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: 1042107
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies: no

Symptoms: Onset of pain in upper arm and shoulder that evening, and the next day had "frozen shoulder" where I had very limited range of motion in the shoulder. I also had some tingling in the right fingers the next day. The frozen shoulder resolved by day 3 and the pain in the upper arm resolved within 1 week. However, it has been almost 3 weeks and I still have quite a lot of pain in the shoulder. I was diagnosed with rotator cuff tendinopathy and they are not sure if this is due to improper injection technique (it was given a bit high on the deltoid muscle) or the vaccine itself.

Other Meds: Cimzia, sulfasalazine, midodrine, venlafaxine, vitamin D3, coq10, magnesium

Current Illness:

ID: 1042108
Sex: F
Age: 72
State: SD

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

Lab Data:

Allergies:

Symptoms: Hypotension, shortness of breath, pruritic skin rash, generalized weakness, decreased urine output and fatigue beginning the day after the vaccination with worsening symptoms over the next 5 days. The patient reported dizziness, lightheadedness, and two falls. The patient was hospitalized on 02/10 and was treated with calamine lotion, cetirizine, diphenhydramine, famotidine, hydroxyzine, loratadine, and methylprednisolone. On 2/12 the patient had worsening itching, shortness of breath, and oxygen saturations of 92% and was given supplemental oxygen, IV diphenhydramine, and IV methylprednisolone.

Other Meds:

Current Illness:

ID: 1042109
Sex: F
Age: 40
State: OR

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

Lab Data: None yet

Allergies: N/A

Symptoms: I had Hyaluronic Acid filler put in my upper cheeks in mid-November 2020. I received my 2nd dose of Moderna COVID vaccine at 11 am on 2/18. 24 hours later, I started experiencing pain in areas where filler was injected. Went to sleep and woke up 3 hours later at 2 pm on 2/19 (27 hours after 2nd vaccine received), and immediately noticed swelling in upper cheeks under eyes and firm swollen nodules where the filler had originally been placed. NOTE: This did not occur when I received my first Moderna COVID vaccine on January 21st Called injector, and was advised to take Benadryl and Allegra, and to come in for a base line blood pressure reading in case additional medications were needed.

Other Meds: Vit C, Vit D-3, Vit B12, Probiotics, Armour Thyroid

Current Illness: N/A

ID: 1042110
Sex: F
Age: 65
State: VA

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

Lab Data:

Allergies: Penicillin and sulfa

Symptoms: Red area around injection site - about 6?x4?

Other Meds: Metformin, toprol xl, levothyroxine, simvastatin, escitalopram, vitamin d,

Current Illness:

ID: 1042111
Sex: M
Age: 16
State: MD

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

Lab Data: Lab workup completed on 1/30/21 to determine possible etiology of symptoms (CMP, CBC, Lymes titer, Vitamin B12, TSH, Vitamin D). All lab workup within normal limits, except slightly low Vitamin D and slightly elevated VitB12. Both thought to not be contributory to symptoms.

Allergies: No known allergies to medications or foods.

Symptoms: 16yo male c/o tingling (whole body), numbness (arms/hands), and pain (extremities) for 1 week. Symptoms first started in feet then spread to entire body, but not in ascending order. No recent/current illness or fever. Patient had presumed COVID19 infection 7/2020 (based on symptoms, NO positive test). No head/spine injury. No rashes. No known insect bites/tick bites. No medications - currently taking Aleve for symptoms and not helping. Patient received MenB #2 IZ last Monday, 1 day prior to onset of symptoms. Symptoms persisted from 1/19/21 until ~2/2/21, at which time there was spontaneous resolution without treatment.

Other Meds: Aleve

Current Illness: None

ID: 1042112
Sex: F
Age: 25
State: AZ

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

Lab Data:

Allergies:

Symptoms: Fever, achey, nauseas, sore arm, headache

Other Meds: Zofran, lexapro, magnesium glycinate

Current Illness:

ID: 1042113
Sex: F
Age: 59
State: MT

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

Lab Data:

Allergies:

Symptoms: Chills and Headache

Other Meds:

Current Illness:

ID: 1042115
Sex: F
Age: 71
State: CA

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: itchy arm at injection site 2/18/2021; arm red and hard near site 2/19/2021

Other Meds: atorvastatin

Current Illness: none

ID: 1042116
Sex: F
Age: 55
State:

Vax Date: 12/28/2020
Onset Date: 01/07/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Migraine, nausea for 8 hours, resolved with bedrest

Other Meds:

Current Illness:

ID: 1042117
Sex: F
Age: 65
State: MS

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Latex, keflex

Symptoms: 3 hours post vaccine =headache, resolved post Tylenol and aspirin. In the middle of night had achy, feverish feeling- no fever. About 26 hours after vaccine=underarm tenderness- unable to palpate anything but very localized, lasted 3-4 days in same location, gradually less tender.

Other Meds: Azathioprine, prednisone

Current Illness:

ID: 1042118
Sex: M
Age: 17
State: MN

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

Lab Data:

Allergies:

Symptoms: Patient received vaccine even though they are only 17 years old. Patient did not have any adverse effects.

Other Meds:

Current Illness:

ID: 1042119
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies: penicillin, compazine, levaquin

Symptoms: tightness in chest after both shots, lasting several minutes. large red circle at injection site both times, for several days.

Other Meds: zoloft 100 mg - lisinopril 40 mg - centrum silver for women - vitamin d3 - biotin - krill oil - probiotic

Current Illness: none

ID: 1042121
Sex: F
Age: 64
State: NC

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Chocolate Penicillin, aspirin,biaxin

Symptoms: Slight swelling, redness about 2 inches across at injection site, arm hurts a bit. Was fine for a week, started hurting Thursday evening after receiving vaccine exactly one week prior

Other Meds: Probiotics

Current Illness: None

ID: 1042122
Sex: M
Age: 53
State: KY

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

Lab Data: none

Allergies: none

Symptoms: persistent muscle pain bilaterally in arms between elbows and wrist beginning days after 2nd injection and persisting almost three weeks later

Other Meds: lisinopril, HTCZ, atorvastatin

Current Illness: none

ID: 1042123
Sex: F
Age: 38
State: AZ

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

Lab Data: None

Allergies: None known

Symptoms: Sore, painful, raised red bump (2 inches in diameter) starting 24 hours after, lasting until day 3. And starting today, at day 8, itchy, splotchy red rash, and feels flat and hard (3 inches in diameter).

Other Meds: Adderall, Welbutrin, Melatonin, Qvar Inhaler

Current Illness: None

ID: 1042124
Sex: F
Age: 43
State: WI

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

Lab Data: None

Allergies: Imitrex

Symptoms: Body aches (neck and shoulders), nausea, chills, headache, exhaustion (started at 1700 on February 17, 2021 and progressed through February 18, 2021). As of February 19, 2021, a mild headache and sore neck and shoulders resolved and the other symptoms resolved prior.

Other Meds: Wellbutrin, Advair

Current Illness: Celiac, Asthma

ID: 1042125
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies:

Symptoms: Light headedness and anxious/jittery

Other Meds:

Current Illness:

ID: 1042126
Sex: F
Age: 25
State: MI

Vax Date: 02/10/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Azythromycin

Symptoms: Unknowingly pregnant at time of vaccination. Had a miscarriage one week later. Due on October 12.

Other Meds:

Current Illness:

ID: 1042128
Sex: F
Age: 32
State: NY

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

Lab Data: None

Allergies: Sulfa

Symptoms: Fever, chills, headache, fatigue

Other Meds: None

Current Illness: None

ID: 1042129
Sex: F
Age: 66
State: WA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Feldene medication

Symptoms: the day after first injection I started to get a low grade headache and mild nausea that I still have every day.

Other Meds: Vitamin D, Calcium, Biotin

Current Illness: none

ID: 1042130
Sex: F
Age: 74
State: FL

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Sulfa, ROCephlin IV,Fire Ants

Symptoms: Covid arm on left arm rash near where injection was given. Started on feb 9 and is still there on feb 19 . I he?s on occasion some warm to touch. No swelling of my arm rash is 2 inches in circumference when it started is was about 1.5 inches. So it has not gone away and have had it fir 11 days.my primary , when I showed it to him stated he wasn?t sure . It is mild, my only concern is that it has not gone away ,and slightly grew in size. All my readings indicate that it usually goes away in 24-48 hours.

Other Meds: None

Current Illness: None

ID: 1042131
Sex: F
Age: 43
State: KY

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

Lab Data:

Allergies: sulfa

Symptoms: nausea, fatigue, tired. from about an hour after my vaccination for another 7-8 hours.

Other Meds: n/a

Current Illness: n/a

ID: 1042132
Sex: F
Age: 44
State: MT

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

Lab Data:

Allergies:

Symptoms: Body aches, Headache, Chills

Other Meds:

Current Illness:

ID: 1042133
Sex: M
Age: 17
State: MN

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

Lab Data:

Allergies:

Symptoms: Patient received vaccine even though she was only 17 years old at the time of the vaccine.

Other Meds:

Current Illness:

ID: 1042134
Sex: F
Age: 45
State: MI

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

Lab Data: none, was not seen, had to work couldn't take time off

Allergies: none

Symptoms: Wednesday, day of vaccine, soreness in arm, started out feeling bruised then progressed to stiffness and pain in my shoulder joint. Thursday my whole body ached, especially my knees and hips, I felt feverish. Thursday night a severe headache developed and persisted through Saturday morning. ibuprophen and acetemetiphine did nothing to relieve any of the symptoms.

Other Meds: womens multivitamin with iron

Current Illness: none

ID: 1042136
Sex: F
Age: 53
State: NJ

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

Lab Data:

Allergies: Hydrocodone Oxycodone

Symptoms: 7 days of serious nausea and severe heartburn Unable to eat or drink until day 7 Still have heartburn on day 7

Other Meds: Saxenda 3mm 1xdaily Pantoprazole 1 tablet daily Methocarbamol As needed for pain

Current Illness: None

ID: 1042137
Sex: F
Age: 69
State: FL

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

Lab Data: Swelling ,redness, heat about 3 inches from injection site

Allergies: Seafood

Symptoms: None stated.

Other Meds:

Current Illness: None

ID: 1042138
Sex: F
Age: 23
State: LA

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

Lab Data:

Allergies: None

Symptoms: Suddenly low blood pressure, resulting in headache, dizziness, weakness, difficulty seeing, feeling short of breath, and feeling faint.

Other Meds: Prozac, Melatonin

Current Illness: None

ID: 1042139
Sex: F
Age: 71
State: GA

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Vaccine Administration Error: Pharmacist administered second vaccine dose into my left upper arm, via subcutaneous route 2/16/21.He pinched up the skin on arm as he administered vaccine.I felt him pinch up skin and felt nothing as the needle went into arm.Needle did not go into my arm muscle.Shocked by the administration technique error,I had no time to react as the injection happened quickly.After Moderna vaccine dose#1, 1/19/21, I had had strong immune response for 30 hours (chills,aches,low grade fever,extreme fatigue).After 2nd dose,I had NO side effects.Available med literature indicates subcutaneous injection route is ineffective--done in error.How do I ensure I am now adequately protected?

Other Meds:

Current Illness:

ID: 1042140
Sex: F
Age: 80
State: KS

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

Lab Data: EKG

Allergies: Sulfa

Symptoms: Went into Afib within 3 hours

Other Meds: Multiple

Current Illness:

ID: 1042141
Sex: F
Age: 20
State: NY

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

Lab Data: - Blood pressure and pulse were normal

Allergies: - Penicillin - Omnicef - Cymbalta - Elavil

Symptoms: - Hot and burning internally immediately - Face redness and swelling and all below within the first 30-60 minutes - Rash on both arms, chest, legs - Lips bright red - Itchy - Sweating - Flush - Throat pain and mild swelling

Other Meds: - 2.5mg Pindolol 1X daily - 10mg Flexeril 1X daily - Wellbutrin XL 150mg 1X daily - Allegra (Fexofenadine HCI 180 mg) 2X daily - Pepcid (Famotidine 20mg) 2X daily - 100mg Ubiquinol/COQ10 1X daily; - Quercetin Phytosome 500mg 1X daily - V

Current Illness: N/A

ID: 1042142
Sex: M
Age: 23
State: UT

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Blood draws and urine samples. All came back normal. CT head scan unremarkable.

Allergies: N/A

Symptoms: Seizure-like episodes. No treatment at this time.

Other Meds: Lexapro, Symbicort

Current Illness: N/A

ID: 1042143
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies: None

Symptoms: Allergic reaction post vaccine; rash and hives to bilateral legs, back, and face. Client complained of mild shortness of breath.

Other Meds: None

Current Illness: None

ID: 1042144
Sex: M
Age: 35
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Patient was given Moderna vaccine after stating he forgot his card from the first dose. Then the patient found the copy in a picture and it indicated that he had received Pfizer NOT Moderna and had already been given the dose of Moderna today.

Other Meds: None

Current Illness: None

Date Died: 02/09/2021

ID: 1042145
Sex: F
Age: 82
State: NC

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: COVID-19 (2/7/21) and Blood Glucose (2/6/21)

Allergies: None

Symptoms: Patient reported feeling weak, fatigue, fever (102), and loss of appetite. Patient subsequently went to the ER 2/6/2021 and tested positive for COVID-19 on 2/7/21 (collection date). See following discharge summary from ED: 82 y.o. female who initially presented to the ED with complaint of generalized weakness, fatigue, fever, and loss of appetite x at least 4 days since receiving Covid 19 vaccine. Her workup in the emergency room was significant for hypoxia with 02 saturation 88% on 2LPM (home nocturnal 02 requirement) with improvement to mid-90s on 4LPM. Blood sugar was 47, Cr 1.61. CXR showed extensive R lung and moderate left lung opacities. She was started on empiric ceftriaxone and azithromycin and admitted to the hospitalist service for further workup and mgmt. During her stay in the hospital, pt did test positive for Covid 19. She developed rapidly progressive respiratory failure, felt to be secondary to ARDS. There was also question of contributing pulmonary edema, however this was refractory to lasix and thus ARDS was felt to be the most significant factor. She had requested DNR/DNI status, thus as her 02 requirement escalated she was transitioned to 15LPM NRB and then to BiPAP support. Unfortunately, she continued to suffer greatly with the BiPAP in place, and therefore made the decision to transition herself to comfort measures only after visitation from her family. Her other medical issues were supported as appropriate during her stay, with dextrose infusion for hypoglycemia and AKI, also hyponatremia felt to be due to IVVF. Unfortunately, am unable to find any documentation regarding how pt was feeling when she received the vaccine compared to her baseline state of health. thus am unable to say whether the severity of her illness represents vaccine? enhanced disease or the much more common cytokine release syndrome leading to ARDS. Regardless, she developed ARDS as result of her Covid 19 illness. Time of death: 1408 on 2/9/21. Cause of death: ARDS due to Covid 19 pneumonia.

Other Meds: None

Current Illness: None reported

ID: 1042146
Sex: F
Age: 67
State:

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

Lab Data: Had baseball size inflammation, redness, itching and pain on arm where injection was given. THIS HAPPENED 9 DAYS AFTER INJECTION WAS ADMINISTERED. Using Benedryl cream to control itching and swelling.

Allergies: Penicillin and cillin drugs, thimerosal, bee stings, green soaps and dish liquid and cleaners

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: Latanoprost, Dorzolomide-Timolol, 81 g Aspirin, Zinc, Multi Vitamin, Vit. D3

Current Illness: None

ID: 1042147
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies:

Symptoms: @ 1412 patient reported feeling dizziness and lightheaded @1425 BP 107/60 @1430 denied any s/s of allergic reaction @1437 Pt was cleared to be discharged

Other Meds:

Current Illness:

ID: 1042148
Sex: F
Age: 16
State:

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

Lab Data:

Allergies:

Symptoms: Patient received vaccine even though she was only 16 years old.

Other Meds:

Current Illness:

ID: 1042149
Sex: F
Age: 40
State: WI

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

Lab Data:

Allergies: Shrimp

Symptoms: Chills/sweats, joint pain, headache, severe fatigue started 20 hours after vaccination and lasted 24 hours. Swollen lymph nodes started 24 hours after vaccination and so far lasted 48 hours.

Other Meds: Birth control pill Modofinil

Current Illness:

ID: 1042150
Sex: M
Age: 66
State: NY

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

Lab Data:

Allergies: None

Symptoms: 1) Fever (101.1 degrees) 2) Extreme Fatigue 3) Muscle pains 4) Shooting pains under left arm 5) Nausea

Other Meds: Enalapril Maletate 2.5 mg., Candesartan Cilexeti 16mg. Vitamins: 1)B Complex 100 2) Vitamin C- 500mg. 3)Quercetin with Vitamin C supplement 500 MG 4( Chromium 200 mcg. 5 ) Vitamin D3 6) Zinc

Current Illness: Diabetes

ID: 1042151
Sex: F
Age: 67
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None known.

Symptoms: On February 18, day 13 after vaccine, I woke at 3am with muscle aches in legs and headache and general unwell feeling. Lasted a few hours. On February 19, day 14 after vaccine, woke with mild muscle aches in legs and mild headache. Took shower and noticed my upper arm had big red blotchiness. I had not noticed this before, so I don't know if this has been ongoing or just appeared.

Other Meds: Losartan, atorvastatin, potassium citrate, allopurinol, garlic extract, olive leaf extract, ubiquinol, probiotic, vitamin D3, vitamin B12, Algae Omega, ayer low-dose aspirin

Current Illness: Common cold, mild

ID: 1042152
Sex: M
Age: 70
State: IN

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

Lab Data:

Allergies: none

Symptoms: Delayed rash/hives one day after getting vaccine. Hives appeared in three areas on lower back, one area on front, just below right breast, rash on left upper thigh in front, and one rash spot on left leg behind knee. Rash areas itched and were treated with hydrocortisone cream applied twice during evening. The next morning the rash, hives and itching were gone.

Other Meds: Finasteride Simvastatin Memastine Donepezil Preservision AREDS2

Current Illness: none

ID: 1042153
Sex: F
Age: 41
State: GA

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

Lab Data:

Allergies: Nuts, Potatoes

Symptoms: Pt called 02/19/2021 @ 12 noon. States she received Moderna COVID19 Vaccine @ Co Health Dept on 01/28/2021. States she waited 30 minutes for observation post vaccination. States "while waiting had some dizziness and slight itching but did not mention it because she always has issues with reactions, thinking it would go away. States with 1 hour her face began swelling and she went to ER. States she stayed there 6 hours and received Epi/Steriod treatment. " Pt states on Dr advised her to get the next COVID19 vaccine, another advised against next dose. LPN advised patient that we will make a VAERS Report.

Other Meds:

Current Illness:

ID: 1042154
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 versed

Symptoms: Pt felt dizzy was brought into medical room. Had Covid vaccine for the first time. Vs taken and normal. Pt waited for 15 mins and can still normal. Pt felt better and had some water. Pt was released back to observation area. Checked out

Other Meds: Warfarin, lasix, potassium, magnesium oxide, levothyroxin, latoprolol, vitamin d3

Current Illness: No illness

ID: 1042155
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Patient seen in ER. HCP reported difficulty swallowing and breathing. IV steroids given.

Other Meds:

Current Illness:

ID: 1042157
Sex: F
Age: 36
State: AZ

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

Lab Data: N/A

Allergies: Bee venom Milk Wheat Sage

Symptoms: Patient states she had a "raspy throat" (itchiness not relieved with drinking water) about 35 minutes after vaccine. Two-three hours later, developed a slight wheeze and noticed the onset of a rash across chest, neck, and face; these symptoms last approximately 12 hours after receiving the shot. Symptoms continued through the following day and resolved within about 48 hours.

Other Meds: Cetirizine Advair Albuterol inhalation prn Famotidine prn Montelukast Ipratropium-Albuterol inhalation prn Azelastine-Fluticasone nasal suspension

Current Illness: N/A

ID: 1042158
Sex: F
Age: 40
State: WA

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: 2/26 Covid-19 PCR test POSITIVE

Allergies: hydrocodone and oxycodone sensitive (nausea) not allergic

Symptoms: Chills, 101 fever, body aches head ache. in 2 weeks, felt a bit better, then 100 fever again on 2/8, followed by diarrhea for 5 days. mild fever 99.6 on 2/10. slow recovery since.

Other Meds:

Current Illness: Left ear ache, some abdominal pain

ID: 1042159
Sex: M
Age: 65
State: FL

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

Lab Data: SARS-CoV-2 NEGATIVE; CBC WITH DIFFERENTIAL; COMPREHENSIVE METABOLIC PANEL; APTT; PROTIME-INR; AUTO NRBC %. OTHER THAN THE SARS-COV-2 I DON'T KNOW HOW TO READ, BUT SEEMS NORMAL.

Allergies: NONE

Symptoms: RECEIVED VACCINE ON 2/9. FELT QUEASY BUT NOT BAD ON TUES PM AND WED. THEN FINE WED 2/10 NITE. ON THURSDAY 2/11 RASH STARTED ON LEFT ARM NEAR INJECTION SITE. TOOK OTC BENADRYL . STARTED SPREADING TO WHOLE ARM AND UPPER CHEST AND HEAD AND NECK. SEVERE SHEDDING OF SKIN. PAINFUL AND ITCHING. ON SUNDAY 2/14 WENT TO EMERGENCY ROOM AND WAS ADMITTED OVERNIGHT OBSERVATION. RECEIVED IV LIBRIUM, DIPHENHYDRAMINE, FAMOTIDINE, OLORAZEPAM, METHYLPREDNISOLONE SOD SUC (PF).

Other Meds: IRBESARTAN 300mg; ATORVASTATIN 40mg

Current Illness: NONE

ID: 1042160
Sex: F
Age: 42
State: CA

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

Lab Data: NONE

Allergies: NONE

Symptoms: MEDICAL ASSISTANT GAVE 1ML INSTEAD OF 0.5 ML. SHE DID NOT NOTIFY US UNTIL AFTER THE LAST PATIENT WAS GIVEN THE SHOT. SHE OPENED A NEW VIAL TO COMPLETE THE PATIENTS. EMPLOYEE WAS TERMINATED AND WE CONTACTED PATIENTS TO SEE IF THEY WERE FIND AND TO ADVISE THEM ABOUT GOING TO E.R. IF CONDITION WORSENED. CALLED DAILY TO VERIFY WELL-BEING.

Other Meds: NONE

Current Illness: NONE

ID: 1042163
Sex: F
Age: 63
State: AL

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

Lab Data: none

Allergies: wool-bees-ragweed

Symptoms: Chills-Fever-rash on left arm from injection site to elbow

Other Meds: Benadryl

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm