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: 1044687
Sex: F
Age: 42
State: WY

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

Lab Data: Nine

Allergies: PCN, Biaxin, Codeine, Clindamyacin, Pineapple

Symptoms: Tender and swollen axillary lymph node

Other Meds: Vitamin D, Vitamin B12, Metformin, Lantus

Current Illness: None

ID: 1044688
Sex: F
Age: 32
State: DE

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

Lab Data:

Allergies: None

Symptoms: On the evening (8:00 pm) of my second COVID vaccination, I experienced severe ovulation pain. It was comparable to having a 15-20 minute contraction during unmedicated childbirth. It impaired my ability to function. I was bent over in pain and took a hot bath and two ibuprofen. It subsided in about 30 minutes, but I continued to feel weak afterwards. I was on cycle day 17 and my average cycle length is 28 days. I have a Paraguard IUD and do not take hormonal birth control. I do experience mid cycle pain with some regularity, but this was by far my most severe experience.

Other Meds: Multivitamin, quercetin, ashwagandha, fish oil, vitamin d, evening primrose oil, glucosamine/ chondroitin, probiotic

Current Illness: None

ID: 1044689
Sex: F
Age: 72
State: CA

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

Lab Data:

Allergies: Azithromycin

Symptoms: Moderna COVID-19 Vaccine Woke up in the morning (about 15 hours post vac) with weakness on my left side (the vaccine was given in my left arm). I was unable t put weight on my left leg for a few minutes.

Other Meds: Advair 100/50, levothroid 50 , Vitamin D 1000 IU

Current Illness: None

ID: 1044690
Sex: F
Age: 31
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Onset about 10 hours after injection - pain at injection site, significant fatigue, severe headache, sensitivity to light, fever, chills

Other Meds: Tri-Sprintec

Current Illness: None

ID: 1044691
Sex: F
Age: 64
State: MI

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

Lab Data: No tests.

Allergies: sulfa ointment, chocolate, regalin, hay fever, smoke, animal dander

Symptoms: When trying to drive to work the next day, I experienced extreme light sensitivity. While I am light-sensitive in the morning when the sun is low on the horizon, especially when there is snow on the ground, as was the case that morning, this was far more extreme than usual. I was wearing a very good pair of sunglasses I bought at an eye-doctor's office that protected from both the front and the sides. Still, I felt as though I had a strobe light flashing directly into my eyes. I was driving through town, in very familiar area, I realized when I got out of town into less familiar area, it would be unsafe to drive. I went back home and called work and told them I was not well enough to go to work that day. I later called the nurse who gave the vaccine and explained the situation to her. I received no treatment. I had my eyes examined the next morning and was told to use eye-drops four times daily for at least two months.

Other Meds: Wellbutrin XL, Prozac, Buspar, Inderal, Pravachol, Abilify, Topamax, Mirapex, multivitamin/mineral

Current Illness: none

ID: 1044692
Sex: M
Age: 89
State: MN

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

Lab Data:

Allergies:

Symptoms: Right hemisphere stroke. Currently hospitalized. Stable condition.

Other Meds: Synthroid

Current Illness:

ID: 1044693
Sex: F
Age: 38
State: NY

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

Lab Data: None

Allergies: Nonr

Symptoms: Fever, nausea, dizziness, body ache headache, stomachache. Lasted 24-36 hours

Other Meds: Calcium, multivitamin, vitamin c, fiber, norethindrone

Current Illness: None

ID: 1044694
Sex: F
Age: 87
State: CA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: 3 WEEK EVENT HEART MONITOR PLACED ON 2/5/21 FOR CARDIAC ARRYTHMIA, RAD TYPE . HEART MONITOR TREMOVED 2/19/21 SENT FOR EVALUALTION OF MONITOR RESULTS, CBC W DIFF, TSH, CMP, LIPID PA

Allergies: CODEINE

Symptoms: ON 01/26/21 THE DAY FOLLOWING MY FIRST DOSE OF COVID-19 I BEGAN FEELING SOME LIGHTHEADNESS & WEAKNESS. I ALSO EXPERIENCED SEVERE STOMACH CRAMPS & SEVERE DIARRHEA. THE SECOND DAY (01/27/21) AFTER MY VACCINE, I BEGAN FEELING WEAKER, LIGHTHEADED, AND THEN LATER THAT EVENING I EXPERIENCED A PEIRCING HEADACHE WITH INTENSE PAIN ON FRONT LEFT SIDE OF MY HEAD. THE LIGHTHEADNESS CONTINUED FOR 3-4 DAYS. IT WAS WITHIN THAT FIRST WEEK I REALIZED MY PULSE OX WAS READING 88-90 bpm . PRIOR TO THIS MY PULSE RATE ROUTINELY WAS BETWEEN 60-64 bpm. I SAW CARDIOLOGIST ON 2/5/21, AFTER ECG AND EXAM DOCTOR STATED MY HEART RATE WAS IRREGULAR, POSSIBLY A FLUTTER, AND ORDERED A HEART MONITOR TO WEAR AT HOME FOR 2 WEEKS.

Other Meds: ELIQUIS, MULTAQ, LOSARTIN ,METOPROLOL, CARAFATE,OMEPRAZOLE, MU

Current Illness:

ID: 1044695
Sex: F
Age: 54
State: NM

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: None

Allergies: benadryll, ibuprophin, gabaphentin

Symptoms: Rash on left arm by injection site. Itchy and warm feeling. However, I have no temperature feeling on the left side, so I am not sure how it "feels warm".

Other Meds: atomoxitine, flouxitine, simistatin, levotryvoxin, metoperol tatrate, Vitamin D, Melatonin, multivitamin

Current Illness: None

ID: 1044696
Sex: F
Age: 73
State: FL

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: none

Allergies: compozine, prednisone pills, estrogen,

Symptoms: Red rash on inside of elbow that was itchy. Started about 8 days after injection. About 4 inches long and 2 inches wide. Was not debilitating and not on list of COVID reactions so just ignored and it got lighter in color. After second injection on February 10 the rash and redness came back about 6-7 days later. Itchy but not terrible. Skin still has a light pink color in the area.

Other Meds: atorvastatin, clonazepam, D3, Dicyclomine, fiber, Fluoxetine, Ipratropium, losartan hctz, magnesium, montelukast sod, pantoprazole, probiotic, Epocrit injection

Current Illness: leukemia - MDS, asthma,

ID: 1044697
Sex: F
Age: 32
State: MI

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

Lab Data:

Allergies: Pineapple and banana

Symptoms: Loss of sense of smell- 48 hours after vaccine

Other Meds:

Current Illness:

ID: 1044698
Sex: F
Age: 64
State: NY

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

Lab Data: N/A

Allergies: Lozenges., Penicillin, Erythromycin, Codeine.

Symptoms: Covid Arm (redness, itchiness, warmth and swelling) in a circular area around the injection site.

Other Meds: Atorvastatin, Low dose aspirin, Raloxofene, Docusate Sodium, Ibandronate Sodium, Estradiol Cream Miralax, Zolpidem; Vitamins: D3, Turmeric curcumin, C, CoQ10, Alive Womens 50+ Multi, Probiotic, Calcium+D3, Iron, Zinc Lozenger.

Current Illness: Pain in middle of belly button (started 1/26/2021 to date) possibly from a muscle strain or IBD.

ID: 1044699
Sex: F
Age: 74
State: CA

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

Lab Data: none- I was in touch with my doctor. Symptoms did not return. I feel fine now.

Allergies: codeine

Symptoms: Starting at about 10:30 PM I had severe full body muscle contractions from my jaw down my legs. My husband described it as "bouncing all over the bed". After 2 hours I took two Tylenol PM tablets and symptoms subsided about 20 minutes after taking the pills. The following day I had severe head and body aches (I assume from eh muscle spasms)

Other Meds: crestor, meloxicam, gabapentin, estring, motegrity, cranberry, Omega 3, multi vitamin, Mirilax

Current Illness: none

ID: 1044700
Sex: F
Age: 83
State: WA

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

Lab Data:

Allergies: Codeine

Symptoms: Approximately 2 hours after the vaccination was given patient experienced shortness of breath, coughing, and decreased 02 stats with a pulse oximeter. Caregiver applied oxygen supplementation which improved 02 stats. Vaccinating pharmacist and home health nurse were notified and returned to facility. When pharmacist arrived patient was eating lunch and appeared to be normal. No observable breathing problems or swelling. Local inject site appeared normal with no rash or swelling. Patient tolerated 1st dose well previously. Nurse and caregiver attempted to measure oxygen while pharmacist was there but could not obtain a reading. Observed patient for an additional half an hour with no observable issues.

Other Meds: Unknown

Current Illness: None Reported

ID: 1044701
Sex: F
Age: 63
State: TX

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

Lab Data:

Allergies: aspirin, sulfa,

Symptoms: About 17 hours after the vaccine I woke up with chills, nausea and dizziness. I threw up 4-5 times but felt better after taking ibuprofen. Before the ibuprofen I felt very ill

Other Meds: Atorvastatin 20 mg

Current Illness: none

ID: 1044702
Sex: F
Age: 70
State: WI

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

Lab Data:

Allergies:

Symptoms: Itching, redness, swelling, hardness about 4 inches surrounding vaccine sight - on going at this time

Other Meds:

Current Illness:

ID: 1044703
Sex: F
Age: 77
State: OR

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: None

Allergies: Cymbalta, Papaya,

Symptoms: She developed arm pain, redness & swelling at injection site which lasted for 5 days. 5 inches across area. Pain intense. It reoccurred again at day 10 with more redness, swelling & pain for 4 more days. Went away after about 3 days. Reoccurred with soreness on 22nd day, but this time with some soreness also in right inner wrist. No fever, headaches, or chills. Synopsis- arm pain soreness, redness & swelling off & on for over 3 weeks post vaccination

Other Meds: Atenolol, Premarin,Xanax,Tumeric, B12, Co Q10, magnesium,D3 vitamin, Fish oil, Calcium carbonate,

Current Illness: None

Date Died: 02/21/2021

ID: 1044704
Sex: M
Age: 69
State: WV

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

Lab Data:

Allergies: None

Symptoms: Light headedness, fatigue, nausea

Other Meds:

Current Illness: None

ID: 1044705
Sex: F
Age: 76
State: CA

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

Lab Data:

Allergies: None

Symptoms: Arm soreness at injection site, no treatment, gone in 5 days.

Other Meds: Qnapril/HCTZ 20-12.5mg Atenolol 50mg Amlodipine Besylae 5mg

Current Illness: None

ID: 1044706
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: Pt. Had itching and hives on chest after first vaccine resolved after po Benadryl. Today, pt. had second dose of vaccine with similar results and was given PO Benadryl with improvement of symptoms. Pt. left under own power in stable condition with no further symptoms.

Other Meds:

Current Illness:

ID: 1044707
Sex: F
Age: 71
State: WI

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Nausea gastrointestinal issues. Still present today.

Other Meds: None

Current Illness: None

ID: 1044708
Sex: F
Age: 48
State: KS

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: Lisinoprel, cephexin

Symptoms: Swelling of left side lymph node under my arm

Other Meds: Birth control, blood pressure, multivitamin, cranberry tablet, allertec, probiotic, emergenC

Current Illness: Covid diagnosis on Feb 2, 2021

ID: 1044709
Sex: F
Age: 51
State: CO

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

Lab Data:

Allergies: Dairy free for the past 6 years

Symptoms: The next day at 9 am I started to feel dizzy and had body aches all over, had a temperature of 100.5 that went down as I slept all day due to fatigue.

Other Meds: NONE

Current Illness: None

ID: 1044710
Sex: F
Age: 70
State: KY

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

Lab Data:

Allergies: LEVSINEX (HYOSCYAMINE), PENICILLINS

Symptoms: RECEIVED BOTH DOSES OF PFIZER COVID19 ON 01/22/21 & 02/12/21. ON 02/21/21 REPORTED COMPLAINING OF RT EAR PAIN AND SORE THROAT. HAD NEGATIVE COVID19 TEST AND FLU. NOT ABLE TO TEST FOR STREP AT THIAT TIME. DIAGNOSED WITH SORE THROAT, EARACHE ON RIGHT, AND ARTHRALGIA OF RIGHT TMJ. TOLD TO GO TO ER IF NOT BETTER IN 1-2 DAYS AND FOLLOW UP WITH PCP IN 1-2 WEEKS.

Other Meds:

Current Illness:

ID: 1044711
Sex: F
Age: 69
State: NC

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: On February 6 through February 8 I had severe diarrhea, followed by loose stools for several more days. I lost 5 pounds. It has taken 2 weeks to get my GI tract partially normal again. I was wiped out of energy.

Other Meds: vitamins

Current Illness: none

ID: 1044712
Sex: F
Age: 58
State: WA

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red blotches and rash on upper arm with very slight bruising. Lasted from day 7 until day 11 after shot.

Other Meds:

Current Illness:

ID: 1044713
Sex: M
Age: 60
State: FL

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

Lab Data: None at this time

Allergies: Penecillan, contrast dye

Symptoms: Headache, shivering, pain in right arm, tiredness, weakness, and slight disorientation. Symptoms were most pronounced from around 6 pm day of the vaccination until 6 pm following day (which is now). If they continue and/or get worse, will contact the pharmacy tomorrow or take other necessary steps.

Other Meds: Multivitamin, vitamin C, fish oil, low dose aspirin, Caltrate, Tmasulosin, myrbatric, lovastatin

Current Illness: None

ID: 1044714
Sex: F
Age: 46
State: MD

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

Lab Data:

Allergies: Penicillin, bactrim, keflex, ceclor

Symptoms: Brief periods of extremely intense dizziness. Dizziness woke me up at 1:30 am, continued all morning, started to subside by afternoon. Very mild dizziness the following day.

Other Meds: Claritin, flinstones chewable vitamin

Current Illness: None

ID: 1044715
Sex: F
Age: 66
State: MO

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

Lab Data:

Allergies: Sulfa and latex

Symptoms: Patient had a delayed reaction "covid arm." Hot to the touch, itchiness, and pain. It has been a week since she received the vaccination. I told her to monitor for a few days with IBU and benadryl at bedtime and if no improvement go to the doctor.

Other Meds: N/A

Current Illness: N/A

ID: 1044716
Sex: M
Age: 77
State: CA

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 02/21/2021
Hospital: Y

Lab Data: Contact medical clinic which will show that on 1/31/2021, I had laparoscopy surgery for appendicitis. This was not quite a week after I had the Covid 19 vaccine.

Allergies: None

Symptoms: On the fourth day after receiving the first dose of Moderna Covid 19, I started experiencing abdominal which doctors determined was appendicitis. I had laparoscopic surgery for it. Don't know if there is any causal effect between the vaccine and my developing appendicitis. Info online says Pfizer, not so much Moderna, more than double the number of clinical development volunteers developed appendicitis than did those that took the placebo. Am just reporting; don't know if there is a causal effect.

Other Meds: Pradaxa, thyroid medicine

Current Illness: none

ID: 1044717
Sex: F
Age: 88
State: OK

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: sulfur drug, codeine, Penicillin

Symptoms: Awful rash and itching over entire body starting on day 7. Unable to sleep or even wear much clothing.

Other Meds: Trazadone, Atorvastatin calcium, Ropinirole, Metoprolol succinate, daily vitamin, magnesium, Preser vision, calcium, Benadryl, Nexium

Current Illness: Eye injections being given.

ID: 1044718
Sex: F
Age: 39
State: NV

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

Lab Data:

Allergies: None

Symptoms: 2/17/21 at 7:00pm; extreme fatigue, massive headache, chills, nausea; couldn?t stay awake, slept for 12 hours. 2/18/21 at 7:00am; difficulty waking; fatigue, muscle and joint pain; moderate headache; nausea; diarrhea; dizziness, minimal relief with Tylenol and Tums. Continued all day. 2/19/21 all day; muscle and joint pain, fatigue, chills; dizziness 2/20/21 all day; headache at least twice and dizzy spells at least four times; fatigue, chills; temperature ranged between 95.4-96.2; nausea; lost of taste 2/21/21 all day, no headache; chills; inability to stay warm, inability to taste (even tried straight sugar and daughters sour candy), dizzy spells so far three times. No loss of smell.

Other Meds: Synthroid 175mcg Eztimebe 5mg Arbonne multivitamin Arbonne probiotic

Current Illness: None

ID: 1044719
Sex: F
Age: 67
State:

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

Lab Data:

Allergies: Codeine

Symptoms: Immediate pain at injection site that never got severe, but is still tender 4 days post-vaccine. Redness at injection site (5 cm 4 days post-vaccine). Lump at injection site - very hard on date of injection but lessening daily. I will contact my primary care provider on 2/22/21.

Other Meds: Multi-vitamins, calcium, zinc

Current Illness: None

ID: 1044720
Sex: F
Age: 64
State: ID

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

Lab Data: n/a

Allergies: sulfa, latex

Symptoms: 2/18/21 time around 9pm, sore arm along with red rash, still remains today but better. Had this reaction 1st vaccine 1/18/21 Moderna Lot #011620A. 2/19/21 body soreness, hands hurt, general not feeling well. 2/20/21 Awake at 2:00 am fever, dizziness, unable to walk straight and passed out. Slight temp w/tingling and numbness in both arms from mid shoulder to fingertips. Vison blurred and wavy. Rested all day. Today, 2/21/21 felt better at 8:00, vision better and tingling & numbness gone in arms. Foggy head, unable to focus on numbers. Resting but having to do chores for work week tomorrow. Vision still not 100%.

Other Meds: singular, vitamins a, c, d, e. zink

Current Illness: n/a

ID: 1044721
Sex: F
Age: 68
State: OH

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: extreme itching rash with hives. both arms and chest /neck. after 8 days of itch its starting to feel better

Other Meds:

Current Illness:

ID: 1044722
Sex: F
Age: 73
State: AZ

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

Lab Data:

Allergies: None

Symptoms: 12 hours after receiving my 2nd shot. I developed a fever of 102, terrible chills, nausea, headache. Sometime during the next few hours I got itchy and then got a total body rash similar to hives.

Other Meds: Trelegy Elipta, Vitamin D3, Spironolactone 25 mg, meclizine 25mg, aspirin 81 mg, Atenolol 25mg

Current Illness: Vertigo

ID: 1044723
Sex: F
Age: 59
State: NY

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

Lab Data:

Allergies: None

Symptoms: Fatigue, extreme muscle aches, dizziness, no energy, swollen lymph node under left armpit.

Other Meds: None

Current Illness: None

ID: 1044724
Sex: M
Age: 43
State: CA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: Cat, mice, rabbit.

Symptoms: Headache, soreness on the injection site, overall fatigue, body ache.

Other Meds: None

Current Illness: None

ID: 1044725
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies: bee stings

Symptoms: patient on day 3 experience swelling, redness in her left arm at the injection site. very itchy and felt like a knot in her arm. it got slightly better on day 5 but on day 8, swelling came back and it was extremely itchy.

Other Meds: n/a

Current Illness:

ID: 1044726
Sex: F
Age: 86
State: KY

Vax Date: 02/07/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital: Y

Lab Data: 02/20/21 CT ABD & PELVIS WITH IV CONTRAST SHOWED PROBABLY CHOLELITHIASIS, EXTENSIVE DIVERTICULOSISI, AND PARTIALLY IMAGED STABLE PULMONARY NODULES. 02/20/21 US GALLBLADDER - UNREMARKABLE GIVEN LIMITATIONS

Allergies: INVOKANA, CODEINE, GLIPIZIDE, JANUVIA (SITAGLIPTIN), MELOXICAM, NIACIN AND RELATED, AND SULFA ANTIBIOTICS

Symptoms: RECEIVED 1ST DOSE OF PFIZER COVID-19 VACCINE ON 02/07/2021. ON 02/20/21 WENT TO URGENT CARE WITH COMPLAINTS OF LOWER BACK PAIN AND LOWER ABDOMINAL PAIN X4 DAYS. DIAGNOSED ACUTE RIGHT FLANK PAIN AND RUQ ABDOMAINL PAIN. SENT TO ER FOR IMMEDIATE EVALUATION. ON 02/20/21 WENT TO ER FOR RUQ ABDOMINLA PAIN THAT RADIATE STO RIGHT FLANK. DIAGNOSED WITH BILARY COLIC AND CALCULUS OF GALLBLADDER WITH OUT CHOLECYSTITIS WITHOUT OBSTRUCTION. ON 02/20/21 ADMITTED INPATIENT TO HOSPITAL.

Other Meds:

Current Illness:

ID: 1044727
Sex: M
Age: 68
State: NY

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

Lab Data: None. I haven't contacted a Dr yet.

Allergies: Cats. Hay Fever.

Symptoms: I have a blister on the side of my tongue. It feels like I bit my tongue really severely. Also, my throat has closed up a tad. It never opened up fully after my spine surgeries, and now I can't get the large vitamin down. Of course, if it's a choice between this and falling prey to Covid 19 or 20, I'm good.

Other Meds: Lithium. Baby aspirin. Crestor. Toprol. Multivitamin. Airborne Immunity Boost. Vitamin C. Fiber Powder. Stool Softener. Cannabis.

Current Illness: None.

ID: 1044728
Sex: F
Age: 68
State: TN

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: She was examined and she was told that she had an allergic reaction to the vaccine.

Allergies:

Symptoms: Patient felt a hard lump at site of vaccine the next day, and then about a week later she noticed a red, itchy rash around the injection site.

Other Meds:

Current Illness:

ID: 1044729
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies: Naprosyn amlodipine atenolol ciprofloxacin dairy foods erythromycin Norco msg pcn Percocet soy sauce vinegar Zofran calmoseptine

Symptoms: Patient vaccine was part of mass vaccination event. received vaccine, initially right after injection noted palps but hr when checked by rn hr was normal. patient noted she then went to have coffeecake and coffee. 2 hours after vaccine developed throat fullness and tongue swelling. no wheeze no syncope no respiratory arrest

Other Meds: alleve banophen certizine cinnamon Citrucel cod liver oil coenzyme q 10 b complex Pepcid fish oil flaxseed oil derma smoothie (for excema) Lasix oral garlic oral green tea hctz lidocaine ointment lutein magnesium melatonin potassium chlorid

Current Illness: none

ID: 1044730
Sex: F
Age: 66
State: GA

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

Lab Data: None Self medicated with Benedryll.

Allergies: Bactrim

Symptoms: 2 days after injection total red rash over head, chest, neck, arms, back, stomach, and legs.

Other Meds: Met form in, liserinol, glipsride,pravastatin, across, Tylenol pm, meloxicam

Current Illness: None

ID: 1044731
Sex: F
Age: 32
State: OH

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

Lab Data:

Allergies: N/A

Symptoms: Fever Joint pain Weakness Headache

Other Meds: N/A

Current Illness: N/A

ID: 1044732
Sex: F
Age: 76
State: TX

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: Follow up physical therapy and chiropractic treatment.

Allergies: Dramamine,Benedetto- Demerol and Percodan

Symptoms: Pain to neck, shoulder joint, front snd back of arm. Severely limited range of motion and unable to Lift arm.

Other Meds: Bisoprolol, amlodipine, hctz, Allegra, vitamins C& D, magnesium, zinc, cholestoff, Quercetin, SBI, HCL abd Digest-Zyme

Current Illness: None except seasonal allergies- Cedar fever

ID: 1044733
Sex: F
Age: 58
State: WA

Vax Date: 01/28/2021
Onset Date: 02/12/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data: n/a

Allergies: Sulfa Drugs

Symptoms: Bouts of moderate dizziness/lightheadedness approx 3-4 times daily began approx 1 week after 2nd dose of Moderna vaccine received. I noted it does not appear related to hunger/lack of food or missed medication dose (sertraline). I have not reported this to my doctor yet. Symptoms cause me to pause what I?m doing at the time until it passes (approx 10-15 seconds in duration).

Other Meds: Sertraline 100 mg

Current Illness: n/a

ID: 1044734
Sex: F
Age: 38
State: TX

Vax Date: 09/02/2020
Onset Date: 09/03/2020
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient has been having severe pain in left arm after receiving Flublok. Describes sharp pain that radiates from left arm to neck. States this pain has been ongoing since the day after receiving the vaccine in September 2020. She has had an X-ray done and has been doing physical therapy as well as using pain patches.

Other Meds:

Current Illness:

ID: 1044735
Sex: F
Age: 71
State: NY

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

Lab Data:

Allergies: ASPIRIN, NSAIDS, Lactose Intolerant, Citrus,

Symptoms: Severe itching in both feet, moving up both legs

Other Meds: Valtrex, Metformin, Synthroid, Aciphex, Lotrel, Crestor, Quercetin, CQ10, Fish Oil, Caltrate, Multiple Vitamin,

Current Illness:

ID: 1044736
Sex: M
Age: 75
State: CT

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/21/2021
Hospital:

Lab Data:

Allergies: non

Symptoms: 4 1/2 days after second shot, develop swelling in right arm pit and breast. That was a week ago. Subsequent a rash has developed and I continue to have temperature (as high as 100.9), chills and significant night sweats. Swelling continues. I get some relief from Tylenol and Ibuprofen

Other Meds: Allipurional, HydroChOROthaiaz, Posstasium Citrate, Tamsulosin, Vitamin D3 Multe vitamin, Ibuprofen and Naproxin

Current Illness: Covid December 2020 - mild case

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm