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

Lab Data: Have not seen dr, I applied Aspercreme with Lidocaine which I used on my feet for arthritis. Made thumb numb, but pain continues.

Allergies: Morphine; Sulfa dugs; Celebrex

Symptoms: Thumb on left hand stiff, sore, red, very hot, pain extends into space between thumb and forefinger. Other 4 fingers not affected.

Other Meds: Amlodipine; Hypothyroxine; Vit B12; Calcium w/D3 pill one everyother day; Iron Pill one every other day

Current Illness: None

ID: 1041812
Sex: F
Age: 49
State: AZ

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

Lab Data:

Allergies: Ibuprofen, Percocet

Symptoms: Patient reported to the ER on Feb. 16th with onset of right-sided facial droop today about 1400. Patient has no other weakness symptoms, bilateral extremity strength is equal. No forehead sparing on facial droop along with some tenderness and rhinorrhea. Symptoms are consistent with a Bell's palsy. Patient recently had Covid which fits with viral syndrome causing Bell palsy. Discharged with valacyclovir and prednisone burst. Follow-up and strict return precautions to the ED were discussed and patient verbalized understanding.

Other Meds:

Current Illness:

ID: 1041813
Sex: M
Age: 47
State: NV

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

Lab Data: EEG - January 12, 2021 - normal

Allergies: no

Symptoms: Within a half hour, I felt dizzy and light headed. in 45 minutes - I could barely stay awake. I had to stop driving. Within two hours, I had a bad headache. I became slightly agitated that day. The headache lasted throughout the day - I took Ibuprofen but that didn't help much. Sunday, the headache was still there. It wasn't a migraine; but intense. I was agitated. My agitation level grew and my irritability grew and the headache I had the whole day. Sunday evening about 7 pm the agitation and irritability got very intense - I was having impulse control issues with it. I don't have anger issues but I wanted to yell at TV or throw my phone. From 8- midnight, I was lethargic and fatigued - I didn't have the energy to roll over;: had extreme anxiety I was sweating and having weird thoughts like harming my animals and harming myself; my mind was racing and then I would get really depressed. Until about midnight, I have had past struggles with anxiety and depression - there had been a past feeling like this - but it was really extreme - it was worse night of my life. Lasted four hours, and finally I slept for about one hour. I remember thinking, I finally can take a breath. My racing thoughts were gone and sweating was gone. The irritability had subsided enough that I could try to gain control of my thoughts again. I had really bad nightmares the rest of that night; I was confused _ I didn't know where I was - confused about that - occurred about three different times until I got up at 5:30 am for work. To summarize, for the next week, I had moments of anxiety and depression. I had mental fog. I played pro football - and I had post concussion syndrome. It was very identifiable to what I had had. So this was occurring in moments - forgetful; depressed; and random moments of anxiety - like I was going to go play football again. 7-10 days - it got a little better each day. Ten days it took to subside. I still exercised and taking extra fluids to get back to my normal. Exercised help. No fever occurred. With COVID - I had had a sense of anxiety and depression and some mental fog when I had COVID I didn't have it to this extreme. Did not get the second dose.

Other Meds: Multi-Vitamin; magnesium; Vit D

Current Illness: Had COVID - a month before - I was diagnosed on December 7, 2020

ID: 1041814
Sex: F
Age: 66
State: CA

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

Lab Data: None

Allergies: Penicillin, Augmentin, Sulfa drugs, iodine, latex, adhesive glue

Symptoms: Eight days post-vaccine, I woke up with a large, swollen, red area (roughly a circle) surrounding the injection site. It is very itchy. It has clear red line around the perimeter of the area. Inside varies in shades of red during course of day but swelling and itching never go away.

Other Meds: Xtampza, Latuda, Lamotragigne, Topirimate, Effexor, Cyclobenzaprine, Ambien, Lisinopril, Calcium, Zinc, Tylenol, Optimized Folate, Allegra, Flonase spray

Current Illness: None

ID: 1041815
Sex: F
Age: 74
State: OH

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Doctor visit on 02/20/2021, called it Covid Arm, and no medication until after I had this for over 2 weeks.

Allergies: Penicillin

Symptoms: developed arm rash on the 6th day after my first covid vaccine shot, and still have it, it has now spread from upper arm to shoulder and down to the middle of forearm, my Doctor prescribed Methylprednisolone (4mg) . No one can answer if I should get the second shot or not. I just do not know what to do, or wait and take this medications after I get the second dose? Can someone please inform me as to what to do

Other Meds: Levothyroxine, Metoprolol

Current Illness: None

ID: 1041816
Sex: F
Age: 22
State: ID

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

Lab Data: None

Allergies: None

Symptoms: I was vaccinated at 4PM on Thursday and the pain in my left arm was so severe the morning following (around 6AM) that I fainted on my bathroom floor. I was lightheaded and nauseous for the remainder of the day. I know pain is a typical side effect, but this was unusually intense pain and I felt I should report it. I quite literally felt delirious after coming-to on the floor.

Other Meds: Lamotrigine XR, Clonidine, Sertraline, topical clobetasol, topical tretinoin, topical clindamycin

Current Illness: Positive COVID-19 test on January 11, 2021, hospitalized same week. Cleared to return to work on January 20, the day before vaccination.

ID: 1041817
Sex: F
Age: 70
State: PA

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

Lab Data: none

Allergies: tetracycline; prempro; dyes on generic drugs; mac

Symptoms: Began having extreme itching left upper arm and, upon inspection, noticed large red rash. This rash and itchng continued for approx 1 week

Other Meds: synthroid; eye drops; supplements; ambien

Current Illness: none

ID: 1041818
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies: codeine penicillin

Symptoms: patient developed rash after vaccination

Other Meds: Taking Vitamin B12 Taking *Iron Chelate 30 mg Taking *5-HTP 50mg 50 mg capsules Taking *Vitamin D 5 Taking S-Acetyl Glutathione 200 md Taking Vinpocetine 5mg Taking Fosteum Plus Taking Xanax 0.5 mg tablet Taking

Current Illness:

ID: 1041819
Sex: F
Age: 65
State:

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

Lab Data: Multiple lab tests upcoming

Allergies:

Symptoms: Elevated and erratic blood pressure, accompanying headaches, first noted 3 days post vaccination but may have started sooner

Other Meds:

Current Illness:

ID: 1041820
Sex: F
Age: 66
State: NC

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

Lab Data: None

Allergies: Codeine, Sulfa, Statins, Lisinopril

Symptoms: Dizziness and Hot flash surges within the 15 minute time immediately after and occasionally thereafter for about an hour. Heavy fatigue all afternoon into the evening Extreme muscle fatigue 2 and 3 days afterwards in my legs making it feel like a statin reaction hard to walk with a normal stride.

Other Meds: Glimepiride, Metformin, Losartan, Pregabalin, Citalopram, Vit D2

Current Illness: none

ID: 1041821
Sex: M
Age: 67
State: CA

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

Lab Data: Feb. 18, 2021: Chest X-ray, 2 EKGs and 2 blood enzyme tests. All were negative for heart attack or coronary stress.

Allergies: PCN, shrimp and lobster, dry beans, pit fruit, bananas

Symptoms: Pain in right arm about 2 inches above the wrist starting the day after vaccination, chest pain in upper right chest two days after, right shoulder and neck pain starting 6 days after.

Other Meds: 60 mg isosorbide mononitrate, 40 mg lisinopril, 80 mg atorvastatin, 100 mg fish oil, 40 mcg folic acid

Current Illness: None

ID: 1041822
Sex: F
Age: 66
State: FL

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

Lab Data: None.

Allergies: Latex

Symptoms: Got the shot on Saturday, had fever of 101 on Sunday, and with Tylenol every 6 hours the fever did not recur. Monday she started feeling menopause sweats coming on for 3 days, and then it was over. By Thursday 2/11/21 all symptoms had resolved.

Other Meds: Multivitamin, baby aspirin, Metoprolol ER, Levocetirizine dihydrochloride, Lisinopril.

Current Illness: None

ID: 1041823
Sex: F
Age: 69
State: VA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: PHYSICAL EXAM AT PHYSICANS OFFICE

Allergies: NKA

Symptoms: PATIENT REPORTED WAKING UP ON 2/5/21 FEELING "BAD" RIGHT EAR WAS SWOLLEN, RED AND HAD HEAT. ALSO FELT VERY ACHEY. 2/6/21 PATIENT REPORTED TO DOCTOR LISTED AS POSSIBLE ALLERGIC REACTION TO VACCINE-PT RIGHT EXTERAL EAR HAS GROSS ERYTHEMA AND INFLAMMATION AND CANNOT DISCOUNT REACTION FROM COVID -19 VACCINE GIVEN 48 HOURS AGO. PT WAS ADMINISTERED 80MG OF METHYPREDNISOLONE BY INJECTION AND DEXAMETHOSONE 10MG BY INJECTION. PT WAS GIVEN RXS FOR AUGMENTIN 875MG 1 PO Q12H X10DAYS, AND PREDNISONE 10MG 1 PO QD X5DAYS. MD ALSO RECOMMENDED TAKING BENADRY 1TSP Q12H X5 DAYS . PT REPORTED EVEN TO PHARMACY-WE HAVE NOT BEEN ABLE TO REACH PATIENT SINCE 2/6/21 TO DETERMINE PROGRESS OR OUTCOME. PT SHOWED NO ALLERGIC REACTION AT TIME OF INJECTION OR DURING 15 MINUTE WAITING PERIOD. DID NOT INDICATE THAT THERE WAS ANY REACTION WITH 4 HOURS OF RECIEVING VACCINE. ASKED PT IF SHE WAS TESTED FOR COVID WHEN SHE WENT TO BE SEEN FOR REACTION AND SHE SAID SHE WAS NOT.

Other Meds: NOT ON ANY MEDICATIONS PER PATIENT

Current Illness: NO OTHER ILLNESS REPORTED,

ID: 1041824
Sex: F
Age: 28
State: TX

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: COVID-19 PCR 1/11/21, negative beta-HCG 1/12/21- negative CBC 1/12/21 wnl except leukopenia and low eosinophils BMP 1/12/21 wnl UA 1/12/21 some ketones Infectious mononucleosis- negative

Allergies: year-round allergies to dust, hay, grass, rabbits, cats etc.

Symptoms: Evening of the vaccine, Sunday, had left arm soreness, and vomited that night. I woke up Monday morning with a fever of 101.6, extreme fatigue, nausea, vomiting, aches and pains and chills. Monday went to get a COVID nasal swab test as required by my work-place, was negative. Tuesday, I had continued nausea, fatigue, chills, fever of 99-100. Went to see Healthcare Professional, they ran labs (detailed below), only found low eosinophils, and leukopenia. Received nausea medication. Was able to eat on Wednesday, severely fatigued Wednesday, temperature remained 99-100. Thursday had major fatigue, headache, nausea. Was feeling better on Friday.

Other Meds: Pre-natal vitamins, zyrtec, fluticasone

Current Illness: none

ID: 1041825
Sex: M
Age: 67
State: WV

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

Lab Data: none

Allergies: none

Symptoms: swollen lymph nodes, runny nose, nausea, jittery, chest and bronchia congestion, low energy NO headache, NO cough, NO fever took benadryl at 12 noon - relieved some symtoms slightly

Other Meds: Lysinopril 5Mg daily at night Aspirin 81Mg daily in morning

Current Illness: none

ID: 1041826
Sex: F
Age: 24
State: CA

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

Lab Data:

Allergies: Latex Benadryl

Symptoms: I got flu like symptoms. Not really a fever, but I was warmer. Aside from that I felt like I had tachycardia. I already have issues with that but the vaccine made it worse. It went away on Monday, but I still had irregular heartbeat until around Wednesday. The 3 worst days were Saturday, Sunday and Monday. The symptoms slowly went away, but yesterday seemed to be better.

Other Meds: Gabapentin Mnetoprolol

Current Illness:

ID: 1041827
Sex: F
Age: 55
State: NH

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

Lab Data:

Allergies:

Symptoms: Patient in observation area. Complains of chest tightness and shortness of breath. Does have a history of anaphylaxis to bee venom. Carries EPIPEN at home. Brought patient to the ED with worsening SOB, Chest tightness. Administiered IM Epi en route to ED.

Other Meds: Potassium infusion, spironolactone, Symbicort, zolpidem, risperidone, prednisone, pramipexole, omprezole, liotyronnie, magnesium, lantus, bisoprolol, bumetandine, allopurinol, insulin lispro, Latuda,

Current Illness: Heart failure - weekly infusions,

ID: 1041828
Sex: F
Age: 73
State: CO

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

Lab Data: None

Allergies: Tetracycline

Symptoms: Large painful Boil like eruptions on the lips of vagina. Treated with zinc oxide

Other Meds: Wellbutrin, spirolactone, metroprolol, Losartan,provastin, oxybutin,aspirin, tumeric, multivitamin, B complex, magnesium Albuterol, spiriva, Advair diskus

Current Illness: Non

ID: 1041829
Sex: F
Age: 61
State: MI

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

Lab Data: None

Allergies: PCN

Symptoms: Extreme lethargy and weakness. Entire body involved. Unable to keep working for the day. Feel terrible. Temp: 99.6. Elbow pain bilateral (started with first vaccine). I am a nurse.

Other Meds: Tirosint/Cytomel/Amlodipine Besylate/Vyvanse/Saxenda/Valcyclovir/Tylenol

Current Illness: None

ID: 1041830
Sex: F
Age: 38
State: CO

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

Lab Data: 152/82, HR 95 , % sats 94 repeat 140/80, HR 88, % sats 96

Allergies: Flu vaccine Latex Iodine

Symptoms: Sudden onset of lip and face tingling, redness and rash to chest, flushed face and increased heart rate

Other Meds: Estradiol

Current Illness: none

ID: 1041831
Sex: F
Age: 69
State: CA

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

Lab Data: NONE

Allergies:

Symptoms: DAILY CALLS WITH PATIENT ADVICE. TOLD TO GO TO EMERGENCY ROOM IF CONDITION WORSENS. MEDICAL ASSISTANT GAVE 1ML INSTEAD OF 0.5. SHE DID NOT NOTIFY US UNTIL AFTER THE LAST PATIENT WAS GIVEN THE SHOT. SHE OPENED A NEW VIAL TO THE PATIENTS. EMPLOYEE WAS TERMINATED AND WE CONTACTED PATIENTS TO SEE IF THEY WERE FINE AND ADVISED THEM ABOUT GOING TO E.R. IF CONDITION WORSENS. CALLED DAILY TO VERIFY WELL-BEING.

Other Meds:

Current Illness:

Date Died: 02/18/2021

ID: 1041832
Sex: M
Age: 74
State: WV

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

Lab Data: pending autopsy

Allergies:

Symptoms: Patient was found unconscious without a pulse. Patient remained in asystole without pulse or respirations despite CPR.

Other Meds:

Current Illness:

ID: 1041833
Sex: F
Age: 32
State: ND

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Physical exam only

Allergies: ZPack, Strawberries and Tomatoes

Symptoms: Started with sore arm, upset stomach. Within two days, sore neck and echo ringing in both ears and ears felt full. Nerve pain in neck, tingling through out her body, numbness in bilateral arms and legs; fingers turning purple, racing heart rate, burning at the base of her head and neck and her heart feels hot. Shakiness, cold and struggling to eat. Doesn't feel hungry. Treatment: One visit to Urgent Med; physical exam ruled out heart attack and stroke and was prescribed muscle relaxers for possible pinched nerve. Four visits to naturopathic provider and was given remedies to calm nervous system and detoxify. Symptoms continue and are progressively getting worse.

Other Meds: Nothing.

Current Illness: No

ID: 1041834
Sex: M
Age: 73
State: AZ

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

Lab Data:

Allergies: Levaquine, Sulfa, Glutens

Symptoms: Flu-like symptoms - muscle aches, joint aches, slight nausea

Other Meds: Stiolto Respimat, Asmanex, Amlodipine, Azelastine, Gabapentin, Levocetirizine, Lisinopril, Mirtazapine, Monteleukast, Rifaxamin, Simvastatin, Testosterone CYprionate, Tamsuloson

Current Illness: IBD

ID: 1041835
Sex: F
Age: 34
State: VA

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

Lab Data: None

Allergies: None

Symptoms: Client was administered her second dose of COVID-19 vaccine and immediately afterwards she stated her mouth was dry, her heart was racing, her throat felt dry and she found it difficult to breathe. She stated that she had the same symptoms after she received her first dose. 911 was immediately called. Her vital signs were as follows: BP=108/80, Pulse=88, Respiration=18. She denied any history of allergies but said she had asthma, for which she took Ventolin. She did not have any dizziness. The EMT personnel arrived shortly thereafter and determined she was having a panic attack. The client as well as the EMT did not think it was necessary to transport her to the hospital. They spoke with her until she felt calm and ready to leave the POD site. She was told to call 911 if the symptoms occurred again and she verbalized understanding.

Other Meds: None

Current Illness: unknown

ID: 1041836
Sex: F
Age: 31
State: WI

Vax Date: 01/28/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: FEVER

Other Meds:

Current Illness:

ID: 1041837
Sex: F
Age: 57
State: NY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chill, nausea, feeling sick , very sore arm

Other Meds: Meloxicam Duloxitine Vitamin d Vitamins

Current Illness:

ID: 1041838
Sex: F
Age: 34
State: NC

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

Lab Data:

Allergies: Fish, lobster, shrimp allergies

Symptoms: Bilateral breast pain

Other Meds: Keppra, pantoprazole, bupropion, advair

Current Illness: Breastfeeding

Date Died: 02/14/2021

ID: 1041839
Sex: F
Age: 72
State: WV

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

Lab Data: Autopsy pending

Allergies: Sulfur

Symptoms: Death- ~ 7 hours after vaccine

Other Meds: Protonix 40 mg PO QD Vit D3 50,000 Units PO weekly MVI 1 tab PO QD Calcium Carbonate 600 mg1 PO QD Lantus 28 Units SQ in morning, 24 Units at dinner Iron 65 mg PO QD Monurol 3 gm PO, 3 pkts weekly Colesevelam 3.75 gm oral 1 pkt BID Plavix 7

Current Illness: HTN HLD CAD Type 2 Dm GERD hypothyroidism

ID: 1041840
Sex: F
Age: 71
State: CA

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

Lab Data: RECOMMEND PT TO GO TO ER EVAL. PT REFUSED. HUSBAND SPOKE TO PMD

Allergies: NONE

Symptoms: LIGHTHEADED, PALPITATIONS; BP 179/92, HR 99 O2 SAT 99% REPEAT 155/90; HR 88 O2 SAT 99-100%

Other Meds: METOPROLOL

Current Illness:

ID: 1041841
Sex: F
Age: 79
State: CT

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

Lab Data: EKG 021821

Allergies: Latex, codeine

Symptoms: Involuntary shudders I had no control over that lasted 4-5 minutes that left me gasping for my breath. Left arm is quite red and very warm. I was down all day Wednesday & most of Thursday. It so happened that I had a scheduled appointment with my cardiologist on Thursday and checked ok

Other Meds: Diltiazem, coumadin, floresemide, Spiriva, Tylenol, Calcium plus D,

Current Illness:

ID: 1041842
Sex: F
Age: 40
State: TX

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: UNK

Allergies: UNK

Symptoms: experienced fever of 101. GI symptoms

Other Meds: UNK

Current Illness: UNK

ID: 1041843
Sex: F
Age: 64
State: VA

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

Lab Data: no

Allergies: no

Symptoms: Patient presented with hives /itchiness and redness on arms ,legs and body Patient received Hydrocortisone cream 1% Symptoms resolved and was localized checked on patient after an hour and she confirmed that no further symptoms

Other Meds: no

Current Illness: no

ID: 1041844
Sex: F
Age: 63
State: PR

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

Lab Data: No

Allergies: Sulfa Doxycycline Clindamycin Cold Urticaria Physical Urticaria

Symptoms: Tachycardia Shaking chills Pain in the body and head rash swelling of one eye diarrhea stomach ache

Other Meds: Synthroid .112mcg Evista 60mg Crestor 20mg Zetia 10mg Multi Vit Calcium Zinc Manganese D3

Current Illness:

ID: 1041845
Sex: U
Age: 49
State: GA

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

Lab Data: N/A

Allergies: unknown

Symptoms: Patient c/o feeling a "Wave" or headache. Vitals taken: 10:47am 103/78 70 T 97; 10:50am 111/72 69 T 97; 11:00am 116/69 67 T 97; 11:02am 103/78 70 T 97; Patient wanted to leave after the 3rd set of vitals.

Other Meds: unknown

Current Illness: unknown

ID: 1041846
Sex: F
Age: 4
State: TN

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

Lab Data:

Allergies: NKA

Symptoms: FAMILY CAME IN 2/19/21 TO HAVE NURSE LOOK AT L ARM. REDNESS APPROX 2 X2 INCHES THAT APPEARS TO BE QUITE A BIT DOWN AT LOWER DELTOID REGION FROM THE APPEARED INJECTION SITE OF THE KINRIX. AREA WARM TO TOUCH. NO OTHER SYMPTOMS REPORTED. CALLED REGION DIRECTOR AND RELATES HAVE THEM USE COOL COMPRESSES AND NOTE/MARK IF THERE BECOMES ANY INCREASED REDNESS. DISCUSSED WITH FAMILY AND THEY ARE GOING TO GO BY PCP TO HAVE HIM LOOK TODAY

Other Meds:

Current Illness: NONE REPORTED

ID: 1041847
Sex: M
Age: 71
State: LA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: HE HAS HAD A STRESS TEST AND PASSED IT WITH NO ISSUES DETECTED. PATIENT WAS TREATED FOR LARYNGITIS WITH ORAL STEROIDS FROM AN EMERGENCY CLINIC. THE CONDITION IMPROVED BUT IS SLOWLY RETURNING. DIFFICULT TO UNDERSTAND HIM OVER THE PHONE.

Allergies: NONE

Symptoms: PATIENT HAS HAD LARYNGITIS AND MILD SHORTNESS OF BREATH WITH LIMITATIONS ON EXCERCISE THAT HE IS ACCUSTOMED TO. WALKING 2 MILES SEVERAL TIMES WEEKLY. HE IS FOLLOWING UP WITH HIS DOCTORS.

Other Meds: NOT KNOWN

Current Illness: NONE

ID: 1041848
Sex: F
Age: 72
State: OH

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: thimerosal; bandage adhesive

Symptoms: It has been two weeks ago today that I received the 1st dose of the Moderna vaccine. On February 15th, 10 days after the vaccine, a rash started around the injection site on my right shoulder. It has persisted through the week. Sometimes the area is redder, other times it's less so. Sometimes it solid in color, other times blotchy. Today it is approximately 6cm X 4cm. It doesn't itch and is not painful. My temperature has been normal.

Other Meds: Mycophenolate 500mg; Daily vitamin; D3 1000 IU,

Current Illness: none

ID: 1041849
Sex: F
Age: 53
State: WI

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: HEADACHE,FATIGUE

Other Meds:

Current Illness:

ID: 1041850
Sex: F
Age: 55
State:

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About 48-hours after second COVID vax, I had serious body aches, headache, trouble focusing, feeling dizzy/ready to faint, unable to sleep, extreme exhaustion, general over all weakness lasting about 6-days.

Other Meds:

Current Illness:

ID: 1041851
Sex: F
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: After receiving the second dose of the COVID-19 vaccine, I had side effects of hives on my stomach, intense fatigue, and headache pain.

Other Meds:

Current Illness:

ID: 1041852
Sex: F
Age: 54
State: OH

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

Lab Data: none

Allergies: no

Symptoms: Sore Arm at injection site; Fatigue - within a few hours of receipt; Headache within 12 hours; Chills and joint pain within 15 hours - all over within 18 hours total

Other Meds: Metaprolol; Atorvastatin; Hydrochlorothiazide; Escitalopram; pantoprazol; cbd oil; Vitamin D3

Current Illness: no

ID: 1041853
Sex: F
Age: 72
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, Nausea, Cold, 'the Shakes', Anorexia Worst symptoms from 4 hours after vaccination lasting 24 hours; full duration of symptoms 3 days.

Other Meds:

Current Illness:

ID: 1041854
Sex: F
Age: 64
State: NY

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

Lab Data: covid test - negative flu swab - negative

Allergies: no

Symptoms: I had fatigue for a few hours, that night I had chills and a fever, it felt like my lymph nodes were swollen, by 10 am the next day all my symptoms were gone. I did not seek medical advice but my employer made me go take a covid test and a flu swab they were both negative

Other Meds: synthroid, calcium, vitamin d, coq10

Current Illness: diagnosed with Covid 2 weeks prior

ID: 1041855
Sex: F
Age: 54
State: TX

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

Lab Data:

Allergies: Apple Fruit Extract (Pyrus Malus) Grapefruit Ibuprofen Milk Protein Concentrate Raspberry Leaves (Red)

Symptoms: Swelling and pain at site of injection within hours of injection; Axillary and pectoral lymphadenopathy on ipsilateral side for 3 weeks

Other Meds: dicyclomine (BENTYL) 10 MG capsule, Take 1 Cap by mouth 2 times daily as needed (cramping and pain)., Disp: 120 Cap, Rfl: 6 diphenhydrAMINE (BENADRYL ALLERGY) 25 MG capsule, daily., Disp: , Rfl: enoxaparin (LOVENOX) 60 MG/0.6ML SOLN, Injec

Current Illness:

ID: 1041856
Sex: M
Age: 42
State: NY

Vax Date: 12/31/2020
Onset Date: 02/01/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: N/A

Allergies: Seasonal allergies

Symptoms: Moderna COVID-19 Vaccine Left arm swelled to double normal volume as compared to right arm - swelling went away after a week Imtermitant radiating pain on left side of body from arm to lower leg - stopped after 24 hours

Other Meds: N/A

Current Illness: N/A

ID: 1041857
Sex: F
Age: 39
State: KY

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Ceclor

Symptoms: Sore arm at injection site, for 24 hours after administration

Other Meds: Humalog, lisinopril, spironolactone, minocycline, nexium, multivitamins

Current Illness: N/A

ID: 1041858
Sex: F
Age: 38
State: FL

Vax Date: 01/12/2021
Onset Date: 02/05/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shingles

Other Meds: Myfortic, prednisone, amlodipine, losartan, ofev, nexium

Current Illness:

ID: 1041859
Sex: U
Age: 39
State: WI

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: HEADACHE,BODY ACHES

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm