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: 1042468
Sex: F
Age: 75
State: CA

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

Lab Data:

Allergies:

Symptoms: Palpitations, flushing, sweating. BP 190/120 (pulse 119), 210/88, 175/88. Sent to ED and cancelled second vaccine dose.

Other Meds:

Current Illness:

ID: 1042469
Sex: M
Age: 53
State: OR

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

Lab Data:

Allergies:

Symptoms: Loss of balance , lots of weakness in left leg and arm , danger of falling

Other Meds: Atorvastatin,Klor-con, gabapentin, amoldipine, naproxen, lisinopril, metoprolol

Current Illness:

ID: 1042470
Sex: F
Age: 76
State: CO

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Covid Arm starting at the vaccination site, spreading to cover most of my upper arm from shoulder to below the elbow. Red, hot, extreme.y itchy. Began 8 days after injection and lasted about a week. Used ice, Zrytec, Benadryl.

Other Meds:

Current Illness:

ID: 1042471
Sex: M
Age: 49
State: GA

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

Lab Data: n/a

Allergies: hay fever, iodine

Symptoms: headache, mild body aches, fatigue, mental fogginess day and a half after vaccination

Other Meds: hydrochlorothiazide, oxcarbazepine, one a day men's, aspirin, vitamin c, calcium zinc

Current Illness: n/a

ID: 1042472
Sex: F
Age: 65
State: CA

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

Lab Data: Did not call my doctor.

Allergies: Hydrocodone

Symptoms: On Feb. 15, noticed a red ring of about 1cm circling a small mole near the injection site. Itchy, which was why I looked at it. Slightly painful. I rubbed it slightly. Next day, Feb . 16, gone. Day after that, Feb. 17, back again, slightly decreased in painfulness, itchiness, and redness.

Other Meds: None

Current Illness: None

ID: 1042473
Sex: F
Age: 30
State: MA

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

Lab Data: None

Allergies: None

Symptoms: The night after the second dose, I had difficulty sleeping, but that was not particularly unusual. By about 10 the next morning, I started getting joint aches in bilateral hip joints and sacral joints. By 10:30 I suddenly found myself lightheaded and had to sit down so as to not faint. Of note, I had just previous to this lightheadedness donned full PPE to work with a patient (gown, gloves, face shield, N95), not having yet worn it that morning. I did not faint, and was able to sit down for 15 minutes without a mask and drink ice water, but I was not safe to work with my patients (as a physical therapist). I left work and went home to sleep. I did not have a fever or chills. After a 3 hour nap, all of my symptoms resolved. Additional information: I am pregnant, was 16 weeks pregnant at the time. All fetal imaging prior to the first vaccine and after the second vaccine have showed normal healthy development. I am due July 3

Other Meds: Prenatal vitamin Fish oil

Current Illness: None

ID: 1042474
Sex: F
Age: 51
State: GU

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Allergic to sulfa drugs. Sensitivity to certain tree nuts.

Symptoms: Vaccine on 1/27 On 2/4 I experienced soreness in muscle at vaccine site. On 2/5 I noticed a red area on skin at vaccine site No treatment On 2/6 it went away.

Other Meds: Vitamin C, protein shakes

Current Illness: None

ID: 1042475
Sex: F
Age: 56
State: TN

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

Lab Data:

Allergies: Sulfa, psudopherine, flagyl

Symptoms: Fever first night, chills and exhaustion headache for 3 days. On 3rd day I began bleeding (I had hysterectomy in ?96) I have high platelets due to cancer. I take oral chemo to try to keep platelets down. I have been having increased platelets. I went to PCP regarding bleeding asked for them to check platelets and platelets had dropped to 411!!!

Other Meds: Hydroxyurea

Current Illness: Essential thrombocenia (high platelets)

ID: 1042476
Sex: F
Age: 50
State: AL

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

Lab Data:

Allergies: NO

Symptoms: Itching, redness, pain, and swelling at the injection site, loss of appetite, body aches, chills

Other Meds: Herbal: Vitamin D3, Airborne w/vitamin C, Elderberry gummies, Garlic 1000mg, RenewLife Probiotics Women? Care, Pantoprazole 5mg

Current Illness: No

ID: 1042477
Sex: M
Age: 67
State: CA

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

Lab Data:

Allergies:

Symptoms: Dizziness. BP 98/44 (pulse 74); 90/56 (pulse, 86)

Other Meds:

Current Illness:

ID: 1042478
Sex: F
Age: 70
State: AZ

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

Lab Data:

Allergies: Morpheme, demerol, and sulfa

Symptoms: I had an upset stomach that felt very gassy and swollen around 4:00 PM, then I began to throw -up about 2:00 AM . After I threw -up a lot, diarrhea set in. My stomach is still upset today, but have not thrown up. The last loose bowel movement was around 4:00 AM. this morning.

Other Meds: glucosamine & chondroitin 1500mg 2 x daily; calcium citrate w/ vitamin D 630mg 2 x daily; elderberry concentrate 1 tsp. daily; amlodipine besylate/benazepril 5-10 1 daily; celecoxib 200mg 2 x daily (none that day); pantoprazole sodium dr

Current Illness: None

ID: 1042479
Sex: M
Age: 58
State: MA

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

Lab Data: None

Allergies: Penicilin

Symptoms: 2 1/2 inch diameter rash at injection site appeared on day 8. Itchy and painful. Lasted for about 4-5 days.

Other Meds: Omeprazole 10mgs; Mirabegron 50 Mgs.

Current Illness: none

ID: 1042480
Sex: M
Age: 77
State: CA

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

Lab Data:

Allergies: Aspirin

Symptoms: About an hour after the vaccine, my body became frigid. Nothing helped to alleviate condition, eg. sweater, jacket, blanket, etc. This condition lasted about 1 hour after which I felt fine. This was after 2nd Modena vaccine. I had no adverse condition after the first vaccine shot.

Other Meds:

Current Illness:

ID: 1042481
Sex: F
Age: 32
State: AL

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

Lab Data:

Allergies: NKDA

Symptoms: Intense muscle and joint pain in legs following the second vaccination and lasting more than one month.

Other Meds: Vyvanse, lexapro

Current Illness:

ID: 1042482
Sex: M
Age: 60
State: WA

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

Lab Data:

Allergies:

Symptoms: Patient experienced a hive/rash like reaction all over the body around 4 days after the vaccine that progressively worsened. Patient went to to see a doctor on 2/17 and the doctor prescribed hydroxyzine and a cream to help with the hives, which helped lessen the symptoms but was unable to rule out that the reaction was caused by the vaccine. The doctor recommended that the patient still receives the 2nd dose of the vaccine.

Other Meds:

Current Illness:

ID: 1042483
Sex: F
Age: 68
State: OK

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

Lab Data: None

Allergies: Penicillin

Symptoms: Had a rash develop about 3? long & 1 1/2 wide. It started going up my arm about an inch but the stopped progressing up my arm. It itched. Itching stopped but the skin is discolored a pale red.

Other Meds: Vitamin B12, D, E, C & Zinc Citrapram, Melatonin progesterone

Current Illness: None

ID: 1042484
Sex: F
Age: 24
State: IL

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: I had a small red rash that appeared at injection site 24 hours after the shot. It faded fairly quickly and was gone by February 17, one week after injection. February 18th I awoke (8 days after injection) to another red rash that is hot to touch, swollen, red and itchy. It's gotten a lot bigger today February 19th just since 9am.

Other Meds: Levothyroxine, Trintellix, Vitamin D, Olive leaf, feverfew, L-Theanine, choline.

Current Illness: None

ID: 1042485
Sex: F
Age: 23
State: MN

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

Lab Data:

Allergies:

Symptoms: Patient had developed a rash on her chest and slight rash on her injection site after 10 minutes. She felt slightly short of breath. Patient was given diphenhydramine 25 mg and monitored for 35-40 minutes. Blood pressure was taken and patient felt fine.

Other Meds:

Current Illness:

ID: 1042486
Sex: F
Age: 23
State: CA

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: no

Allergies: Sulfa drug

Symptoms: Patient called in and stated she had rash, redness, swollen, local warm at the right arm injection site, like a "kiwi" size, a little bit itching, started 2-3 days after the injection, no fever.

Other Meds:

Current Illness: no

ID: 1042487
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: Nut allergy, Valium

Symptoms: Patient received second dose of Pfizer COVID-19 vaccine today. While in recovery area, patient alerted staff to feeling of swelling in the mouth. Patient was observed sitting in the recovery area in no acute distress, speaking without difficulty, no dyspnea observed. Patient reported feeling of tingling in her mouth/tongue and tingling in the left arm. Patient reported history of reaction to nuts that caused the same sensation in mouth. Denied history of anaphylaxis. Following reaction to nuts, the patient sought care at an Urgent Care facility where they administered benadryl and a steroid. Patient stated she was very nervous to receive this vaccine. I requested for an additional RN to observe patient and assess condition. Second RN assessed patient, discussed recommendation to visit emergency department, and escorted patient to the Emergency Department for treatment.

Other Meds:

Current Illness:

ID: 1042488
Sex: F
Age: 85
State: MN

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

Lab Data: None

Allergies: Nka

Symptoms: 2pm, chills, alternating hot/cold, feverish, fatigue, leg cramps. Sleep, rest.

Other Meds:

Current Illness: None

ID: 1042489
Sex: F
Age: 30
State: OR

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Mesalamine Erythromycin (antibiotic)

Symptoms: I had pain in my arm and a week later I got a really large, red rash around the vaccination site. It was hard to the touch and swollen. It went away within 48 hours. I used a cortisone cream on it to reduce itchiness.

Other Meds: Imuran Birth control

Current Illness:

ID: 1042490
Sex: M
Age: 25
State: NY

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

Lab Data:

Allergies: NSAiDs

Symptoms: I feel week and I have cold sweats.

Other Meds: Omeprazole ,budesonide

Current Illness: Eosinophilic Eosphagitis

ID: 1042491
Sex: M
Age: 75
State: CA

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

Lab Data:

Allergies: bee stings

Symptoms: After the first shot his arm was a little sore, nothing else. After the second shot around 16 hours later he ached all over, his joints hurt, and a dull headache, he was nervous and ran a temp of 99.3?. Had a restless night sleeping 20 minutes then waking up them sleep 20 more minutes through the night. He had a temp of 100.8? temp at 12:30 p.m. He had taken 1,000 mg Tylenol every 6 hours from the time he got the second vaccine. I called his dr. and he relaid the message that he should take 500 mg Tylenol every 4 hours. also since we had a z pac to start that also. At 4 p.m. his temp is 97.8? Still has the headache and muscle weakness. Dr. will call tomorrow.

Other Meds: ezetimibe 10 mg primidone 250mg fenofibrate 145mg atenolol 50mg simvastatin 40mg baby aspirin 81 mg

Current Illness: Peripheral neuropathy and macular degeneration

ID: 1042492
Sex: F
Age: 61
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: sulfa drugs

Symptoms: Around 2am on 1/8/2021 I woke up having chills, nauseas, fever, dizzy felt like I was going to faint, foggy head, very fatigue, shaky weak legs & body aches. The chills, body aches, fevers & dizziness were under 48hrs. The other symptoms lasted till 2 days before I got my second dose. Tight Chest going on but I think it might of been anxiety. Phone consult with doctor and prescribe some steroids.

Other Meds: Bladder infection medication

Current Illness: Bladder infection

ID: 1042493
Sex: F
Age: 73
State: WI

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

Lab Data: None

Allergies: zinc allergy

Symptoms: Moderna COVID-19 Vaccine EUA Vaccine shot at @ 10 am Monday , Febr uary 15. Minor soreness at vaccine injection site. Symptoms started about 12 hours later. 10 pm same day. Left arm became very painful between elbow and shoulder joint. Injection site became very painful. Bec. ame nauseous. Headache and feverish.. Theses symptoms continued for next 24 hours.. Temperature s taken were at 101.2 F and 102.6 F. Oxygen levels (oxcimeter readings) bounced around from 95 to 92 and back to 95. This was during a 24 cycle . At about 9 am on Wednesday., arm soreness was almost completely gone , no nausea, no headache. . Only fatigue was left. It felt like I had a 1 day .Covid attack.

Other Meds: Atorvastantin, solefanacian, fluourmethelone, timolol, Vatamins A, B, C , D , E, Calciium/ Magnesium , Zinc, St Johns Wort, Niacin, Boron, CoQ10, B12, Ashawaganda.

Current Illness: None. Had Covid in November 2020

ID: 1042494
Sex: F
Age: 78
State: LA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had an inflamed arm and contacted her physician.

Other Meds:

Current Illness:

ID: 1042495
Sex: M
Age: 70
State: AR

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

Lab Data:

Allergies: none reported

Symptoms: Patient's wife reported severe shaking and nausea, as well as vomiting and overall not feeling well. She said shaking started in the evening after receiving the vaccine at 4:30 that day.

Other Meds:

Current Illness:

ID: 1042496
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies: Hydrochlorothiazide

Symptoms: On the 2nd day after the shot, I had bad body aches, also at the site of injection my right arm had a 2 inch red round circle, a little raised and hot.

Other Meds: Omeprazole 40MG, Metoprolol Tartrate 25Mg, Lisinopril 10MG

Current Illness: none

ID: 1042497
Sex: F
Age: 32
State: MA

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

Lab Data:

Allergies: None

Symptoms: Arm was very sore the next day along with a strong headache, that I was able to get rid of with ibuprofen. 7 days later 2 small bug bite-like bumps formed and became very itchy. The next day it was a few inches bigger and still itchy.

Other Meds: Prilosec

Current Illness: None

ID: 1042498
Sex: F
Age: 66
State: NH

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

Lab Data: None

Allergies: ? Sulfa

Symptoms: Red, raised, warm, itchy circular rash at injection site. No treatment.

Other Meds: Triamterene-HCTZ Lisinopril Vitamin B Complex VitaminD

Current Illness: N/A

ID: 1042499
Sex: F
Age: 53
State: CA

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

Lab Data: N/A

Allergies: NKDA

Symptoms: Fatigue, chills, body aches, nausea, and headaches that started the evening she received her 1st COVID19 vaccine (Moderna). Symptoms are intermittent and have improved over time.

Other Meds: Lexapro 20 mg PO QDAY

Current Illness: N/A

ID: 1042500
Sex: F
Age: 22
State: MN

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

Lab Data:

Allergies: Nickel

Symptoms: First night, had some fatigue and general muscle aches (2/18). Felt fine next morning, and that evening began developing low grade fever, fatigue, nausea, and general weakness. (2/19)

Other Meds: Gabapentin 200mg 3x day, Doxepin 20mg @ HS

Current Illness: N/A

ID: 1042501
Sex: F
Age: 39
State: AK

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

Lab Data: None

Allergies: None

Symptoms: About ten minutes after administration, the patient developed transient left hand tingling, numbness, and weakness, as well as pain at the injection site. The patient was monitored for another 15 minutes, but it appears that her symptoms, other than the injection site pain, was abating. She denied systemic symptoms.

Other Meds: multivitamins

Current Illness: None

ID: 1042502
Sex: M
Age: 34
State: CA

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

Lab Data: N/A

Allergies: None

Symptoms: Metallic taste in mouth.

Other Meds: None

Current Illness: None

ID: 1042503
Sex: F
Age: 43
State: AZ

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

Lab Data: N/A

Allergies: Penicillin

Symptoms: pain in left arm (similar to getting a flu shot; like someone punched my arm), full body ache, chills, migraine; lasted the entire day

Other Meds: Enskyce - .15mg/.03mg, levothyroxine - 100 mcg, topiramate - 37.5 mg, loratadine - 10 mg, Xolair, B complex, Vitamin D - 1000IU

Current Illness: N/A

ID: 1042504
Sex: F
Age: 73
State: GA

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

Lab Data:

Allergies: None

Symptoms: The morning following vaccination the patient began having "flu-like" symptoms and was getting a temperature of only 94 degrees. She also had redness and swelling at the injection site. Per her doctor, she was advised to take Benadryl, Advil, Tylenol, and apply ice to the injection site. She was scheduled for a video appointment with the doctor for 2/19.

Other Meds: Atorvastatin

Current Illness: None

ID: 1042505
Sex: F
Age: 66
State: VA

Vax Date: 01/29/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: tetracycline keflex nitrofurantoin sulfa drugs cipro

Symptoms: itching, burning, hives, red bumps, peeling

Other Meds: levothyroxine latanaprost multivitamin glucosamine with chondroitin

Current Illness: None This was a reaction to the Moderna Covid 19 vaccination. There is no other place to state this.

ID: 1042506
Sex: F
Age: 58
State: VA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Two days after the vaccination I developed itching and a temporary patch of hives on my back

Other Meds: None

Current Illness: None

ID: 1042507
Sex: M
Age: 17
State: KY

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

Lab Data:

Allergies:

Symptoms: 17 YEAR OLD MISTAKENLY VACCINATED WITH MODERNA VACCINE

Other Meds:

Current Illness:

ID: 1042508
Sex: F
Age: 69
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: No symptoms

Other Meds: None

Current Illness: Low blood pressure none

ID: 1042509
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies:

Symptoms: Around 1 am on 1/29/2021, hot flashes, fever 99, & a little bit nauseas this lasted 48hrs. My legs felt weak & shaky legs and fuzzy head. I feel with no energy. This symptoms are still going on.

Other Meds:

Current Illness:

ID: 1042510
Sex: F
Age: 79
State: CA

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: dairy, seasonal allergies

Symptoms: Swelling, Redness, Rash on vaccination site, rash on back, stomach pains, diharrea, headache, fatique.

Other Meds: coumadin 5mg, synthroid 44 mcg

Current Illness: none

ID: 1042511
Sex: M
Age: 16
State: CA

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

Lab Data:

Allergies:

Symptoms: fluid on knee where inflammatory issues first occur from prior injury

Other Meds:

Current Illness: Injured knee from falling

ID: 1042512
Sex: F
Age: 65
State: PA

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

Lab Data: none

Allergies: pcn bees

Symptoms: Pt reports noticing a rash on both sides of neck that also included itching all over. She said it started about 20 minutes after vaccine while in parking lot. She called us on her way home and clarified no shortness, of breath, wheezing, or itchy throat. I advised her to take Benadryl and have husband closely observe incase she has any respiratory symptoms and if she did to call 911 or head to the ER depending on severity. I followed up with her 30 minutes after she took the Benadryl and she was less itchy. I then called her at 7:30 pm and she said the rash was gone and almost all of the itching as well

Other Meds:

Current Illness:

ID: 1042513
Sex: F
Age: 44
State: AZ

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

Lab Data:

Allergies: Penicillin Sulfa

Symptoms: Aches Exhaustion Sore throat Loss of appetite Loss of taste/smell Headache Diarrhea Stomach pain Chills Fever Extreme swelling on left arm / injection site

Other Meds: Bupropion Tenuate Phentermine

Current Illness:

ID: 1042514
Sex: F
Age: 30
State: FL

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

Lab Data: BPM between 125-150 while laying down still

Allergies: Sulfur

Symptoms: 12 hours after vaccine I started a fever of 100 F and this fever held for about 8 hours even after taking Tylenol 3 times. Adverse reaction started at about 6:30pm on 2/19/21 and it was a rapid heart rate while laying down. The bpm fluctuated between 125-150 and would not stop racing. I took 12.5 mg of metoprolol (which I no longer take) on my own decision to try and lower this heart rate. The rapid rate lasted over an hour and came down within 1.5 hour of taking beta blocker.

Other Meds: Pantoprazole 40mg for acid reflux 3 Tylenol extra strength 1 aleve Allegra allergy pill

Current Illness: No

ID: 1042515
Sex: M
Age: 67
State: TX

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

Lab Data: N/A

Allergies: NKDA

Symptoms: Fever to 101.3, started 28 hours post injection, duration 6 hours.

Other Meds:

Current Illness:

ID: 1042516
Sex: M
Age: 72
State: MI

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: Total body chills in middle of night when I got up to go to the bathroom. Uncontrollable shaking over my entire body. Only lasted for two or three minutes until I got back in bed and under the covers. Same thing happened two nights later about the same time, but I never got out of bed then and it only lasted for a minute or so. It was much less severe and was limited more to my upper body. I was fine both times when I got up in the morning.

Other Meds: PRESCRIPTION - Levothyroxin 125mcg (Synthroid); Esomeprazole Magnesium Dr (Nexium) 40 mg; Celecoxib (Celebrex) 200 mg; Crestor 20 mg; Metformin 500 mg ER; Glipizide 5 mg ER NON-PRESCRIPTION - Loratadine 10 mg; Citrucel; Loperamide Hydrochl

Current Illness: NONE

ID: 1042517
Sex: M
Age: 72
State: CO

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Labs drawn on 2/19/2021 are pending. HLA-B *1502 status unknown.

Allergies: Aspirin

Symptoms: Patient developed a severe skin rash with hives involving 80% of his body 9 days after the vaccine was given. Initally his feet were spared. He had sores on his face, but no facial edema. The rash has felt like an intense burn. He has been on oxcarbazepine since Sept, 2013 without any history of rashes or adverse effects. There were no other new factors other than eating a strawberry 7 days before the rash, and he does not normally eat them. He was seen in urgent care and started on a prednisone taper, now at day #6 of 9, plus hydroxyzine. Hives have resolved, but his skin still is erythematous and burns.

Other Meds: Trileptal, tramadol, clonazepam, doxylamine, lisinopril. This is not a complete list.

Current Illness: No acute illness.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm