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: 1042618
Sex: F
Age: 39
State: OH

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Lymphadenopathy. Painful and swollen lymph nodes in armpit, arm, above collar bone, neck and ear. Began with just armpit and the next day all the rest were painful and swollen. Ibuprofen, after 24 hours they dont feel as painful.

Other Meds: None

Current Illness: None

ID: 1042619
Sex: M
Age: 86
State: LA

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

Lab Data:

Allergies: CODEINE; CYCLOBENZAPRINE

Symptoms: Pt. recieved 1st dose of Moderna vaccine on 5 Feb and presented to the ED with new onset AFIB & abdominal pain on 5 Feb. Patient was discharged on 17 Feb. Home course unknown

Other Meds:

Current Illness:

ID: 1042620
Sex: F
Age: 32
State: FL

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

Lab Data:

Allergies: Latex

Symptoms: Fever, severe body aches, chills, nausea, vomiting, diarrhea, extreme fatigue times 3 days. Symptoms resolved after three days

Other Meds:

Current Illness:

ID: 1042621
Sex: F
Age: 46
State: MN

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

Lab Data:

Allergies: None

Symptoms: Green diarrhea and fatigue

Other Meds: None

Current Illness: None

ID: 1042622
Sex: F
Age: 64
State: TX

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

Lab Data: Seen by primary care Dr.

Allergies: Lidocane Bee stings

Symptoms: Shingles developed in 1 hour after vaccine

Other Meds: Naproxen Atoravadtin Levothyroid Pantoprozole

Current Illness: None

ID: 1042623
Sex: F
Age: 45
State: ID

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

Lab Data: Vital signs

Allergies: nka/nkda

Symptoms: felt faint - ?vasovagal rxn

Other Meds: none

Current Illness: none

ID: 1042624
Sex: F
Age: 68
State: CA

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

Lab Data: None needed

Allergies: Penecillin Keflex Latex

Symptoms: Eight hours after receiving the vaccine. I started feeling flu like symptoms. Skin felt sensitive, had muscle and joint aches, and the inside of my body felt very busy like a raging machine working very hard and getting very hot. The outside of my body was cool however. This lasted from about 10:15 PM to 6:00 AM, keeping me awake all night. At 6:00 AM finally fell asleep for three hours. The rest of that day felt like a mild flu and my body had this weird sensation that it was busy inside almost like drinking too much coffee. The site of the shot was quite sore and only mildly swollen. The next day I was OK and the site of the shot was much better, the site of the shot discomfort was gone by the following day.

Other Meds: Levothyroxine 50 MCG Rosuvastatin Calcium 5 MG Ezetimibe 10 MG

Current Illness: None

ID: 1042625
Sex: F
Age: 43
State: FL

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

Lab Data: None

Allergies: Shellfish, dust, atovaquone, aspirin

Symptoms: Whole arm numbness, mild pain, tingling. Mental fog for half a day on day two. Mild nausea.

Other Meds: Vitamin D, Folic Acid, Zyrtec, Zoloft

Current Illness: None

ID: 1042626
Sex: F
Age: 59
State: MO

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

Lab Data: None.

Allergies: none

Symptoms: I drove 100 miles in a blinding snowstorm to get my 67 yr old cancer patient husband and an 86yr old hypertensive freind. There were a majority of vaccines to small towns around the state instead of to the densest most Covid ridden population in the state. So many cancellations from the many travelling that they closed early and had many openings so I received the COVID shot myself as well. The two men felt fine after. My arm hurt badly for the first 3 days, still tender yet much better today, 2/19. Evening of shot I vomited. FEb 16, day extremely tired and felt overheated all day with muscle aches. . Vomited in afternoon and evening. Wed, 17th, ran a fever, slept late and felt dizzy and tired, all day vomiting every time after trying to eat. Thur 18th, Vomiting all day with chills and fever. Unable to get out of bed for more than an hour. That evening drank Broth, took 2 Aleve, and didn't vomit. Fever went away. Had Drenching night sweats requiring change of pajamas twice. Feb 19, very tired sleeping alot. No longer vomiting. No chills or fever. Remain tired and moderately dizzy. Not taking anything for this beyond the 2 Aleve the day prior.

Other Meds: none

Current Illness: Esophageal reflux

ID: 1042627
Sex: F
Age: 20
State: PA

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

Lab Data:

Allergies: Nuts, sesame seeds, oak tree pollen, cats

Symptoms: Unsure exactly when started but definitely started at least 24h after vaccine. Deltoid was swollen and hard after vaccine which I think it normal, but I had redness sort of under it/toward the front of my arm. Today is now 2 days post vaccine and it has become itchy and painful. I looked it up and saw others are reporting similar things HOWEVER, mine is at least about 4-5 inches away from injection site. I think it may be a mild allergic reaction. I haven?t treated it yet because I don?t know what to do, and I?m hoping it won?t worsen.

Other Meds: Birth Control

Current Illness:

ID: 1042628
Sex: F
Age: 70
State: CA

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Erythromycin,clindomycin, nitrofurtarin, augmentin, amoxacillin

Symptoms: One week after injection, in the evening, my blood pressure dropped to 59/35 and my heart rate jumped to 90.

Other Meds: Keppra, Zoloft, fit d p, magnesium, prolia

Current Illness:

ID: 1042629
Sex: M
Age: 40
State: FL

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 02/19/2021
Hospital:

Lab Data: Appointment scheduled for assistance

Allergies: Doxycycline allergy, shrimp

Symptoms: Shap pain and severe arm weakness post injection. Continues with sharp pains in left upper arm and shoulder along with numbness. Arm and hand grip weak at times as well

Other Meds: Omeprazole 40mg daily

Current Illness: NA

ID: 1042630
Sex: F
Age: 75
State: PA

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: After receiving the Moderna vaccine at health facility, Itching and swelling occurred in area of injection. Size: 5? Appeared about 5 days after injection.

Other Meds: Occuvite, B12, multivitamin

Current Illness: None

ID: 1042631
Sex: M
Age: 73
State: SD

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

Lab Data: none known

Allergies: none known

Symptoms: 10 minutes after patient recieved the Covid vaccine, he reported feeling slightly lightheaded and dizzy. Blood pressure was monitered for an hr. It ran from 224/90 to 204/96. States it usually ran 130's systolic. Patient went to the Emergency Room where he was given amlodipine and monitered. Patient states it went down to 195 systolic. He was allowed to go home. States he had headache, nausea, dizzyness and fatigue in the evening. Those symptoms left around 11;00 the next morning. States he followed up with PA on Monday, who increased his B\PC med. States ED Dr and his PA both felt the symptoms were from the vaccination but both also felt he was okay to receive his second vaccination

Other Meds: B\P med, cholesterol med, rest unknown

Current Illness: none

ID: 1042632
Sex: F
Age: 68
State: CO

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Sever Hay fever to all green things, contact dermatitis , shellfish, prednisone makes my heart rate and blood pressure go dangerously high.

Symptoms: I had itching at the injection site and a feeling of nausea for the first 3 days. Yesterday I noticed that my left arm at the injection site had a "goose egg" that was raised and inflamed. I had a very itchy rash which has lasted into today in spite of me putting triamcinolone on it this morning. I also felt sleepy and off today.

Other Meds: Benedryl, Clonazepam .5 mg, Lexapro 10 mg, Restasis 1drop per eye, T3 mcg, Levothyroxin 33mcg

Current Illness: 2 hay fever shots about 2-3 weeks prior to 1st vaccination.

ID: 1042633
Sex: F
Age: 34
State: IL

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

Lab Data:

Allergies: no allergy on file prior

Symptoms: pt had allergy response, she had trouble breathing and throat closing, pt took Benadryl and the allergy response went away. pcp said to skip second dose.

Other Meds:

Current Illness:

ID: 1042634
Sex: M
Age: 84
State: CA

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

Lab Data:

Allergies:

Symptoms: pt vaccinated on 2/3/21... started with Rt sided Bell's palsy on 2/9/21. given antivirals and steroids

Other Meds:

Current Illness:

ID: 1042635
Sex: F
Age: 25
State: AS

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

Lab Data:

Allergies:

Symptoms: Day after 2nd dose of vaccine, affiliate was at work and began to not feel well. She reported lightheadedness. BP slightly lower at 90/58. Other vital signs stable. 911 called and patient sent to the ED.

Other Meds:

Current Illness:

ID: 1042636
Sex: M
Age: 74
State: WI

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

Lab Data: Hospital 2/16/2021

Allergies: Lactose Intoller

Symptoms: Left CVA Right sided numbness vision loss 2/16/2021

Other Meds: Yes Atorvastatin Fish Oil Avalide Baby ASA Metoprolol Norvasc

Current Illness: Hx prostate cancer 2001 Essential HTN 2012 Mixed Hyperlipidemia 2017 Chronic Kidney Disease Right Thyroid Nodule DM with renal manifestations

ID: 1042637
Sex: F
Age: 42
State: CT

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Notice that my feet have been very cold. Describing as ?freezing? . Aching joints and knees

Other Meds: Women daily multi vitamins

Current Illness: None

ID: 1042638
Sex: F
Age: 21
State: AL

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

Lab Data: ?

Allergies: ?

Symptoms: PATIENT COMPLAINS OF TIGHTNESS IN CHEST AND SLIGHT SHORTNESS OF BREATHE. PATIENTS 02 SAT WAS 97% ON ROOM AIR, HEART RATE IS 100 AND BLOOD PRESSURE IS 106/67. OFFERED TO MONITOR ADDITIONAL 15 MINS AND PATIENT REFUSED. PATIENT STATES FELLS BETTER AFTER SPEAKING WITH R.N.

Other Meds: ?

Current Illness: ?

ID: 1042639
Sex: M
Age: 84
State: LA

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

Lab Data:

Allergies: Tramadol

Symptoms: Pt. recieved COVID vaccine on 6 Feb @0730 and presented to the hospital with chest pain & quesionable stroke. + CT and transferred to another hospital @ 1430, appears CVA (cerebral vascular accident); Cardioembolic stroke; Cerebrovascular accident (CVA), unspecified mechanism; TIA (transient ischemic attack). He was discharged on 10 Feb. Home course unknown

Other Meds:

Current Illness:

ID: 1042640
Sex: F
Age: 29
State: NV

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

Lab Data: N/A

Allergies: No known allergies

Symptoms: Patient received vaccine 2/18/21 about 6:30pm. Patient called pharmacy at 4pm on 2/19/21 to report minor left eye swelling. Patient stated it was not itchy or sore, just noticeably swollen.

Other Meds: Unknown

Current Illness: N/A

ID: 1042641
Sex: F
Age: 42
State: NC

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

Lab Data: None

Allergies: Sulfa

Symptoms: When I got home from work 2/17 I had chills and on the outside my forehead did not feel that hot but when I finally took my temperature it was 100.5. My head also ached a little. I took one 400 mg goldenseal and 250 mg tylenol (I know not to mix the maximum dose of those). I went to bed and I got nauseous and the kind of bubbling air buildup in my abdomen/chest where it's hard to fully expel it that you get when you have a stomach bug or food poisoning even though I didn't have either one of those. And it wasn't from the Tylenol or goldenseal (I never have those side effects with those and goldenseal usually helps my stomach). I was able to fall asleep without getting sick and I woke up sweating as my fever had broken. The next day I still had trouble eating (I had only managed to eat a very little bit before bed the night before, some soup and one bite of bread and one bite of cheese). Mainly little bites of things, cream of wheat, and ultimately working myself back to eating normally toward the night of 2/18. On 2/18 I didn't take my temperature again in the morning and my forehead felt cool to the touch. but I finally took it later in the afternoon, maybe about 3:00 p.m., only to find it was 101.7. That's when I really felt it starting to burn up again. I took a nap for 4 hours and when I woke up it was down to 99.8. It went down to normal by the next morning.

Other Meds: I only had 1 ferrous Bisglycinate (18mg chelated) and 1 vitamin B complex that morning (about 9:20 am).

Current Illness: None

ID: 1042642
Sex: M
Age: 73
State: CA

Vax Date: 02/08/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 10 days after shot 3 in x 1.5 in welt appeared on vaccination site

Other Meds: Advair, atorvastatin, liothyronine, aller-flo, Q10, multi vitamin

Current Illness: None

ID: 1042643
Sex: F
Age: 26
State: CA

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

Lab Data: none

Allergies: azithromycin-vomiting; pcn-rash

Symptoms: Dose given approximately at 1405. around 1409 she reported having tingling in her mouth and lips and a lump in her throat. pt did not have any increased WOB. pt speaking in full sentences but visibly upset. no lip, tongue, or facial swelling. she denied itchiness. no hives found. O2 sat 100%, HR 130s, pulse was not thready. pt reported very bad headache, denied having headache prior to vaccine. reported dizziness and tunnel vision. denied nausea, abdominal pain. BP 156/80. Epi 0.3mg given IM to right thigh at 1422. supplemental O2 provided. ambulance was called, husband of patient was called. within 2 minutes pt reported globus sensation had resolved. tongue tingling resolved. she still had lip tingling. within 4 minutes of epi her HA had resolved, tunnel vision and dizziness also resolved. still no hives, no lip or facial swelling. lip tingling resolving. held on second dose of epi. BP at 1429 was 176/87. pt reported complete resolution of all symptoms upon ambulance arrival except for shakiness which was noted on exam. report given to ambulance services. systolic BP upon transport was 168.

Other Meds:

Current Illness: denied illness at time of vaccination

ID: 1042644
Sex: F
Age: 35
State: AZ

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

Lab Data: N/A

Allergies: Penicillin, buckwheat, soybean, peanut, clam, oyster, eggs, milk

Symptoms: At 50 hours post-vaccine, nausea began; vomited at 52 hours; weakness and nausea remained for an additional 2 hours following vomiting; then for the next 6 hours, experienced chills and coldness in extremities to the point of pain; vomited again at 70 hours post-vaccine, leading to the onset of a severe, excruciating migraine; migraine lasted for 45 hours, accompanied by 14 hours of tears continuously leaking from eyes & nasal congestion; by the end of 5 days post-vaccine, all symptoms had subsided. No treatments were administered outside of ibuprofen (which seemed to have no effect) and a heating pad.

Other Meds: Levothyroxine, Women?s daily multivitamin

Current Illness: N/A

ID: 1042645
Sex: F
Age: 74
State: TX

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

Lab Data: none - just waited the symptoms out; was really concerned about the brain fog and the balance problems and severe headaches

Allergies: sulfa rash prilozec weakness, rash slow pulse chills diarrhea flagle headache biaxin thrush on tongue

Symptoms: Dizzyness immediately after taking vaccination lasted 2-3 days Brain fog within thirty minutes of vaccination - lasted two days Severe headache for three days (took 2 tylenol every 6 hours for 3 days) balance problems the morning after the vaccination cough (only lasted two days) fatigue and achiness for about three or 4 days soreness at vaccination site (for several days)

Other Meds: Incruse Ellipta inhalation powder 62.5 mcg 11:00 am Breo Ellipta inhalation powder 200mcg/25mcg 11;05 AM Albuterol inhalation by nebulizer 1 Tube

Current Illness: emphysema COPD diaphramic hernia gastric influx

ID: 1042646
Sex: F
Age: 39
State: MA

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

Lab Data:

Allergies: None

Symptoms: ?Covid arm? 3x3 raised, itchy round pink rash a few inches below injection site, pain in under arm pit of same arm

Other Meds: None

Current Illness: None

ID: 1042647
Sex: F
Age: 65
State:

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

Lab Data:

Allergies: No

Symptoms: Itchy, swollen rash on arm

Other Meds: No

Current Illness: No

ID: 1042648
Sex: F
Age: 25
State: NJ

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

Lab Data:

Allergies: Cefzil

Symptoms: Received Pfizer covid vaccine #1 on 2/17 at 0800. On 2/18 at 1100 AM I developed diffuse hives head to toe. No respiratory symptoms. Only known allergy is cefzil.

Other Meds: None

Current Illness: None

ID: 1042649
Sex: F
Age: 39
State: GA

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

Lab Data:

Allergies: Latex, Penicillin, Gabapentin, Sulfa

Symptoms: Hives, severe itching, leg pain

Other Meds: Benadryl, Zanaflex

Current Illness: None

ID: 1042650
Sex: F
Age: 42
State: CO

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

Lab Data: None

Allergies: Codeine

Symptoms: Chills, headache, arm pain, joint pain, muscle pain, injection site pain

Other Meds: Fish oil, women?s alive multi, vitamin c, vitamin d, rephresh

Current Illness: None

ID: 1042651
Sex: F
Age: 50
State: OH

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Hot red area on arm well below the site of injection

Other Meds: Lexapro, estradiol, vyvanse

Current Illness: None

ID: 1042652
Sex: F
Age: 38
State: OR

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

Lab Data:

Allergies:

Symptoms: Nausea "weird feeling on the my tong" numbness of the tong

Other Meds:

Current Illness:

ID: 1042653
Sex: F
Age: 40
State: CT

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

Lab Data:

Allergies: None

Symptoms: Fever, body aches, joint pain, headache Took Advil without much luck

Other Meds: Fluoxetine

Current Illness: None

ID: 1042654
Sex: F
Age: 33
State: AZ

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

Lab Data: None.

Allergies: Anaphylactic reaction to sulfa antibiotics

Symptoms: 20 hours after: fatigue, sore muscles, aches, painful joints. Despite lots of fluids, feeling dehydrated and ill. 48-50 hours after, large red splotch on left arm slightly below where shot was given. The splotch is very tender, red and irregular shape.

Other Meds: Prenatal vitamin and 2000 iu Vitamin D, both daily.

Current Illness: None

ID: 1042655
Sex: M
Age: 47
State: IL

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

Lab Data: N/A

Allergies: Unknown agent- allergic reaction Anaphylaxis

Symptoms: Itching and rash to both arms and redness on the entire back. Benadryl 25 mg IM given and patient was escorted to urgent care.

Other Meds: None

Current Illness:

ID: 1042656
Sex: M
Age: 24
State: NY

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

Lab Data:

Allergies: Penicillin

Symptoms: Chills, fever(highest 102), headache, nausea,diarrhea. Tylenol used.

Other Meds: Multi-vitamins Vitamin D

Current Illness: None

ID: 1042657
Sex: M
Age: 38
State: CO

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

Lab Data:

Allergies:

Symptoms: Sore arm, body aches, chills, body rash

Other Meds:

Current Illness:

ID: 1042658
Sex: F
Age: 75
State: CA

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

Lab Data: None

Allergies: Sulfur

Symptoms: Body aches, moderate to extreme. Chills. Fever-101.3, then during the night. Fever began about 4:00 pm on 2/18 and broke about 1:30 am on 2/19.

Other Meds: Hyroclorthizide Crestor Hippa Generic clarion Vit: c, calcium, zinc,, multi,

Current Illness: Soreness from working out a my gym.

ID: 1042659
Sex: F
Age: 33
State: IL

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

Lab Data:

Allergies:

Symptoms: Rash at injection site

Other Meds: Ibuprofen PM

Current Illness:

ID: 1042660
Sex: F
Age: 79
State: AZ

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

Lab Data:

Allergies: None known

Symptoms: Very tired Arm itchy at injection site

Other Meds: Xalerto, crestor, Zoloft, sotalol, horse chestnut extract, calcium citrate, co q 10, fish oil, ginkgo Blioba, glucosamine with chondroitin, lute in, multi vitamin, probiotic, stool softener, 1000 mg vitamin c, 5000 is vitamin D, 400 out vi

Current Illness:

ID: 1042661
Sex: F
Age: 52
State: UT

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

Lab Data:

Allergies: Possibly Levaquin-severe vertigo

Symptoms: Pain around injection site much worse than 1st 2 days after shot which limited use of arm, large lump and localized swelling near site, hives- like redness about 2inches diameter along with smaller spots, hot and itchy. Better with topical hydrocortisone and oral Benadryl after 2 days. Residual muscle pain.

Other Meds: Singulair QD Pepcid AC 20 mg QD Estroven Fluticasone spray BID

Current Illness: Had started a wean off of venlafaxine 37.5 mg that day after reducing from 75 mg for 3.5 weeks

ID: 1042662
Sex: F
Age: 61
State: AZ

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

Lab Data:

Allergies: Penicillin

Symptoms: 9 days after vaccination I developed a firm itchy rash at vaccination site Day of vaccination I developed headache and back muscle aches about 8 hours after shot.

Other Meds: None

Current Illness: None

ID: 1042663
Sex: F
Age: 70
State: CA

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

Lab Data: I had a Shingrix shot and a flu shot on December 16th; don't know which was in which arm. I started worrying today that the new rash could be an early sign of shingles, perhaps being activated by the Covid shot. (I've never had shingles. But I do have herpes -- I forgot to mention that on the page of this form that asks about chronic conditions.)

Allergies: none

Symptoms: Itchy red rash around injection site started this last week, now about 4" x 3" in area. No blisters, nothing that breaks the skin.

Other Meds: famotidine (once a week); ibuprofen (400 mg daily); Slimquick Pure. Started taking turmeric in the last week (coincidentally? when the itching started)

Current Illness: none

ID: 1042664
Sex: F
Age: 40
State: WA

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

Lab Data: Blood tests pending

Allergies: Morphine

Symptoms: I had heart palpitations that were verified as PVC?s

Other Meds: Advair, Flonase, vitamin d, and multivitamin

Current Illness: None

ID: 1042665
Sex: F
Age: 34
State: LA

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

Lab Data: Not applicable

Allergies: Sulfonamides

Symptoms: Red, non-pruritic, non-raised rash on chest that spread to the abdomen and trunk. Submitted photos of rash via text message to primary care doctor. Patient spoke on the phone with primary MD after he saw the photos. MD prescribed Prednisone 20 mg daily x 5 days. Rash cleared by day 3 of prednisone course.

Other Meds: Fish oil dietary supplement Multivitamin Vitamin C Vitamin D B complex vitamin Zyrtec Magnesium supplement Probiotics Gas-x Zinc supplement

Current Illness: Not applicable

ID: 1042666
Sex: F
Age: 71
State: WA

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

Lab Data:

Allergies: NSAIDS...severe reaction...anaphylaxis.

Symptoms: Today at about 3:30 pm, I was nauseous, headachey, fatigued, chills, temp of 99 degrees, and feeling like I had the flu. I napped for an hour and a half. Previously, on the first 3 days after the shot, I had tenderness at the injection site, sore arm, and had headaches.

Other Meds: Levothyroxin, hysdrochorothiazide, Allegra, Pepcid, glucosamine MSM.

Current Illness: Knee replacement in February, 2020.

ID: 1042667
Sex: F
Age: 56
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Received the vaccine around noon 2/18/21. Began feeling unwell the same day around 7pm. Right now it's 2/19/21 at 7:50 pm and I continue to have severe headache, all-over body aches and feel like I had a fever but don't according to thermometer. I am feeling worse as time progresses.

Other Meds: Celexa, vitamin D, lipitor, pepcid, singulair.

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm