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: 1042368
Sex: F
Age: 78
State: CO

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

Lab Data:

Allergies: Tramadol, eggs, Levaquin, penicillins, acetaminophen, atorvastatin, Crestor, milk, oxycodone, pravastatin, prednisone, simvastatin

Symptoms: injection site reaction. Erythema. Treated with cold compress

Other Meds: Levothyroxine, lisinopril, omeprazole, Xarelto

Current Illness: none

ID: 1042369
Sex: F
Age: 72
State: CO

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

Lab Data:

Allergies: Penicillin Erythromycin Codeine

Symptoms: Diarrhea. Short , about 10 min Headache, about 2 hours

Other Meds: Lexapro Buproprion Pravistatin calcium carbonate

Current Illness: Sore throat

ID: 1042370
Sex: M
Age: 67
State: CO

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

Lab Data: none but saw my doctor for exam 02/09/2021.

Allergies: statins, silicone

Symptoms: Had no reaction for 20 hrs. After that pain at site, chills, fever 100.1, & severe sinus headaches. Took Ibuprofen & fever went away. Have come down with severe sinus headaches since getting shot. Upper respiratory irritation continues too. No green mucus or bleeding. Some nights I have awoken with my CPAP machine reading 30 APH other nights 0 to 3 APH. Very unusual considering that I'm also on supplemental O2 with the CPAP. If I was not on the CPAP & O2 during possible vaccine reaction, it could be bad. Still having bad sinus headaches. Cutting down on Propranolol to 20mg per day per my doctors orders.

Other Meds: Amlodipine Besylate 5mg, Levodopa-Carbidopa 100-25 3x/day, Gabapentin 100mg 3x/day, propranolol 40mg 2x/day.

Current Illness: Parkinson's

ID: 1042371
Sex: F
Age: 70
State: MO

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

Lab Data:

Allergies: Dental Anesthesia Fosamax Tetanus Toxoid

Symptoms: Patient developed hives 1hour after injection which persisted until evening. She took Benadryl 50mg at 7pm and woke this morning and hives had resolved.

Other Meds: Amlodipine, Coreg, Tricor, HCTZ and Calcium with D

Current Illness: None

ID: 1042372
Sex: M
Age: 81
State: CA

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 due to receive his 2nd dose of Moderna and the nurse gave him Pfizer for his 2nd dose. Patient did not have an adverse reaction after the Pfizer dose was given to him.

Other Meds: Unknown

Current Illness: None

ID: 1042373
Sex: F
Age: 65
State: CA

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

Lab Data: None

Allergies: Codeine (gets a rash)

Symptoms: As RN was rounding patient was c/o ?dizziness and wooziness? and stated she has been feeling this way since vaccinated. Also says she had a ?buzzing sensation in her head? when she initially sat down in observation area. Patient reported feeling anxious; initial vital signs at 1334- SpO2-96%, pulse-78, BP 150/86, dizziness 5/10. Repeat vital signs at 1405- SpO2 96%, Pulse-68, BP 132/80, dizziness 1/10. Patient offered water and orally hydrated. After 15 minutes of therapeutic conversation, patient states that she ?feels fine? and dizziness has resolved. Patient educated on need to seek medical treatment with emergent symptoms after leaving facility- patient verbalized understanding.

Other Meds: Albuterol, Prednisone, Budesonide, Fluoxetine and Wellbutrin

Current Illness: Codeine (gets a rash)

ID: 1042374
Sex: F
Age: 44
State: CA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: Head & Neck CT normal,;EKG & cardiac ECHO normal; troponin, electrolytes, CBC, UA, UC, BC, d-dimer, calcitonin & liver enzymes normal

Allergies: PCN, Erythromycin, Sulfa drugs, latex, chloroquine

Symptoms: Vasovagal syncope after getting up to urinate, hit head with loss of consciousness for 10-15 minutes, sustained concussion, admitted overnight for testing and observation.

Other Meds: Atenolol 25mg daily, Levothyroxine 75 mcg daily, Cymbalta daily, Lexapro 10 mg daily, Benadryl 25 mg PRN (taken at 4:50 am for itching caused by Norco), Norco 5/325 mg PRN (taken at 4:50 am for pain)

Current Illness:

ID: 1042375
Sex: F
Age: 66
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Had typical arm soreness at injection sight for 48 hours after injection, then this went away. Today (day 8) after injection the injection site in my left arm started itching and the injection sight was a little pink (may be due to me scratching) and the injection site was slightly hard. Nothing interfered with my arm function and I have felt fine otherwise.

Other Meds: Fish oil, Calcium, D3, Glucosamine Chondroitin, Magnesium, Allegra, Rosuvastatin Calcium 5mg, Metformin HCL ER 500mg (2 tabs)

Current Illness: None

ID: 1042376
Sex: F
Age: 65
State: AZ

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

Lab Data:

Allergies: Nickel

Symptoms: I am submitting this form because of wrong administration of vaccine. I have pictures of how my vaccine was given. The needle went in at between a 10 and 15 degree slant. It was injected just under the skin. I also am questioning the type of syringe and needle used. Possibly an insulin syringe. I would also like to add that when they withdrew the needle from my arm I watched the person finish pushing the plunger and vaccine expelled into the air. Next day I had some redness around the injection site. Some soreness. My question is do I need a repeat 1st dose? I have pictures of just before the injection and during the injection. Just need to know where to send them.

Other Meds: N/A

Current Illness: none

ID: 1042377
Sex: F
Age: 70
State: SC

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: cbc is normal

Allergies: bactrim

Symptoms: redness, pain , swelling and warmth at site that progressed over several days. became painful to lift left arm. treated with antibiotic (keflex 500 tid for 10 d) and medrol dose pack, zyrtec and famotadine 40 at night

Other Meds: levothyroxine, tramadol, pepcid, zyrtec

Current Illness: none known

ID: 1042378
Sex: F
Age: 33
State: NY

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

Lab Data:

Allergies: Nkda

Symptoms: Patient was seated in observation area post administration of Pfizer COVID 19 Vaccination. Patient noted a sudden onset of flushing (warm) feeling to face and chest. Patient's feet were elevated, 50 mg Diphenhydramine PO administered per standing order and provider direction. Patient reported recovery from flushing symptoms approximately 5 minutes after initial onset and evaluation.

Other Meds: Zoloft

Current Illness:

ID: 1042379
Sex: F
Age: 61
State: TX

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Ct scan done at hospital, was given medrol dose pack and acyclovir

Allergies: Tramadol

Symptoms: Thursday February 4th I had Severe Headache, Earache, low grade temp, sore throat then by the Tuesday the 9th I noticed drooping to the right side of my face. Went to the ER and was told it was bells palsy

Other Meds: I take metformin 500mg BID, atorvastatin 40mg QD, Amlodipine 5mg QD, Hydrolazine Hdl 25mg BID, Chlorathalidone 25mg QD, Aspirin 81mg QD, Novolin 70/30 37 units twice daily

Current Illness: None

ID: 1042380
Sex: F
Age: 46
State: CA

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

Lab Data:

Allergies: Pumpkin, crab, z-pack, seasonal allergies, cats

Symptoms: A couple of minutes after receiving the vaccine, my cheeks and ears got really hot and red. The EMTs talked to me, asked if I felt okay and if I wanted to them to take my vitals and then they said we could go. I took two benedryl that I had brought with me and that helped after about 20 minutes or so. I took another benedryl at bedtime because my cheeks were still feeling hot but not as badly as when it first happened.

Other Meds: Singulair, Flonase, Azelastine HCI, Juice Plus whole food supplements, fish oil, panthothetic acid, magnesium calicum vatimin d

Current Illness: None

ID: 1042381
Sex: F
Age: 74
State: OK

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

Lab Data: none

Allergies:

Symptoms: morning after vaccination urine had a strong odor that smelled like bacon. I don't eat bacon and had not had anything unusual to eat. urine was paler than usual during rest of day but returned to normal the following morning. Also experienced the common soreness at injection site, tiredness, aches--like a mild flu. All reaction disappeared by third day following vaccination

Other Meds: Prempro

Current Illness:

ID: 1042382
Sex: F
Age: 56
State: CO

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

Lab Data:

Allergies: none

Symptoms: I woke up nauseous, when I stood up extremely nauseous. Went to feed dog and passed out without warning and woke up to my head slamming on floor. Stood up and immediately passed out again, again waking up to my head slamming on floor. Got a bunch of bumps and bruises on head but hurt my neck also.

Other Meds: valtrex, estrogen vaginal creme

Current Illness: none

ID: 1042383
Sex: F
Age: 23
State:

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

Lab Data:

Allergies:

Symptoms: Arm sore, tired, headache

Other Meds:

Current Illness:

ID: 1042384
Sex: F
Age: 68
State: GA

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

Lab Data: Unknown

Allergies: NKA

Symptoms: Felt like she was going to faint, nausea, stomach pain, felt hot. Observed and called paramedics. They took charge of her and took her to hospital. She came back to the pharmacy later in the afternoon and said her blood pressure had dropped very low. She was fine when she came back and thanked us for helping.

Other Meds: Unknown

Current Illness: Unknown

ID: 1042385
Sex: F
Age: 83
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Not applicable

Allergies: Most all of these cause only severe nausea and vomiting : chephalexin, sulpha penicillin, mophine, augmemtatin, eurothromycin, doxazofin

Symptoms: Feeling very unwell, nauseated and cold (Not chills) No treatrment needed

Other Meds: PRESCRIPTION : bisoprolol/hct 5-6.25 mg 1 tablet daily (generic for ziac) OVER THE COUNTER calcium citrate = D3 1 tablet daily, 1 complete vitamin daily, l biotin 5,000 mcg tablet daily

Current Illness: None

ID: 1042386
Sex: F
Age: 39
State: WA

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

Lab Data: Blood draw. Covid test. Urine test.

Allergies: none

Symptoms: 36 hours of muscle, joint, lymph node pain, as well as a low headache. Continued headache every day since vaccine. Today is day day 22 s/p 2nd vaccine. Over the past 5 days, headache has turned into a migraine with nausea, vomiting, and diarrhea. Given covid test yesterday at urgent care and medication for migraine. Unfortunately the headache has returned.

Other Meds: Cymbalta 20 mg daily

Current Illness: none

ID: 1042387
Sex: F
Age: 77
State: LA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data:

Allergies: AMOXICILLIN-POT Clav; ATORVASTATIN; BACLOFEN; CAffeine, cipro, DABIGATRAN ETEXILATE; DECONGEST TABS; ERYTHROMYCIN; FLECAINIDE; FLUOXETINE; GABAPENTIN; LISINOPRIL; LOSARTAN; MORPHINE; OXYMETAZOLINE; RIVAROXABAN; SULFAMETHOXAZOLE

Symptoms: Pt. recieved 1st dose of Moderna vaccine on 3 Feb and presented to the ED with syncopy on 4 Feb. Patient was discharged on 7 Feb. Home course unknown

Other Meds:

Current Illness:

ID: 1042388
Sex: M
Age: 78
State: OK

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

Lab Data: N/A

Allergies: Anaphylaxis- Aspirin, Penicillin, Toradol, Codeine, Percocet, Beclovent, Biaxin

Symptoms: TONGUE/LIP EDEMA 15 MINUTES POST INJECTION

Other Meds: Amiodarone Coumadin

Current Illness: None reported

ID: 1042389
Sex: F
Age: 50
State: NJ

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

Lab Data:

Allergies: Sulfa drugs, levofloxacin, Arava

Symptoms: Non-anaphalactic allergic reaction - hives, itchy swollen eyes

Other Meds: Zoloft, Montelukast, Allegra, Rabeprazole

Current Illness:

ID: 1042390
Sex: F
Age: 72
State: AZ

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

Lab Data: None

Allergies: Sensitivity to EES

Symptoms: I received the vaccine at 3pm, went home and arm started hurting but not bad. Started getting very restless while trying sleep, developed a bad headache and muscle aches and pains during night around 4-5am. Kept getting worse, by 8:30 am had chills, lethargy and generalized weakness. Felt as bad as when I had COVID 60 days prior. Husband and I both had COVID then and he also got very sick after shot with same symptoms but low grade temperature of 100.5. Our symptoms lasted into next day and evening. Finally feeling some better by midnight. I had good day on 3rd day and then that night very restless and couldn?t sleep. Wiped out all day. Brain very foggy, achy and just not feeling well. Fifth day just seem to tire easily and wanting to nap which I don?t usually do.

Other Meds: Estradiol patch . Pantoprazole, MVI, Calcium, Magnesium, Zinc,Fish oil, Iron, B12, Probiotic, Turmeric, ASA, CoQ10 and MVI.

Current Illness:

ID: 1042391
Sex: F
Age: 53
State: NM

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

Lab Data: None

Allergies: No

Symptoms: No adverse events noted, patient did not have any reaction after 15 minutes of observation. When immunization documented in the Immunization Program noted that this dose was the patient's fourth dose. Immediately called patient and informed of immunization being patient's fourth COVID-19 immunization with two other doses administered at another facility. Pt denied receiving immunization at the facility. Clinic called to confirm which they informed this RN that patient did receive both doses. Patient's ID verified with name, date of birth and address. Patient called to update and patient informed this RN that she did receive the immunizations there. Informed patient that this is her fourth dose and that a VAERS would be reported.

Other Meds: None

Current Illness: No

ID: 1042392
Sex: M
Age: 54
State: CA

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

Lab Data: FSBS - 132 (2-19-2021)

Allergies: Compazine

Symptoms: Pt. received 2nd dose of COVID vaccine and immediately became cool, clammy and diaphoretic, stating he feels?light headed?. EMS activated, VS 104/71, 88-HR, 98%-O2, 20-Resp., pt. listless, yet remains A&Ox4 & responsive. EMS arrival, patient remains unchanged. EMS obtained blood sugar - 132, and also ran an EKG. Per EMS EKG inconclusive, recommended for transport to ED. Patient to ED with AMR.

Other Meds: None

Current Illness: None

ID: 1042393
Sex: F
Age: 39
State: TX

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

Lab Data: ECG -- (normal per verbal report from ER) Normal Hepatic, renal, cardiac, and coagulation panel Mostly normal CBC (slightly elevated WBC)

Allergies: NKDA

Symptoms: Patient developed a headache and a squeezing sensation in her chest shortly after receiving her first dose of the Covid vaccine. Otherwise she appeared well and had normal vital signs. No other symptoms. She was observed for 40 minutes and her symptoms persisted so she was transferred to the ER. There were no objective findings at the ER after a workup. She was given toradol for her headache and the plan is for her to be discharged home today.

Other Meds: Lexapro, naltrexone, gabapentin

Current Illness: Patient worked out for the first time in two weeks (ran sprints uphill) and had similar chest squeezing sensations after working out (resolved w/in a few moments)

ID: 1042394
Sex: F
Age: 35
State: NM

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

Lab Data:

Allergies: Vicodin, shellfish, iodine, strawberries

Symptoms: Pain and swelling in hands. Shaking and dizziness

Other Meds: N/A

Current Illness: Seasonal allergies

ID: 1042395
Sex: F
Age: 33
State: WY

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

Lab Data:

Allergies: NKA

Symptoms: Rec'vd Moderna vaccine 01/21/2021, 2am the next morning felt nauseous, then had vomiting, 'like ' stomach bug, nothing serious', resolved in 24hrs. Ct states same reaction w/ flu shot. Also had a very sore arm, 'sorest arm I've ever had'. 02/19/2021-appt for 2nd dose cancelled yest r/t emergency shoulder surgery. Ref ct to PCP, re 2nd dose Moderna, post surgery. Ct stated if she didn't have to get for work she would not get the 2nd dose

Other Meds: none

Current Illness: none

ID: 1042396
Sex: F
Age: 39
State: WA

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

Lab Data: NONE

Allergies: NONE

Symptoms: Delayed Cutaneous Hypersensitivity aka COVID Arm -Day 6: Spotty red rash clusters around injection site (left arm) -Day 7: Spotty red rash clusters around injection site (left arm) -Day 8 (post-injection) solid red raised rash, approx. 3.5 inches in length, hot to the touch, firm to the touch

Other Meds: ALLER-TEC

Current Illness: NONE

ID: 1042397
Sex: F
Age: 28
State: GA

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

Lab Data: None, made an appointment to go into flight medical at Kadena AB this coming week.

Allergies: PCN

Symptoms: Had all common symptoms to include; chills, fever, vomiting, pain in muscles and joints, swollen nodes around injection site, and migranes. The adverse event that also followed was/is nerve pain shooting up behind left ear up into skull causing intense pain. These occur 2-4 times every few hours or sometimes every hour. Over 48 hours has passed since getting the vaccine and the pain still occurs.

Other Meds: Women's One a Day multivitamin

Current Illness:

ID: 1042398
Sex: F
Age: 31
State: NV

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

Lab Data: no

Allergies: Penicillin

Symptoms: About 7:00 pm on same day of injection, I felt fatigued and I began to feel chills (around 9 pm). I also had aching and soreness in my hips and legs around 9PM - 10PM as well. All of those symptoms continued through the next day until about 9 pm the next night. (So about 36 hours later.) September 17, 2021 - estimated due date; Pregnancy history - I have had one miscarriage previously. This is my second pregnancy. Normal pregnancy at this time.

Other Meds: Prenatal Vitamin - daily; Monolucastat - Allergy medication (it's allegra or zyrtec) - once a day;

Current Illness: no except I had extreme fatigue after first dose of vaccination that lasted about 24 hours

ID: 1042399
Sex: F
Age: 80
State: OH

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red arm a week after injection

Other Meds:

Current Illness:

ID: 1042400
Sex: F
Age: 31
State: NJ

Vax Date: 01/29/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 2/14/2021 hives and urticaria covering scalp, forehead, neck, back, breast, stomach and arms which got progressively worse. 2/15/2021 Shot of adrenaline administered IM with prednisone 20mg BID x 5 days and Benadryl 50mg QHS. Symptoms unresolved as of 2/19/2021 and returned to Urgent Care for treatment. No change in diet, laundry detergent, personal hygiene regimen or medications.

Other Meds: Levothyroxine Prenatal supplement

Current Illness: NA

ID: 1042401
Sex: F
Age: 87
State: NH

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

Lab Data: None - made an appt with dermatologist for Weds, Feb 24th

Allergies: Allergic to coconut, mild allergy to strawberries, tomatoes Allergic to amoxicillin, lisinopril and latanaprost (glaucoma medication); also can't take Tylenol.

Symptoms: Lips tingling and swelling - same day as vaccine. Also developed a sore underneath the lip Also, slight swelling om side of head (above ear - along hairline) and a small bump, and cheeks slightly swollen. No pain, no nausea. Felt fine otherwise On Monday, red blotch under 1 eye. Lip swelling is reduced. On Tuesday. Redness under 2nd eye slight rash Feeling fine otherwise.

Other Meds: Dietary supplements include: OmegaQ-Plus Visiclear

Current Illness: None

ID: 1042402
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies: None

Symptoms: Severe body aches, chills, fever of 100, headache, fatigue, sore muscles, pain all over

Other Meds: MVI, vitamin D, Benadryl

Current Illness: None

ID: 1042403
Sex: F
Age: 63
State: TX

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

Lab Data: none

Allergies: Iodine codiene morphine levaquine vancomyacin

Symptoms: Round, swollen, circle at site of injection with itching. Lasting at this time two weeks. No treatment other than benedryl cream.

Other Meds: Clonazapam Bupropion HCL XL Fenofibrate Topiramate Pantoprazole Sertraline HCL Sumatriptan Montelukast Tramadol HCL Methocarbamol Levothroxine Zolpidem gabapentin acetomenophen ibuprofen

Current Illness: chronic sinus issues

ID: 1042404
Sex: F
Age: 75
State: HI

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

Lab Data: none

Allergies: sulfa

Symptoms: Felt like my metabolism was racing - couldn't relax to go to sleep. When that stopped, aches at all sites where I had previous injury - knee replacement, other knee, fingers that locked. Felt fuzzy and tired the next day 2/18/2021. Felt normal by 2/19/2021.

Other Meds: synthroid, atorvastatin, chlorthalidone, alendronate sodium, preservision, calcium citrate

Current Illness: none

ID: 1042405
Sex: F
Age: 67
State: CA

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

Lab Data: none

Allergies: shellfish,orgeano

Symptoms: She was sitting and got a slight HA, light headed a little bit also per report. She stated she knew her b/p was high because this is how she always feels every time hr b/p is high. she states she struggle with high and low b/p so she didn't take any of her meds today. Pt took a prn clonidine that was in her purse for b/p 200/100 hr-120 @ 1415. 1445 b/p 180/98, hr-99 pt report HA and dizziness is resolved. Pt instructed to stand up and see how she feels. States she feels fine and is ready to go home. Pt escorted to car with her daughter. Instructed to follow up with MD as needed.

Other Meds: aLDACTONE, zantac, lopressor, clonidine, norvasc,lisinopril, gabapentin,b12,lipitor

Current Illness: none

ID: 1042406
Sex: M
Age: 80
State: CA

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

Lab Data:

Allergies: none

Symptoms: woke at 10:30pm chills teeth chattering got warmed up symptoms went away

Other Meds: pradaxa dabigatran lovastatin sotalol

Current Illness: none

ID: 1042407
Sex: F
Age: 45
State: OR

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

Lab Data:

Allergies: None

Symptoms: Vaccine #1: injection site pain x 2-3 days; injection site swelling, redness, extreme itch days 7-8 post. Vaccine #2: Fever x 12 hours (100-101F before Tylenol); chills x 4 hours; body aches x 12 hours; painful arm x two days

Other Meds: Oral contraceptive pills

Current Illness: None

ID: 1042408
Sex: F
Age: 81
State: NV

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

Lab Data:

Allergies: shell fish, codeine, sulfur, tetracyclines, erythomycin

Symptoms: On Sunday, Feb. 14, I awoke to find my left arm paralyzed. I was unable to move my fingers or thumb. Could not hold anything. Towards the end of the day, I got feeling back in my thumb, first and middle fingers. the outside of my hand, the ring finger and little finger were still numb and I had no control over them. Could not keep them straight. Since Monday was a holiday, the clinic was closed so I sent an email to Dr. explaining the situation. He told me to report to the CDC and that he would refer me to a neurologist. My two fingers and the outside of my hand are still numb. I have seen Dr. and have been referred to a hand therapist.

Other Meds:

Current Illness: none

ID: 1042409
Sex: F
Age: 66
State: AL

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

Lab Data: none

Allergies: sulfa, penicillin, macrodantin

Symptoms: Her injection was at about 10:55 am. About 15 minutes after the injection, patient claimed that she is dizzy, heart is racing. We get her seated. She wanted some water and we gave it to her. Advised her to take her mask off if she wanted. Then she she claimed that her eyes are sensitive to light and her throat is scratchy. We offered her lay down in our immunization room. At 11:45 am, she was laying flat on her back in our immunization room with both legs elevated on chair. She asked to have the light turn off. We have one of our staff to check on her every several minutes. She claimed that her feet were cold. Her husband came in the room with her and gave her his jacket to put on her feet. We offered to check her blood pressure and call EMS for her but she was not interested. At 12:04, she stated that the room is spinning. At 12:30, she was comfortable to get up assisted by one of our staff and leave. We checked on her at 5:25 pm. Per spouse, she is doing better but sleeping at the moment.

Other Meds: none administered to patient

Current Illness: per patient- autoimmune disorder (did not specified)

ID: 1042410
Sex: F
Age: 35
State:

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient was vaccinated on 2/3/21 and (3) days later developed rash on abdomen and hip area (trunk) and axilla. She went to MD provider on 2/10/21 and was prescribed zyrtec 10 mg daily

Other Meds: Penicillin

Current Illness:

ID: 1042411
Sex: M
Age: 35
State: TX

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Covid (2), Strep (all results negative)

Allergies: Ambien

Symptoms: On 1/11 started exp chills, lost of smell/taste (lasted until Saturday) and no fever.

Other Meds: Vit C, Zinc, Vit D,Dexaltin,Adderall, Topiramate, Locenaprile,Sintrelix?, Lunexa(generic), Descovy

Current Illness: No

Date Died:

ID: 1042412
Sex: F
Age: 83
State: FL

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

Lab Data: None

Allergies: NKA

Symptoms: Days 3, 4, 5, 6: Inability to move head in any direction (up/down or L/R) without SEVERE pain. Neck unable to support head unless directly above shoulders. Leaning forward slightly to sit or stand up caused unbearable pain. Unable to lift head from pillow to roll over. Could only swallow food, if neck muscles held tightly with hand to prevent movement. Severe pain caused Vasovagal syndrome fainting. Asymptomatic fever 99.7-100.5 for Days 3, 4, 5. No chills, weakness or aching. Day 7: In A.M., slightly increased head movement possible for first time without pain. By P.M. even better, but still only very limited movement of a few inches possible. Improved daily thereafter. Day 15 (today): Mild stiff neck persists.

Other Meds: Avapro, Synthroid, Vit.D, Multivitamin, Calcium, AREDS2,Biotin

Current Illness: None

ID: 1042413
Sex: F
Age: 90
State: CO

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

Lab Data: N/A

Allergies: morphine sulfate

Symptoms: No adverse reaction seen. Patient was given Pfizer COVID vaccine on 1/28/21 and on 2/18/21 was given Moderna COVID vaccine.

Other Meds: hydralazine, benicar, amlodipine, omeprazole, potassium chloride, cholecalciferol, lasix, flonase, synthroid, glipizide, aspirin, tylenol

Current Illness:

ID: 1042414
Sex: F
Age: 75
State: CA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Woke up very light headed, difficultly standing/walking without loosing my balance. Lasted during the night, woke up next morning without further symptoms

Other Meds: Simvastatin 40mg; Allopurinol 300 mg; Prevegen; Vitamin D3; Citrucell

Current Illness: None

ID: 1042415
Sex: F
Age: 40
State: CA

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

Lab Data: 2/12 MRI C spine No disc herniation. No spinal canal or foraminal stenosis. 2/12 MRI brachial plexus Left axillary and supraclavicular lymphadenopathy and edema surrounding the del

Allergies:

Symptoms: Patient received Moderna COVID 19 vaccine for first dose on 2/3/2021 by drive through vaccine clinic at fire department. She had burning at injection site for 15 minutes, followed by sore feeling. Within 2 hours, she developed severe arm pain from shoulder to hand, and could not move her arm. On that night, she had severe left shoulder pain, and tingling and lumbness of left arm and hand along the radial distribution. Her left hand felt ice cole but actually warm to touch. The next day, she could not lift her left arm due to the pain. She was seen by PCP and was told it could be SIRVA. Since 2/5, she had severe nausea, dizziness, headache, fatigue, verrtigo when turning her head. Symptoms last

Other Meds:

Current Illness:

ID: 1042416
Sex: F
Age: 51
State: AZ

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

Lab Data:

Allergies: None

Symptoms: After first injection, did not feel good starting about 12 hours after the injection for about 24 hours of minor chills, aches, pains and headache. After second injection, did not feel good starting about 12 hours after injection for about 24 hours with full flu like symptoms, nausea, diarrhea, heavy chills, persistent headache, strong body aches, night sweats. After 24 hours, persistent neck, shoulder and arm aches and pain on the right side (same side as injection).

Other Meds: None

Current Illness: None

ID: 1042417
Sex: M
Age: 46
State: HI

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

Lab Data:

Allergies: none

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Approx 7.5 hours after the injection, I began to experience significant fatigue and moderate injection site pain. That night, the arm pain became more severe such that anytime I moved the pain would wake me. I could not lift my arm without severe pain until around 1800 the following day. On 11 Feb, I began to have a low fever around 1000. The fever stayed between 99.0F - 99.8F and persisted until around 1800 that evening. After 1800 on 11 Feb, all symptoms rapidly resolved and I was only left with very minor injection site pain by the morning of 12 Feb.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm