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: 1043148
Sex: F
Age: 18
State:

Vax Date: 07/02/2013
Onset Date: 05/01/2014
Rec V Date: 02/20/2021
Hospital:

Lab Data: Polysomnogram (PSG); Multiple Sleep Latency Test (MSLT)

Allergies: Vancomycin, peaches, dust, mold, cats,

Symptoms: Same day of vaccine became sick with a fever, lightheaded and unsteady motor coordination that required assistance to prevent fall. Excessive daytime sleepiness unrelated to other health conditions with thyroid levels being within normal limits at the time. Excessive daytime sleepiness persisted for 2 years before sleep study referral. Completed sleep study, including the PSG and MSLT. Results from those tests indicated an appropriate diagnosis of Narcolepsy without Cataplexy; Follow up with specialist sleep doctor every 6 months. Prescribed Armodafinil and Xyrem to treat the symptoms of Narcolepsy and to continue daily functioning and responsibilities.

Other Meds: Bactrim, Synthroid, Liothyronine

Current Illness:

ID: 1043149
Sex: F
Age: 74
State: WA

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: Covid Arm. swollen, hard, itchy 2/3 welt appeared exactly one week after injection. Over the next 2-3 days the swelling and itch spread around 3/4 of my arm. Now, exactly 2 weeks from the vaccination, the primary site is no longer very itchy and the swelling and redness are mostly gone unless irritated, but there is still itching on the flabby regions on the front and back of my arm. Fairly well controlled now with hydrocortisone.

Other Meds: Losartin, hydrochlorothiazide, Atorvastin. ibuprofen

Current Illness: none

ID: 1043150
Sex: F
Age: 73
State: PA

Vax Date: 02/10/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Received 1st Moderna Vaccine on 2-10-21. On 2-19-21 woke up with itching, swelling and slight rash around injection site. Not as red or swollen today 2/20/21. Wanted to know if this is normal and okay to get second vaccine scheduled for 3/9/21

Other Meds: Synthroid 100MCG; Diltiazem 240 MG; Metoprolol ER 50mg; Garlic Supplement, Fish oil, Multivitamin

Current Illness: none

ID: 1043151
Sex: M
Age: 68
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, chills, slight fever, sore arm overnight and into next day

Other Meds: estradiol

Current Illness:

ID: 1043152
Sex: F
Age: 38
State: IN

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Codeine drugs (itching) Torodol (breathing)

Symptoms: Several red patches of skin, varying in size around the injection site. Skin is swollen and warm to the touch. Patches range in size from half dollar size to 2 inches in length and 1 inch in width. There are no other symptoms or complaints at this point.

Other Meds: Levothyroxine 112MCG Citalopram 20MG Ferrous Sulfate 325 MG Biotin 10,000 MCG

Current Illness: None

ID: 1043153
Sex: F
Age: 25
State: CT

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Right hip pain with standing and walking, started 1 day after vaccine, got worse for 1 week, then got better

Other Meds: vitamins

Current Illness: No

ID: 1043154
Sex: F
Age: 82
State: OH

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

Lab Data:

Allergies:

Symptoms: Patient received second dose of COVID vaccine on 02/19/21. That evening, she experienced weakness in her legs and her legs wouldn't support her. She fell down and ended up sleeping on the floor all night. She was able to stand this morning, 02/20/21 and feels fine.

Other Meds:

Current Illness:

ID: 1043155
Sex: F
Age: 69
State: FL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: SHE REPORTED THAT SHE SAW DR AFTER HER INJECTION AND SHE WAS WAITING ON BLOOD WORK RESULTS.

Allergies: Rx file lists aspirin, codeine, sulfa but when asked about allergies prior to vaccinations she selected "no" when asked " do you have any allergies to medications, food or any vaccine?" on the immunization appointment form.

Symptoms: PT CALLED TO REPORT SOB BUT SAID SHE ALSO HAS PANIC DISORDER AND HAD FREQUENT SOB BEFORE HER MODERNA SHOT BUT FEELS IT HAS GOTTEN A BIT WORSE SINCE THE SHOT. SHE SAID SHE HAS SEEN DR SINCE HER SHOT AND DR ADVISED PT TO GET 2ND DOSE AND TO SEE HER PSYCH DR REGARDING THE SOB. SHE ALSO REPORTED SORENESS IN THE LEFT ARM FOR 10 DAYS. PT WAS COUNSELED REGARDING POSSIBLE SIDE EFFECTS OF MODERNA AND TOLD TO SEEK IMMEDIATE MEDICAL CARE IF SHE IS EXPERIENCING TROUBLE BREATHING. SHE WAS TALKING NORMALLY AND DISPLAYED NO SOB WHILE ON THE PHONE. SHE ALSO SAID THE SOB "COMES AND GOES" BUT HER CLONAZEPAM AND MIRTAZEPINE RESOLVE IT. SHE DID NOT HAVE ANY SWELLING OF THE FACE OR TONGUE, RASH OR OTHER CONCERNS.

Other Meds: clonazepam, mirtazapine

Current Illness: none

ID: 1043156
Sex: F
Age: 79
State: MI

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: none

Allergies: Previous allergic reaction to succinylcholine

Symptoms: Itchy and sore patch on upper arm area where injected. Slight swelling and redness of area the size of a typical gauze pad, website gives a good description of my symptoms. Waiting to see if this subsides as it is suggested that it will.

Other Meds: Eliquis, Metroprolol, Levothyroxine, Celexa, Lipitor, Calcium +D3, Ojibwa Tea Concentrate

Current Illness: none

ID: 1043157
Sex: M
Age: 71
State: PR

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: MY HAND AND FINGERS FELT RIGID AND PAINFUL IN ALL THE JOINTS. I COULD NOT MOVE MY FINGERS. AT THE SAME TIME I HAD AN INTENSE CRAMP ON MY THIGHS WITH THE MUSCLES VERY TIGHT, IT LASTED ABOUT THREE HOURS.

Other Meds: LOSARTAN, SIMVASTATIN, DILTIAZEM, AMLODIPINE, JANUMET, LANTUS, LYRICA, FLOMAX

Current Illness: DIABETES, HIGH BLOOD PRESSURE

ID: 1043158
Sex: F
Age: 78
State: ME

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: Vitals WNL (slightly hypotensive from baseline)

Allergies: NKDA

Symptoms: Potential Absence Seizure duration 5-10minutes, vomiting at conclusion. Episode occured roughly 40 minutes post vaccination. Patient returned to her baseline following episode. EMS called and patient evaluated in ED and returned to facility with no lasting effects.

Other Meds: ASA 81, donepezil 5mg, Lisinopril 40mg, oxycod 5mg, melatonin

Current Illness: Pain (new medication oxycodone recently initiated)

ID: 1043159
Sex: F
Age: 87
State: NC

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

Lab Data:

Allergies: ACTONEL RISEDRONATE SODIUM), ASTELIN (AZELASTINE HCL), SUFA-DRUGS, PENICILLINS, and TEQUIN (GATIFLOCACIN)

Symptoms: Called to assess pt in post vaccine waiting area due to c/o swollen tongue at 10 Am. Pt reports tongue swelling after her first dose, worse now after 2nd dose with sensation of swelling in her throat/back of tongue. No c/o itching, no visible urticaria. No shortness of breath/wheezing. Radial pulse in 70's. Pt reports tongue looks swollen to her in when she looks in mirror in the car. Med/allergy info in hand - multiple drug allergies noted. Did not meet criteria to receive epi pen, wamc EMS contacted to transfer pt to ED for further eval. Spouse headed to ED from fairgrounds site. Foglia MD

Other Meds:

Current Illness:

ID: 1043160
Sex: F
Age: 87
State: OK

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: The vaccine was administered after a previous dose of Pfizer 4 days apart. Patient was brought to receive the vaccine at two different sites by two different caregivers. Called the patient on 2/10/21 and 2/12/21 and patient was not experiencing any adverse reactions. Notified son who is the primary guardian to report any adverse reactions and that a follow-up dose of either vaccine was not recommended by CDC guidelines.

Other Meds: None known

Current Illness: None Known

ID: 1043161
Sex: F
Age: 49
State: MS

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: At day 10 I woke up, my injection site was swollen, hard, feverish and itching.

Other Meds: Metformin Protonix Lisinipril Levothyroxine Tresiba Ozempic B12 Vitamin c Vitamin d

Current Illness: None

ID: 1043162
Sex: M
Age: 40
State: IL

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Body aches on day 2 after vaccine administered. Rash appeared on day 8 after vaccine was administered. Rash lasted 3 days.

Other Meds:

Current Illness:

ID: 1043163
Sex: F
Age: 81
State: CT

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

Lab Data: Vital signs stable per EMS

Allergies: Not listed in VAMS

Symptoms: Both pt and her husband were sitting in observation after receiving their COVID19 vaccination. They both reported feeling tingling in their throats and a strange taste in their mouths. Trinity EMS was already available in clinic. They evaluated both recipients who then reported feeling better. Both recipients signed refusal for transport to the hospital.

Other Meds: not listed in VAMS

Current Illness: None

ID: 1043164
Sex: F
Age: 25
State: CT

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None, PMD stated that she had not heard of this adverse reaction to the vaccine

Allergies: No

Symptoms: Bilateral hip pain with standing that developed 1.5 days after vaccination and is currently continuing to get worse. Taking motrin for symptomatic relief

Other Meds: No

Current Illness: Except with previous COVID vaccine

ID: 1043165
Sex: F
Age: 35
State: CA

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 02/20/2021
Hospital: Y

Lab Data: As above

Allergies: none known

Symptoms: Pt had first Phizer Covid shot on Dec 23. Three days later started to feel weak, and body aches and jaundice. I see her in emergency for weakness realted to her new anemia. Her hemoglobin was 12 on Nov 30 , Dropped to 7. 4 when I see her Jan 12. Her bilirubin todal on Jan 12 2021 is 6.4. Impression ; New onset symptoms and findings of hemolytic of anemia / autoimmune reaction starting few days after receiving first Covid shot. . Hemoblobin eventually declined to 4.0 Feb 1. She tells me treated with eppogen shots and prednisone and not Feb 18 . Hemoglobin now 9.9 , and she is feeling better per phone conversation with her on 02-20-2021. She tells me there was never any history of bleeding during this event.

Other Meds:

Current Illness: Had Ulcerative Colitis and had colectomy Jan 2020

ID: 1043166
Sex: F
Age: 29
State: IL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: N/A

Allergies: Ceclore

Symptoms: Temperature 103.7 Shakes Chills and sweats Headache Fatigue

Other Meds: Escitalopram 15 mg; Acetaminophen; and Nyquil to lower fever after vaccination

Current Illness: N/A

ID: 1043167
Sex: M
Age: 70
State: NV

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: Abnormal labs: On day 12, ALT 815, AST 755 and total bilirubin of 1.9). On day 14, his ALT was 349, AST 106, TB 1.6 DB 0.5 and his Lipase was 839. By day 20, ALT 82, AST 25, Lipase 439, Amylase 124, Pertinent negatives, Covid nasal swab on day 14, except as above, the rest of the complete metabolic panel on days 12, 14 and 20, CBC with diff, ceruloplasmin, ANA, anti-smooth muscle antibody, liver-kidney microsomal antibody, urinalysis, Hep C ab, Hep Bs Ag, Hep Bs Ab, Hep A IgM, EBV panel, CMV IgM, EBV acute panel, alpha-1-antitrypsin level, iron, TIBC and ferritin.

Allergies: Bactrim (rash)

Symptoms: Patient developed severe epigastric pain, nausea, diarrhea, urinary frequency 2 days after his Moderna vaccine. A medical assistant who saw him around day 14 said he looked jaundiced.

Other Meds: MVI, ASA 81 mg daily

Current Illness: none

ID: 1043168
Sex: M
Age: 22
State: AL

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

Lab Data:

Allergies: Truvada

Symptoms: Nausea, fatigue, fever, severe muscle aches

Other Meds: Descovy

Current Illness:

ID: 1043169
Sex: F
Age: 75
State: CA

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Light red rash about 2.5 x 4" around vaccination site and itchy. Took about a week to clear up.

Other Meds: Lisinopril HCTZ, Lisinopril, Meloxicam, Garlique, Multivitamin - both with and without iron, AREDS2, Calcium, Magnesium, Red Yeast Rice, Vitamin D, COQ10, Biotin.

Current Illness: none

ID: 1043170
Sex: F
Age: 37
State: MI

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient has generalized anxiety disorder . Onsite EMS was called vitals BP 132/76 98% O2 room air HR 80. Patient refused evaluation/care, Left aginst medical advice.

Other Meds: Synthroid Pill

Current Illness:

ID: 1043171
Sex: M
Age: 84
State: WI

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

Lab Data: none

Allergies: none

Symptoms: Irregular,fast hearbeat low blood pressure,8 hours

Other Meds: warfarin,diltiazem,simvastatin,aspirin,tylenol

Current Illness: none

ID: 1043172
Sex: F
Age: 59
State: CO

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Erythromycin

Symptoms: On day 7 after first dose of Moderna, injection site has a bumpy, itchy rash the size of a quarter.

Other Meds: Restasis eye drops; multi-vitamin; vitamin d supplement; evening primrose oil; digestive enzyme; CoQ10

Current Illness: None

ID: 1043173
Sex: F
Age: 58
State: IL

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Arm is itchy, red, and a little swollen.

Other Meds: vitamin D3 5,000 units daily

Current Illness: None

ID: 1043174
Sex: F
Age: 78
State: MA

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Sulfa; dairy and gluten intolerance; also the food preservative called sodium tripolyphosphates

Symptoms: Did NOT occur until 1 week AFTER injection: pain, tenderness, swelling in upper arm & pain, hardness and redness; these were preceded by diarrhea and fatigue. Better in 2/3 days.

Other Meds: Lisinopril, aspirin, Atenalol, Norvasc, Atorvastatin,metformin, glipizide, Ozempic, Vitamins: D3, B12,C and Multivitamin

Current Illness: None

ID: 1043175
Sex: F
Age: 76
State: CA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: none

Allergies: Thiomersal, sulfa drugs

Symptoms: The area around my eyes turned red and puffed up for at least 48 hours. I have never had Botox or any other injections around my eyes. This happened after the first dose, also.

Other Meds: Covid vaccination

Current Illness: none

ID: 1043176
Sex: F
Age: 68
State: AZ

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

Lab Data: None

Allergies: Nsaids, Iodine, Wheat, Spices, Peppers, Berries, Red Grapes

Symptoms: Eight days after the first injection a slight, itchy rash developed under the site. The morning after the second dose I woke with a headache, which I still have four hours later and the injection site is more sore than the first injection.

Other Meds: Lisinopril 10 mg, Multi-Vitamin, Probiotic

Current Illness: None

ID: 1043177
Sex: M
Age: 73
State: MI

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Occasional mild eruption associated with the use of bandaids. When present, always confined to the areas exposed to adhesive.

Symptoms: Puritic Confluent erythematous eruption left arm. Worsened over the course of one week then resolved over 2 days. There were no systemic symptoms.

Other Meds: Metoprolol 100mg qd, spironolactone 25mg qd, Lisinopril 25mg qd, Stimvastatin 40mg qd, and Eloquis 5mg bid.

Current Illness: None

ID: 1043178
Sex: M
Age: 38
State: MN

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

Lab Data:

Allergies:

Symptoms: Approximately 15 minutes post injection, PT began complaining of severe itching on back and shoulders, but not about the injection site. PT promptly began to itch himself aggressively. No visible rashes or hives appeared anywhere; no involvement of the face, lips, or throat. Staff at the care facility in which the PT resides attested to this being a typical behavior of this patient when he is experiencing stress or anxiety. Nevertheless, the patient was monitored until his agitation subsided. Epinephrine was not administered.

Other Meds:

Current Illness:

ID: 1043179
Sex: M
Age: 83
State: CT

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

Lab Data: Vital signs stable per EMS

Allergies: Not listed in VAMS

Symptoms: Both pt and his wife were sitting in observation after receiving their COVID19 vaccination. They both reported feeling tingling in their throats and a strange taste in their mouths. Trinity EMS was already available in clinic. They evaluated both recipients who then reported feeling better. Both recipients signed refusal for transport to the hospital.

Other Meds: Not listed in VAMS

Current Illness: unknown

ID: 1043181
Sex: M
Age: 70
State: NJ

Vax Date: 02/17/2021
Onset Date: 03/17/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: arm nearly paralyzed and very painful for about 35 hours post injection; fever 101 for 24 hours: chills and mild night seat occurred during evening for 2 nights post; 2 days of tolerable fatigue; now, while almost 3 full days after injection, i'm feeling about 95% recovered, experiencing only very mild pain at injection site only. tested positive for covid on 10/22/2021 qualitative naat; tested negative on 11/05/2021 qualitative naat; symptoms worse with injection then with actual infection with covid 19 virus.

Other Meds: metoprolol tartrate; atorvastatin; baby aspirin; ground flax seed; turmeric powder;

Current Illness:

ID: 1043182
Sex: F
Age: 62
State: MN

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: I have a large red area on my arm that is about 5x5 inches. It feels hard and warm and sore to the touch. It starts about 2 inches below the vaccination site and goes down almost to the elbow bend. I first noticed 1 1/2 days after I received the vaccine and has gotten bigger than when I initially noticed it. As of now, it has been present for 1 1/2 days. It has recently become itchy. I did have the other typical symptoms for 24 hours starting the morning after receiving the vaccine-sore arm, body aches, nausea, headache-but those have gone away. I have not contacted a physician or had any treatment.

Other Meds: none

Current Illness: none

ID: 1043183
Sex: F
Age: 76
State: IL

Vax Date: 02/14/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: Loose bowels, cramping (Thursday); Diarrhea, cramping, vomiting (Friday); cramping (milder) and loose bowels (Saturday/today). Talked with nurse at doctors office, they pointed me to the COVID hotline.

Other Meds: Vitamin B6, B12, Calcium, D3, Escitalopram, Atorvastatin. Received Eventis osteoporosis shot in both arms on Wednesday, February 17th, the day before symptoms arose. Practitioner told me my COVID vaccine was not a contraindication.

Current Illness: None

ID: 1043184
Sex: M
Age: 40
State: TX

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

Lab Data: None

Allergies: Codeine

Symptoms: Strong fever

Other Meds: None

Current Illness: None

ID: 1043185
Sex: F
Age: 33
State: ID

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

Lab Data: NONE

Allergies: NKDA

Symptoms: Patient did receive 1st dose of eyes or vaccine and after roughly 7 minutes patient reports she started to feel anxious, dizzy, sweaty and pale. Patient was triaged this provider. Able to speak in full sentences without difficulty. Patient felt this way for roughly 5 minutes. Throughout the entire encounter patient never reported having any difficulty breathing, facial swelling, tongue swelling, throat closing sensations, rash, hives. Patient does report that she has had this reaction previously with other injections or blood draws. Patient was given water and apple juice which does seem to help calm her down greatly and after roughly 5 minutes patient reported feeling normal however did feel nauseous for roughly 10 minutes after vaccine. Patient was observe for additional 20 minutes which time patient felt like she had complete resolution of all of her symptoms. No further intervention was had during this encounter. Vital signs were taken and oxygen was 99 percent and heart rate varied between 90 and 110. Prior to discharge patient's heart rate was less than 90. Of note patient reports that she is 12 weeks pregnant. Saw OBGYN yesterday and denies any known complications associated with current pregnancy. Denies any abdominal pain, vaginal bleeding.

Other Meds: NONE

Current Illness: NONE

ID: 1043186
Sex: U
Age: 72
State: KY

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

Lab Data:

Allergies: Morphine

Symptoms: 1st vaccine 2/19/21; developed fever, SOA, and chills same day; seen in ED on 2/20/21 for continued symptoms. Had a lithotripsy 2/18/21.

Other Meds:

Current Illness:

ID: 1043187
Sex: F
Age: 43
State: OR

Vax Date: 01/31/2021
Onset Date: 02/10/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: No tests were done as of yet.

Allergies: penicillin and compazine,

Symptoms: Started with hives on my left hand, then hives on my right hand. Put some cortisone cream. Over 4-5 days the hives got increasingly worse and spread to my ears, nose, cheeks, eyebrows, face and neck. Monday 2/15/2021 it was beyond uncomfortable and it felt like a pea sized lump was in my throat causing me to worry my breathing might be affected. Went to the ER/Urgent care. I was given a shot of solumedrol, and a predisone pack and given an ointment for the rashes, Triamcinolone. I saw my PCP the following day as it was a scheduled appointment but wanted to see her to update her on this event. I then developed allergies to the ointment worsening the rash. She advised on 2/19/2021 I stop taking the predisone pack and gave me 7 days of 20 mg predisone instead and prescribed a different ointment that is not due to arrive until Monday 2/22/2021. As of today 2/20/2021 the rash is still growing up my arm over my elbow and now I have some hives on my legs and back.

Other Meds: one 25 mg of benedryl and two tylenol

Current Illness: none

ID: 1043188
Sex: F
Age: 66
State: NH

Vax Date: 09/08/2017
Onset Date: 09/15/2017
Rec V Date: 02/20/2021
Hospital:

Lab Data: See above

Allergies: Penicillin, balsam topical, Bactria, sulfa salazine, chocolate, citrus

Symptoms: Symptom onset began one week after vaccination. First symptoms were extreme sensitivity in both hands and inflammation, cracking, erythema, soreness of cuticles on all fingers on both hands. Was seen by NP at primary care office, was misdiagnosed and recommended to soak hands in warm water. Went to Urgent Care about a week later, because problem persisted and new symptoms of Scalp itchiness, redness, sensitivity of scalp started. MD told patient to see a dermatologist. Patient made an appointment with a dermatologist, Dr., has blood work, scalp biopsy, examination, allergy scratch testing done. Diagnosed patient with dermatomyositis, which was confirmed with Dr. and second Dr. Started patient on hydroxychloroquine. Later was started on methotrexate. Patient was referred Dr. and started IVIG therapy. Symptoms persist despite these treatments.

Other Meds: None

Current Illness: None

ID: 1043189
Sex: F
Age: 73
State: FL

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Several canker sores appeared. Has been 6 days and still have them. Seems as if a couple more are developing.

Other Meds: 20mg bystolic, 100 mg losartan,10mg zeta, 25 mg spironolacton

Current Illness: None

ID: 1043190
Sex: F
Age: 20
State: IL

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large red circle surrounding vaccination site. Warm to the touch. First noticed about one week after vaccination.

Other Meds:

Current Illness:

ID: 1043191
Sex: F
Age: 79
State: FL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: Have not seen a doctor yet.

Allergies: No.

Symptoms: On Day 2, I had chills and a bit of temperature (100.6), nauseousness for 2 days, on day 3 and 4, I experienced stiffness in my neck and left ear intermittent pain. Also a tightness feeling around my neck and head.

Other Meds: Triamterene HCZ, Nitrofurantoin, Simvastatin, multi-vitamin, Vitamin B-12, CoQ10

Current Illness: None

ID: 1043192
Sex: F
Age: 68
State: NC

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

Lab Data: None

Allergies: penicillin

Symptoms: Tenderness at injection site early morning 2/20/2021. Feeling a little tired. Felt warm so I took my temperature around 12:30 PM today and it is reading 101.0

Other Meds: 100 MCG Levothyroxine daily 20 mg Simvastatin daily 2 tablets 600mg calcium with Vitamin D 1 tablet D3 1000 IU 1 tablet 50 mg zinc 1 tablet 1000 mg

Current Illness: None

ID: 1043193
Sex: F
Age: 27
State: IL

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Fruit

Symptoms: 1st - pain at site, nausea, swollen lymph node, fatigue, muscle soreness 2nd - headache, shortness of breath, fatigue, muscle/joint soreness, fatigue

Other Meds: Bupropion Adderall

Current Illness: None

ID: 1043194
Sex: F
Age: 65
State: WV

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Alive E-emergenC Sulfer based drugs

Symptoms: Fatigue, headache, followed by chills and fever of 101.4. Lasting about 24-30 hours. I recovered quickly, by staying hydrated., although I did not want to eat. Since my fever didn?t reach 102 I avoided taking an medication. This reaction was to my FIRST shot so I was wondering about my second shot which is scheduled for 2/25/2021... six days from now.

Other Meds: Oxybutynin 10 mg Fenofibrate 145 mg

Current Illness: None

ID: 1043195
Sex: F
Age: 41
State: IL

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

Lab Data: Unknown

Allergies: None

Symptoms: Pt called several hours after her vaccine was given and reported that she developed hives on her face at approximately 5:30, 3 hrs and 15 minutes after administration. Instructed her to go directly to the ER by ambulance or get a ride from a friend or family member. She was agreeable to these instructions.

Other Meds: None

Current Illness: None

ID: 1043196
Sex: M
Age: 73
State: WI

Vax Date: 02/05/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Lethargy. Multiple unformed stools. Eyes feel ?heavy.? Mental foggiest. Decreased appetite. Decreased motivation - hard to get going. Feeling cold but no fever.

Other Meds: Levothyroxine, Atorvastatin, COQ10, Vitamin D, multivitamin

Current Illness: None

ID: 1043197
Sex: F
Age:
State: FL

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

Lab Data:

Allergies: Darvon, darvocet, valsartan,

Symptoms: Rapid heart, increases BP, fainting, heady feeling, nausea,

Other Meds: Levothyroxin, Edarbi, diltiazem, chlorothalidon, vit. D, warfrin

Current Illness: None

ID: 1043198
Sex: F
Age: 69
State: FL

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: na

Allergies: NA

Symptoms: Upper arm red, swollen , hot, itching, and hard at injection site and painful at injection site.

Other Meds: nexium, crestor, Olmesartan HCTZ, vitamin D

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm