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: 1044286
Sex: F
Age: 39
State: GA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: None that I'm aware of

Symptoms: A few hours after the 1st dose, the injection site was very sore. It hurt to raise my arms up. Then I felt feverish - was running a slight temperature of 99.2 - 99.4 F. This lasted for 36 - 48 hours. A week later (2/20/21) - the injection site started to itch. I have a huge, raised welt. It feels hot to the touch and is sore. I also ran a slight fever of 99.6 F.

Other Meds: Armour Thyroid, Birth Control Pills, Wellbutrin

Current Illness: None

ID: 1044287
Sex: M
Age: 72
State: GA

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

Lab Data: none

Allergies: Penicillin

Symptoms: severe fatigue, muscle aches, nausea, headache which resolved within 24 hours

Other Meds: none

Current Illness: none

ID: 1044288
Sex: F
Age: 84
State: NJ

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: None

Allergies: Augmentin

Symptoms: Chills, low grade fever, body aches, headache, extreme fatigue, nausea

Other Meds: Methotrexate tab.2mg 6 tablets once a week. Folic acid 1 mg. Daily. Amlodipind 5 mg. daily, Escitalopram 10 mg daily, Hydrochlorothiazide 12.5 mg daily, Montelukast 10mg daily PM, Omeprazole 40 mg 45 minutes before breakfast, Trimetho

Current Illness: COVID 19

ID: 1044289
Sex: F
Age: 68
State: ME

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: NONE

Allergies: allergy to thiomerisal

Symptoms: TEMP 99.5,HEADACHE DIZZINESS,NAUSEA AND VOMITING ,BONE PAIN

Other Meds: hctz 12.5 mg,vit E,MAGNESIUM,VIT b6,red yeast rice,

Current Illness: healthuy in general but hx of endometrial ca treated with chemotherapy and radiation in 2018

ID: 1044290
Sex: F
Age: 67
State: MD

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

Lab Data:

Allergies:

Symptoms: 57 y/o female with hx of RA and breast CA on MTX and Anastrol was seen in vehicle for mild dizziness apx 5 minutes after vax, Pulse Ox 99%, HR 65, pt's symptoms improved with putting car seat back, lungs clear no CP or SOB opted to wait in car x 30 minutes total, felt better prior to discharge

Other Meds: MTX and anastrozole

Current Illness:

ID: 1044291
Sex: F
Age: 94
State: CA

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Left upper arm, at site of injection, has become red, hot, and swollen but with minimal pain reported.

Other Meds: Levothyroxine; Atorvastatin; Oxybutynin; Sertraline; Fish Oil; Super B Complex; Tylenol for Arthritis; PreserVision; Neuropathy Support Formula; Vitamin C

Current Illness: None

ID: 1044292
Sex: F
Age: 81
State: VA

Vax Date: 02/08/2021
Onset Date: 02/17/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: None

Allergies: Dust, pollen,

Symptoms: Large red circular discoloration of skin 4?-5? in diameter around injection site. Slightly raised, slightly itchy

Other Meds: Lipitor Lisinopril Toprol Zoloft Letrozole Aspirin D3

Current Illness: None

ID: 1044293
Sex: F
Age: 29
State: TX

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs, peanuts

Symptoms: At 530 pm noticed hives all over body, swelling around eyes, lips, vomiting and severe stomach pain. Immediately took 50mg Benadryl by mouth and continued this dose for 2 days

Other Meds: Lialda 1.2gm every day Effexor XR 150mg every day Rabeprazole 20mg every day Vitamin D 5,000iu every day

Current Illness: Ulcerative colitis Asthma Anxiety depression

ID: 1044294
Sex: F
Age: 67
State: IA

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: On Day 8 after my first Moderna dose COVID vaccine I developed a great deal of swelling, pain, rash, itching of my Right shoulder where I was vaccinated. It started on 2-20-21 and conitues today 2-21-21.

Other Meds: Inderal, simvastatin, metformin, meloxicam vitamins D3, Co Q-10, Milk Thistle, fish oil, and calcium

Current Illness: none

ID: 1044295
Sex: F
Age: 75
State: PR

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: The patient's daughter indicated the administration area was red and hard, swollen and hot. Dark red in color and it hurt. I DO NOT go to the doctor, I visit a pharmacy (the name is not known) where the pharmacist on duty gave him benadryl, and he took that. In the second call I made to him, he was already a patient and he had no symptoms, and he was fine.

Other Meds: Nothing on record.

Current Illness: None

ID: 1044296
Sex: F
Age: 49
State: IL

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: Itchy hives after iodine dye

Symptoms: Red and itchy at injection site Area is slightly raised and firm/hard 2-2 1/2 inch area

Other Meds: Bupropion HCL ER 150mg 2x Premarin 0.9 mg Spironolactone 100mg Rosivastatin 5mg Cranberry4200 mg Vitafusion Prenatal vitamin

Current Illness: None

ID: 1044297
Sex: M
Age: 68
State: CA

Vax Date: 02/01/2021
Onset Date: 02/17/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: None

Allergies: Insect venom, fresh Chili Peppers, Dairy Intolerance

Symptoms: Fatigue, stiff & sore muscles, mental cloudiness Extreme opthalmic Photosensitivity causing White Light Blindness after looking at cell phone (iPhone 12 Pro) and TV. outside naturalight and Indoor lights particularly BLINDING! Began to subside 24 hours after 2nd dose lasting about 4 days. I am medical professional, Clinical Speciality Pharmacist.

Other Meds: No changes

Current Illness: Arthritis, Blood type A -, had Laparoscopic Surgery removal of Gallbladder and Gastrojejunostomy Feb 8.

ID: 1044298
Sex: F
Age: 69
State: CO

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
Hospital: Y

Lab Data: Non-contrasted head CT. CT angiogram of head and neck. MRI with and without contrast of brain.

Allergies: atorvastatin

Symptoms: Had Moderna COVID vaccine approximately 1pm on 2/17. Developed headache and right visual field loss approximately 8pm on 2/18. Presented to our hospital at 5pm on 2/19 with progression of aforementioned symptoms and found to have left intraparenchymal hemorrhage with midline shift. Her symptoms are currently stable. Our neurosurgical team is not planning any surgical intervention. MRI of her brain demonstrates potential amyloid deposits, which are likely causative.

Other Meds: levothyroxine, sertraline, cholecalciferol

Current Illness: none

ID: 1044299
Sex: M
Age: 0
State: MO

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

Lab Data:

Allergies: None

Symptoms: Swelling and soreness under left armpit Started day after vaccine was given. Still very swollen and sore currently

Other Meds: Irbesartan300mg. Hydrochlorthiazide 25mg

Current Illness: None

ID: 1044300
Sex: F
Age: 79
State: CT

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: none

Allergies: sulfa, ranitidine,basil, pollen, indeterminate food allergies,advil, motrin,latex,adhesives

Symptoms: Symptoms: large red itchy spot on arm, chills, fatigue, slight nausea, mild general headache that became piercing,painful and intermittent for several hours Symptoms lasted for approximately 36 hours ,arm remains red and slighty itchy 4 days later, slight headache Treatment:tylenol,liquids,rest

Other Meds: timolol maleate eye drops

Current Illness: none

ID: 1044301
Sex: M
Age: 83
State: OH

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

Lab Data: none

Allergies: none

Symptoms: fatigue and body aches approximately 36 hours after vaccination

Other Meds: metoprolol, omeprazole, baby aspirin, tamsulosin, lisinopril, celecoxib, atorvastatin, magnesium

Current Illness: none

ID: 1044302
Sex: F
Age: 81
State: WA

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/21/2021
Hospital: Y

Lab Data: Check with hospital

Allergies: None

Symptoms: Pt began feeling poorly, low energy after 24 hours. Increasingly short of breath, not really communicating clearly, enough that I (her daughter recommended that the Dr come. He sent for the paramedics due to low oxygen and something not being quite right. AT hospital multiple tests were run and bacterial pulmonary pneumonia along with heart failure exacerbation was diagnosis. She had been in her room for 2 weeks prior, with no contact with the outside world.

Other Meds: Insulin, Atorvastatin, Buspirone, Digoxin, Furosemide, Metolezone

Current Illness: none

ID: 1044303
Sex: F
Age: 59
State: NM

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

Lab Data: Lung X-ray was taken. Bloodwork taken.

Allergies: Codeine (causes hallucinations) Inhaled solvents like nail polish, spray paint, etc (anaphylaxis reaction)

Symptoms: Anaphylaxis reaction. Shot given around 9am. Around 11am symptoms appeared: extremely hot/flushed, nauseated, felt ill, difficulty swallowing. Went to pharmacist who had me sit down, within 30 seconds could not swallow. Pharmacist injected me with Epi Pen and called 911. Paramedics arrived gave more epinephrine, oxygen, started breathing treatment. Lost my voice as throat started to tighten more. Taken to Hospital where I was given Benadryl, steroids, stomach meds, more fluids and another breathing treatment since my lungs were so tight, I could only take shallow breaths. The crated my lungs, did blood work and kept me overnight for observation because I have a history of secondary reactions when I experience anaphylaxis. I was released from the hospital on 2/20/2021 at 2pm.

Other Meds: Levothyroxine 100mcg Magnesium 1000 mg Vitamin D3 5000 IU Multivitamin Exederin Migraine

Current Illness: None

ID: 1044304
Sex: F
Age: 67
State: CO

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

Lab Data:

Allergies:

Symptoms: Patient had metallic taste, swollen tongue and scratchy throat. 911 was called. Epi pen administered to bring down tongue swelling. Allergic reaction did not persist. Patient was able to go home with paramedic evaluation.

Other Meds:

Current Illness:

ID: 1044305
Sex: F
Age: 43
State: MD

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, headache,very painful arm at injection site, nausea, tired

Other Meds:

Current Illness:

ID: 1044306
Sex: F
Age: 30
State: AZ

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: None

Allergies: Sulfa, some fruits

Symptoms: Painful swelling and hardness of nodes in left armpit (also occurred with first dose but nothing as severely), in addition to expected side effects of fever 101.6, aches, and fatigue.

Other Meds: None

Current Illness: None

ID: 1044307
Sex: F
Age: 26
State: KY

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: COVID19 RAPID TEST NEGATIVE ON 02/20/21

Allergies: NUTS, ALL PEANUT OIL TREE NUTS CIPROFLOXACIN

Symptoms: RECEIVED BOTH DOSES OF FPIZER COVID-19 VACINE ON 01/27/21 & 02/17/21. CALLED EMPLOYEE HEALTH HELP LINE ON 02/18/21 ABOUT ADVERSE VACCINE REACTION INCLUDING FEVER, COUGH, FATUGUE,, HEADACHE, MUSCLE ACHE, RED RASH, SWELLING AT INJECTION SITE. CALLED EMPLOYEE HEALTH HELP LINE ON 02/19/21 REPORTING MUCLE ACHES AND LOW GRADE TEMP, STILL WITH IN EXPECTED 48 HRS SINCE VACCINATION. CALLED EMPLOYEE HEALTH HELP LINE ON 02/20/21 REPORTING HIGH RISK EXPOSURE TO COVID-19, CONTINUED HEADACHE, RUNNY NOSE, BUT OTHER PRIOR VACCINE REACTIONS REPORTED AS RESOLVED. REPORTED ON 02/20/21 COMPLKAINING OF HEADACHE AND DRAINAGE. TSTD NEGATIVE FOR COVID19. DIAGNOSED WITH HEAD CONGESTION.

Other Meds:

Current Illness:

ID: 1044308
Sex: F
Age: 74
State: AZ

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: itchy rash. Started 8 days after injection. Lasted 3 days

Other Meds: Prescriptions: Exemestane, Travoprost, Zolpidem OTC: Biosilk, Biotin, Vitamin E, Vitamin D3, MoveFree

Current Illness: none

ID: 1044309
Sex: F
Age: 40
State: KY

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: My arm stayed kind of firm/hard the entire time, a hard lump like the size of two quarters side by side, but two days ago a red oval appeared and it has stayed red since then so I looked it up and that?s how I found out about this reporting system. It hasn?t effected my general health in any way but it seemed worth reporting. I?m completely fine and super happy to have gotten the vaccine! It is just red and hard to the touch and sore.

Other Meds: Multi vitamin

Current Illness: None

ID: 1044310
Sex: M
Age: 72
State: NV

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: pressure in middle of chest. had to breath deep to get air. felt uneasy. heart rate up over 80. blood pressure 143

Other Meds: none

Current Illness: none

ID: 1044311
Sex: F
Age: 74
State: VA

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: Codine

Symptoms: Red rash in a two inch circular area at injection site. The rash is slightly raised and has an intense itch. Warm to the touch and slightly sore.

Other Meds: Lisinopril tabs 5mg Doxycycline Mono Tabs 50mg Vitamin D3-5000iu

Current Illness: None

ID: 1044312
Sex: M
Age: 42
State: CO

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Aches, chills, and a fever of 102.3 degrees for 24 hours

Other Meds: Vitamin C, Vitamin D, Magnesium, L-Theanine, Zinc

Current Illness: None

ID: 1044313
Sex: F
Age: 72
State: CO

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: severe fatigue, moderate headache lasted one day

Other Meds:

Current Illness:

ID: 1044314
Sex: F
Age: 26
State: ID

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Pain day after injection and the day after. Exactly one week after injection, red/swelling/itchy at injection site and swollen lymphnods in armpit, mild pain when touched.

Other Meds: Zoloft, omeprazole, amitriptyline

Current Illness: Pain day after injection and the day after that. Swollen lymph nods under arm when rash appeared.

ID: 1044315
Sex: M
Age: 65
State: UT

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: No

Allergies: none known

Symptoms: Moderna COVID-19 Vaccine EUA About 3 hours after vaccine, nausea and vomiting. Also diarrhea.

Other Meds: Lisinopril 40 mg Fenofibrate 160 mg Metoprolol Succinate ER 50 mg B12 1000 uG D3 45 mG C 500 mg

Current Illness: no

ID: 1044316
Sex: M
Age: 51
State: NJ

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: After 1st dose: - Fatigue - Fever (100.9) - Headache - Nausia - Vomiting - Ache -Tired

Other Meds: Warfarin Zocor Prozac

Current Illness: None

ID: 1044317
Sex: F
Age: 37
State: PA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fatigue; Fever - 100.9; Pain in arm; Symptoms lasted for about 18 hours.

Other Meds: Apri 0.15 mg - 1 pill per day Flonase 50mcg - 2 sprays in each nostril daily Zyrtec 10mg - over the counter once per day

Current Illness: None

ID: 1044318
Sex: F
Age: 47
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: none

Allergies: no allergies to meds or food, just allergies to grass, pollen, weeds, hay,

Symptoms: throat and tongue swelled, but not enough to cause breathing problem, just enough to make it hard to talk. Resolved after a week. Developed red, bumpy, itchy rash on back of both hands and lower arms. Ended up scratching to point of bleeding. Rash resolved after 2 weeks and benadryl. Felt irritable for a full week. NEVER felt fluish, just the swollen throat and rash on back of hands and lower arms and irritableness.

Other Meds: none, just vitamins

Current Illness: none

ID: 1044319
Sex: M
Age: 65
State: MT

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Fatigue, weakness; fainting; dizziness.

Other Meds: Snythroid Atorvastatin

Current Illness: none

ID: 1044320
Sex: M
Age: 69
State: CA

Vax Date: 02/10/2021
Onset Date: 02/14/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: none but rest

Other Meds: simvastatin omeprazole

Current Illness: experienced Epstein-Barr virus in June of 2019 Symptoms last 3 months I am now experiencing the exact symptoms: fatigue, low-grade migraine headache and low grade body aches. They began about four days after the inoculation.

ID: 1044321
Sex: F
Age: 31
State: NE

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: ECG - normal sinus rhythm, heart rate 76.

Allergies: NKMA

Symptoms: Patient began having left sided chest discomfort, racing heart beat, and numbness/tingling in left arm starting Saturday Feb. 20th, 2021 in the morning.

Other Meds: Wellbutrin, Zyrtec, Depo-Provera, Pranatal Multivitamin, and Zoloft

Current Illness: none

ID: 1044322
Sex: F
Age: 68
State: FL

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: CT Head WO: Atrophy and ischemic white matter changes; left sphenoid sinus disease

Allergies: None

Symptoms: Right sided facial droop with sluggish pupil constriction

Other Meds: irbesartan and lomotil

Current Illness:

ID: 1044323
Sex: F
Age: 66
State: FL

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: none

Allergies: non-mineral sunscreen causes rashF

Symptoms: 02/19/2021 A red rash on left upper arm but not at injection site. When rash first began, arm was itchy with a burning sensation and swollen that was painful to touch. Applied Hydrocortisone cream 2.5%. 02/20/2021 Rash still on arm, itchy and burning sensation, applied Hydrocortisone cream. 02/21/2021 Rash still itchy and burning sensation, applied Hydrocortisone cream.

Other Meds: Lisinopril 10mg, Spironolactone 25mg, Darifenacin Hydrobromid 15mg, Progesterone 200mg, NP Thyroid 60mg, Zolpiem 2.5mg, Azelastine Nasal Spray 0.1%, Plexus probio5, Plexus Biocleanse, Vitamin E 450mg, Vitamin C Complex, l-lysine 500mg, Fla

Current Illness: none

ID: 1044324
Sex: M
Age: 84
State: FL

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: none

Allergies: sulfa antibiotic, clonidine patch

Symptoms: soreness at injection site; 5 days later extremely sore left shoulder/neck, 2 days later extremely sore right shoulder neck

Other Meds: Lotrel 10/20 mg, 1/day, Toprol 100mg/day, prednisone 2mg/day atorvastatin 20mg/day, mutlivit, Ca=vitD 600mg/day

Current Illness: none

ID: 1044325
Sex: F
Age: 70
State: PR

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: No.

Allergies: No.

Symptoms: One week after receiving the vaccine: Swelling, redness area, warmth, itchiness. Extensive arm area. Panadol, ice. Today Sunday 2/21, the swelling has improved, but is still red and warm, I keep applying ice. (during the first 3 days of being vaccinated, only had light symptoms: small red area.) I would like to know if this is normal (The number of days with these symptoms). Thanks.

Other Meds: Alegra 180 mg; Dexilant 60 mg

Current Illness: N/A

ID: 1044326
Sex: F
Age: 53
State: KY

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: None

Allergies: Nuts,shellfish,penicillin,sulfa,ceftin,Diflucan

Symptoms: Had knot left antecubital swollen and sore. Appeared after first vaccine and worsened after sevond. I developed sudden tinnitus in left ear and both symptoms still present.

Other Meds: Tagamet 200mg daily

Current Illness: None

ID: 1044327
Sex: F
Age: 88
State: TN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: No tests - has appointment with PCP tomorrow on 2/22/21.

Allergies: PCN, Cephalexin, Codeine

Symptoms: Patient called and stated day after receiving her second dose of Moderna she began to have generalized edema BLE, BUE, and swelling around joints, she states her vision doesn't seem the same, slightly blurry, but she can see, states hard to describe. States she had a fever 101. on day after and took Tylenol - fever resolved. Other symptoms continue.

Other Meds: Carvedilol, Baclofen, Furosemide, Losartan, Atorvastatin, amlodipine, Aspirin, Lorazepam, fish oil, vitamin c, vitamin E, vitamin D, Zinc, probiotic

Current Illness: None

ID: 1044328
Sex: F
Age: 50
State: MA

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

Lab Data: Unknown

Allergies: Previous Reaction to vaccine

Symptoms: Patient began experience the sensation of her throat closing and mild peri-oral swelling. Patient's epi pen was adminsted along with 50 mg of Benadry

Other Meds: Unknown

Current Illness: Unknown

ID: 1044329
Sex: M
Age: 61
State: TX

Vax Date: 02/03/2021
Onset Date: 02/17/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: 2/18/2021 - COVID-19 Rapid Test - NEGATIVE result 2/21/2021 - COVID-19 Rapid Test - POSITIVE result

Allergies: None

Symptoms: Diagnosed with COVID-19 on 2/21/2021, 18 days after first vaccine injection, and 14 days after first symptoms - rapid test performed on 2/18/2021 came back negative

Other Meds: Amlodipine Besylate - 5mg - 1x day Raberprazole Sod Dr - 20mg - 1x day Cialis - 20mg (as needed) Indapamide - 1.25mg - 1x day Vitamins / Supplement - C, D3, B12, Multivitamin, Hyalaronic Acid, Glucosamine / Chondroitin, Turmeric, Collegan,

Current Illness: None

ID: 1044330
Sex: F
Age: 67
State: CA

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Angry red rash, itchy, soreness on left arm

Other Meds: None

Current Illness: None

ID: 1044331
Sex: M
Age: 78
State: VA

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

Lab Data:

Allergies:

Symptoms: Patient stated he had received Moderna vaccine at VA prior to today?s vaccine after vaccine was given. No adverse reaction but reporting because he may have received the Moderna vaccine followed by the Pfizer vaccine. Could not confirm with VA today. Nursing home following up tomorrow with VA.

Other Meds:

Current Illness:

ID: 1044332
Sex: F
Age: 69
State: TX

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: none

Allergies: ,Rocephin, Biaxin, Sulfa, Demerol, Morphine, Stadol, Hydrocodone, Mycitracin Ointment, Neosporin Ointment. Myicins, Percodan Tramadol, Augmentin, gabapentin, zoloft, toothpaste

Symptoms: began itching around waist, then spread to lower back where a large area had small raised bumps, more larger bumps have appeared over the past week in various areas, itching on stomach and under breast area - itching only on body, not arms or legs

Other Meds: 1000 metformin twice daily, iron, b12, 40 mg prilosec, vitamin D 5000iu

Current Illness: none

ID: 1044333
Sex: F
Age: 59
State: FL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: NkAnone

Symptoms: I woke up with sore inflamed right arm.Slight headache ,fever and chills. Took some Tylenol 2 tabs of 325mg tabs.

Other Meds: Multivitamin,aspirin,zocor

Current Illness:

ID: 1044334
Sex: M
Age: 33
State: VA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: NA- I expected some adverse reaction due to information I received upon vaccination.

Allergies: NA

Symptoms: After receiving the 2nd dose (Phizer-BioNTech) on 2/19 at approximately 2:50pm, I felt fine, until the following day, when I woke up on 2/20 at 8:00am. At that time, I felt extremely tired/groggy/fatigued with an intense headache. I also experience some slight muscle/joint pain. Tylenol seemed to help dull the pain, but not fully relieve it. I am not prone to headaches or migraines. I slept for most of the day on 2/20. On 2/21, the headache and muscle/joint pain subsided with the exception of some mild fatigue.

Other Meds: Minoxidil, One A Day Mens Multivitamin

Current Illness: NA

ID: 1044335
Sex: F
Age: 31
State: NJ

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

Lab Data:

Allergies: almonds, talapia,

Symptoms: Itchiness started on site of injection than entire body became itchy within hours after. Small bumps all over the body plus itchiness

Other Meds: n/a

Current Illness: n/a

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm