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: 1046011
Sex: M
Age: 88
State: IL

Vax Date: 02/07/2021
Onset Date: 02/16/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient admitted to the hospital testing COVID positive and with a GI bleed (has a hx. of chronic duodenal ulcers and was on an anticoagulant)

Other Meds:

Current Illness:

ID: 1046012
Sex: F
Age: 89
State: TN

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: unknown

Allergies: Unknown

Symptoms: One week post vaccination, on 2/15, patient began to have soreness in arm, extending from elbow to shoulder. On 2/17, the pain became more severe. On 2/18, the soreness seemed to be improving but not completely resolved.

Other Meds: Unknown

Current Illness: Unknown

ID: 1046013
Sex: F
Age: 53
State: UT

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: DOSE # 2 Felt fine for over 15 hours, then felt immediate exhaustion. Chills and cold for 5 hours Aching all over. Joints hurts, Then Fever of 100 for a few hours Dizziness All resolved within 24 hours except dizziness. This last 2 days.

Other Meds: Vitamin D Regular Vitamin Vitamin C Omega 3

Current Illness: None

ID: 1046014
Sex: M
Age: 26
State: NC

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: n/a

Allergies: Allergies LoracarbefHives Sulfamethoxazole-trimethoprimHives TramadolHives

Symptoms: Patient experienced pre-syncope approximately 10 minutes after administration

Other Meds: None

Current Illness: none

ID: 1046015
Sex: F
Age: 69
State: FL

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: NO LABS

Allergies: PCN

Symptoms: LEFT ARM VERY SORE WITH A BUMP FORMING ON THE UNDERSIDE OF ARM. AT THE INJECTION SITE THERE IS BRUISING AND HURST TO LAY ON LEFT ARM. CLIENT WENT TO PCP AND THE BUMP HAD TO BE LANCED X 2 WITH ANTIBIOTICS PRESCRIBED. ALSO, CLIENT STATED THAT HER ARM "HURT, LIKE SHE HIT SOMETHING" IMMEDIATELY WHEN THE NURSE ADMINISTERED INJECTION.

Other Meds: ULTRAM 50 MG; TYLENOL 500 MG PRN; OTC PHILLIPS COLON HEALTH

Current Illness: NO

ID: 1046016
Sex: M
Age: 86
State: PR

Vax Date: 02/09/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: During a visit to the ER the patient was diagnosed with cellulitis at the injection site. Antibiotic was given by injection, and oral antibiotics were prescribed.

Allergies: Tramomina

Symptoms: Swelling at vaccination site, skin red and hot

Other Meds: Levoehyroxing 65mg Amlodinine Besylate 2.5 mg Aspirin 81 mg Symbicort 160-4.5

Current Illness: N/A

ID: 1046017
Sex: F
Age: 40
State: IL

Vax Date: 01/23/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Tylenol

Symptoms: Body aches, fever, headache, loss appetite and sleepless

Other Meds: Levothyroxine

Current Illness: None

ID: 1046018
Sex: F
Age: 29
State: FL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: High fever for 24 hours that couldn't be controlled with OTC meds, chills/sweats, severe headache and dizziness, shaking, muscle cramps (all lasted about 24 hours straight through. Muscle and joint pain and weakness continued through 48 hours. Left arm, under arm and shoulder were very tender and mobility restricted through day 3.

Other Meds: None

Current Illness: None

ID: 1046019
Sex: M
Age: 20
State: TX

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: Patient stated he didn't feel well and he was lightheaded, instructed patient to place head in between legs and applied a cool compress to the back of the neck. patient then vomited, provided water. Obtained pulse and blood pressure readings. 1125: Pulse:83, BP: 98/78; 1130: Pulse:72, BP: 115/82. instructed patient to wait 5 minutes in lobby to ensure safety before leaving facility. Patient also received a TB test on the opposite arm at prior to administering flu vaccine.

Other Meds:

Current Illness:

ID: 1046020
Sex: F
Age: 36
State: IA

Vax Date: 02/02/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: 2/5/21 negative for strep 2/8/21 negative for covid

Allergies: Sulfa

Symptoms: 3 days after vaccine (2/5/21): mild fever (normally 96.5 - consistent temp over the course of several months on two different thermometers, was 98), worsening of sore throat, runny nose, fatigue, chills/feverish feeling. Negative strep that day, negative covid test the following Monday. Resolved within 48 hours. 8 days after vaccine (2/10/21): developed rash at injection site, tenderness, swelling, and itching - right arm had very minimal, minor rash at the same time. Pain was more significant than the two days post injection and improved within 48 hours (still have itchy, dry, raised skin but minimal redness as of 2/22/21). 16 days after vaccine (2/18/21): lymph node in front of neck area by collarbone swollen. No pain but minor discomfort. It feels like a 2 inch squishy mass with a hard node in it. I've never had swelling here before. If my other lymph nodes are swollen as well I cannot tell. I had the flu shot at the end of December, 2020. Not sure if that was close enough to matter, no symptoms after that one.

Other Meds: Levothyroxine

Current Illness: Sore throat reported, negative strep and covid tests.

ID: 1046021
Sex: F
Age: 67
State: MA

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: N/A did not see medical attention.

Allergies: Bactrim Penicillin Decongestants

Symptoms: Redness and itching at injection site. (Have photo if requested) "Covid Arm" or delayed cutaneous hypersensitivity.

Other Meds: Levothyroxine Atorvastatin Multi-vitamin AREDS2 Aspirin

Current Illness: None

ID: 1046022
Sex: M
Age: 70
State: GA

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Developed what I have determined as delayed cutaneous hypersensitivity. Hardness at injection site, slight redness, and severe itching on the left arm from shoulder to elbow.

Other Meds: losartan 25 MG atorvastatin 20 MG baby aspirin multi vitamin vitamin D3 Vitamin C Zinc Garlique CO Q10

Current Illness:

ID: 1046023
Sex: F
Age: 52
State: FL

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: many antibiotics, carrots, shellfish, seafood, latex

Symptoms: Left arm (arm that had shot) became itchy, red, mildly sore and inflamed one week after the shot. It seems slightly better today but is still red and itchy and a little raised.

Other Meds: nexium, zyrtec, vitamin D, multivitamin

Current Illness:

ID: 1046024
Sex: F
Age: 38
State: MD

Vax Date: 02/11/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Raised bumps that itch on ankle, elbow, wrist, leg, arm and foot started on 21 Feb 2021 and is still present. Showering and benadryl 25 mgs did not resolve the issue.

Other Meds: Birth control Prenatal Vitamins

Current Illness: None

ID: 1046025
Sex: F
Age: 77
State: PA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: cipro floxacin/ sulfa/ lipitor

Symptoms: extreme confusion, vomiting, temp 101.6 F

Other Meds: Tylenol/ Elavil/ Norvasc/ Eliquis/buspar/ tums/vit d3/ voltaren gel/ hydrochlorithiazide/ Mobic/ metformin/ multi vitamin and provastatin

Current Illness: n/a

ID: 1046026
Sex: F
Age: 42
State: FL

Vax Date: 01/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data:

Allergies: Coconut

Symptoms: Developed acute pericarditis on 2/14/2021. Completely healthy 42 yr old with no recent illnesses other then the vaccine. Developed myalgia, severe headache, and slightly elevated blood pressures 24 hours post second vaccine. Then 4 weeks later acute pericarditis.

Other Meds: None

Current Illness: None

ID: 1046027
Sex: M
Age: 77
State: MA

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data: Bone marrow biopsy performed 2/18.

Allergies: No known allergies

Symptoms: 2-3 weeks after COVID vaccination, patient presented to hospital with anemia and thrombocytopenia and intracranial hemorrhage. L axillary mass (same side as Pfizer vaccine admin site) found on exam. Bone marrow biopsy demonstrated Burkitt's Lymphoma. He is undergoing treatment at hospital

Other Meds: Atorvastatin

Current Illness: Healthy

ID: 1046028
Sex: F
Age: 26
State:

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had received vaccine on 2/20 and started to have extreme fatigue the night of the 20th. patient states on Sunday 2/21 she was very short of breath and had some chest heaviness. Was taken to the ER where she was diagnosed with a vaccine reaction.

Other Meds:

Current Illness:

ID: 1046029
Sex: F
Age: 33
State: CA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Gr?vida 2. EDD:7/15/21. Numbness/tingling to face for about 45 min.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1046030
Sex: F
Age: 50
State: MN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever for 3 Days-as high as 103F Severe Aches Headache

Other Meds: Vitamin D and Turmeric Supplements

Current Illness: None

ID: 1046031
Sex: M
Age: 66
State: NC

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: oxycontin, hydrocodine

Symptoms: unable to take a deep breath, or any deep breath, with sharp pain under right shoulder blade. Symptoms were the same as previous pneumonia episode. also the body aches all over, somewhat severe. Body aches lasted 72 hours with decreasing after 24. Breathing lasted 96 hours with decreasing after 48.

Other Meds: metoprolol, pantoprazole, montelukast, multi-vitamin, fish oil

Current Illness: none

ID: 1046032
Sex: F
Age: 46
State: VA

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: 2/18/2021 injection site started to get itchy, 2/19/2021 little itchy still, a red circle of about 1 inch circumference of injection site appeared is also a firm bump, 2/20-21/2021 red circle of about 1 inch circumference of injection site and firm bump remains, 2/22/2021 bump is not as firm but slightly warm to the touch and still a red circle of about 1 inch circumference of injection site Have not taken any medications

Other Meds: None

Current Illness: None

ID: 1046033
Sex: F
Age: 33
State: OH

Vax Date: 01/21/2020
Onset Date: 01/21/2020
Rec V Date: 02/22/2021
Hospital:

Lab Data: See above.

Allergies: Latex, codeine, PCN, cephalexin

Symptoms: The intended injection site of this Tdap was my left delt. When the nurse administering the vaccine stuck the needle in my shoulder the needle felt too superior/posterior and was not centered on my deltoid muscle. The initial injection felt fairly normal, but within 5-10 minutes my shoulder pain increased more than I expected. By that evening, I was having difficulty lifting my arm and was woken from sleep several times throughout the night with severe shoulder pain. I took ibuprofen repeatedly which did not improve the pain. The pain, weakness, and limited range of motion continued to worsen until I returned to the same doctors office 1/27/2020 for a follow up. I saw a Nurse Practitioner who did a focused exam and determined I had some sort of AC joint irritation related to the vaccine. She prescribed prednisone and told me if the pain did not resolve I would have to consider joint injection and possibly an MRI. The prednisone improved the pain and range of motion over the next 10-14 days. I returned to the office for another check 2/18/2020 and saw my regular Primacy Care Physician. I believe the pain was resolved/close to resolved at that time.

Other Meds: Ibuprofen

Current Illness: none

ID: 1046034
Sex: F
Age: 70
State: TX

Vax Date: 01/01/2021
Onset Date: 01/04/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: n/a

Allergies: NKDA

Symptoms: Generalized rash to extremities 5 days after receiving 1st Moderna COVID-19 vaccine, treated with IM steroids.

Other Meds: Cholecalciferol (Dialyvite Vitamin D 5000) 5000 UNIT Oral Capsule Escitalopram Oxalate 5 MG Oral Tablet Start: 06/08/20 glucosamine Levothyroxine Sodium 50 MCG Oral Tablet Losartan Potassium 50 MG Oral Tablet magnesium asparate Metoprolol S

Current Illness: None

ID: 1046035
Sex: M
Age: 71
State: WV

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Within hours of the vaccine, broke out in bad itchy rash over most of body, including arms, over and under; sides, back, stomach, groin, down both legs to knee area.

Other Meds: High blood pressure meds

Current Illness: None

ID: 1046036
Sex: F
Age: 34
State: IL

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: Seeing doctor today, 2/22/21

Allergies: Sensitivity to Gluten, Morphine, NSAIDS, Sulfa, Percocet/Oxycodone, Nickel, Adhesive Tape

Symptoms: Becomes a little itchy, but not all the time, swollen, soreness, mild pain, redness, heat radiating off injection site with swelling...redness around 7 inches long. Had a low grade fever for only a day on Sunday 2/21/21. Pain all started on 2/20/21, a week later after receiving the Moderna vaccination. I have taken Ibuprofen and Benadryl and it has helped a little. Seeing primary doctor today on 2/22/21 for him to look at my arm.

Other Meds: Prescriptions: All taking the morning of prior to the time of vaccination - Losartan 25mg, Ezetimibe (Zetia), & Pantoprazole 40mg

Current Illness: n/a

ID: 1046037
Sex: F
Age: 90
State: PR

Vax Date: 01/29/2021
Onset Date: 02/16/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: DO NOT

Symptoms: PNEUMONIA

Other Meds: DO NOT

Current Illness: Not

ID: 1046038
Sex: F
Age: 25
State: OK

Vax Date: 02/11/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Allergic to sulfa drugs

Symptoms: Red rash appeared on left arm where the shot was given on day 10 after injection. The arm is red, warm, and slightly itchy.

Other Meds: None

Current Illness: None

ID: 1046039
Sex: F
Age: 35
State: MN

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Dust and mold

Symptoms: Fever, aches, headaches, fatigue, sore throat, arm pain at injection site, diarrhea, nausea Started same day and have lasted a week

Other Meds: Trazadone, Sertraline, Tylenol, ibuprofen, vitamin D, probiotic

Current Illness: Common cold

ID: 1046040
Sex: M
Age: 76
State: MD

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

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA Fever of 102.2 at 10 a.m. on the morning after the second dose

Other Meds: Simvastatin, low dose of aspirin, vitamin D3, zinc

Current Illness: None

ID: 1046041
Sex: M
Age: 28
State: NY

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

Lab Data:

Allergies: N/A

Symptoms: Left arm pain, headache, weakness on date of vaccination. 2 Extra strength Tylenol taken. Symptoms improved next morning.

Other Meds: N/A

Current Illness: N/A

ID: 1046042
Sex: F
Age: 70
State:

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The patient received her first covid vaccine on Friday, 2/19/21. The patient did not complain of any ADRs or fever immediately following the injection. However, the next day (Saturday morning) she had a temperature of 100.2 F. Patient received acetaminophen 650mg and fever subsided. 6 hours later, the repeat temperature was 100.4 F and acetaminophen 650mg was given again. When vitals were checked again, her temperature was 98.6 F and remained afebrile for the rest of the weekend. She was not in distress. She had no complaints otherwise.

Other Meds:

Current Illness:

ID: 1046043
Sex: M
Age: 37
State: IA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: 3.5 hours after vaccination = fatigue. 20 hours after vaccination = extreme fatigue, fever 101 (with Ibuprofen), chills, sweating, body aches. These symptoms lasted until 50 hours after injection. 4 days after injection, red, swollen, sore injection site on arm about 3"x6".

Other Meds: NA

Current Illness: NA

ID: 1046044
Sex: F
Age: 29
State: IA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Two hours after injection, head ache started and felt very woozy. Nausea started in the afternoon. Around 10:00p body aches, chills, sore joints, feverish. At 2:30a cough and sore throat developed. Condition improved over next 24 hours. 2/16/21 was very fatigued, headache and nausea persisted, and body aches still present. Injection site was also swollen and hot to the touch. Symptoms continued to improve and were mild to nonexistent by 2/18/21.

Other Meds: Sertraline, Adderall XR, aurovela birth control

Current Illness: none

ID: 1046045
Sex: F
Age: 82
State: NC

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: No

Allergies: Antibiotics Penicillin Milk Wheat Nuts

Symptoms: Right after receiving the vaccine I had racing heartbeat for 2 hours. I was short of breath over the next few days. I developed a swollen and itchy arm. I developed dark bags under my eyes that made me look like I had "black eyes". My fingers turned purple. my veins in my hands and feet enlarged and looked green to me. I feel fine, I just have these funny things happening. everything started to go away after about 3 days and are almost normal except for the veins. I felt fine. then 3 days later on 2/15 I felt like I was going to faint, I felt a rush of heat like a fever and nausea. I felt fine by the end of the day. I am sleeping a lot. I also have a strange feeling in my foot that comes and goes for a few seconds.

Other Meds: Metropol Tarpis for afib

Current Illness: No

ID: 1046046
Sex: M
Age: 42
State: NJ

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: Xray 02/02/2021

Allergies: Doxycycline / protonix

Symptoms: My siatica flared up on its own but has not gone away as it typically does. Jt occurred 12hr after the vaccine Typically it goes away but i still feel the leg numbness and my eife confirmed three werks later anf my left glut is swollen

Other Meds:

Current Illness: Costochronitis / pneumonia

ID: 1046047
Sex: F
Age: 80
State: NJ

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Penicilin

Symptoms: injection site inflamation redness around injection about the size of a quarter, itchy with raised bumps, tin taste in mouth, irrated tongue. severe tiredness. sore arm.

Other Meds: Valsartan/hctz, Synthroyd, Xarelto, Allegra

Current Illness: No

ID: 1046048
Sex: F
Age: 81
State: NY

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Some antibiotics

Symptoms: None stated.

Other Meds: TZH- hydrochlorosizide 12.5 MG, Levothyroxine,

Current Illness:

ID: 1046049
Sex: F
Age: 50
State: OH

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: 4:44PM BENADRYL 50MG GIVEN P.O. - CHEWED. O2 SAT 99%, HR 93, BP 143/94. 5PM BP 138/83.

Allergies: TORADOL, IMITREX

Symptoms: 4:40PM PT STATES SHE 'FEELS LOOPY & MAY PASS OUT'. A/O X3, PINK, W/D, RESP REG WITH EASE. 5PM STATES 'FEELING BETTER'. CALLED BOYFRIEND TO DRIVE HER HOME. NO ACUTE DISTRESS NOTED. 5:20PM LEFT WITH BOYFRIEND.

Other Meds: ASPRIN, SINGULAR, LISINOPRIL, COREG, ATORVASTATIN

Current Illness: NONE

ID: 1046050
Sex: M
Age: 69
State: FL

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: second day aches all day, severe chills lasted 1 hour then chills remainder of day and chills aches next. Day 3 chills and aches during day then 101 temp at night. Day 4 chills and aches stopped, unable to urinate sitting but could standing

Other Meds: none

Current Illness: none

ID: 1046051
Sex: F
Age: 58
State: MD

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported tingling tongue. Took own benadryl, monitored for 15 mins, noted resolution of symptoms and d/c home,

Other Meds:

Current Illness:

ID: 1046052
Sex: F
Age: 50
State: MO

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data: EKG, Cardiac Stress test, Echo, CXR, Lab Works, Halter Monitor, Spirometer, etc

Allergies: Augmentin IV antibiotics Cat hairs Molds

Symptoms: 02/14/2021 at 1130 am-I received my 2nd Dose of Covid Vaccine (Moderna) at work. Stayed at work for monitoring. I start getting dizzy and nauseated at 1330 and have told the provider about it. He questioned me if I had eaten anything, which I have not. So, I head home ate and took a nap. ? At 1000pm that night- I started having chills with Fever of 100 degrees, body aches. I took Tylenol 650mg 2 tabs and try to sleep. My fever broke at about midnight and was sweaty, groan and moan all night, ?coz of pain. ? 02/15/2021 at 0430am ? Started chilling again, with Fever of 101, severe body aches and joint pains, severe headaches. Took Tylenol 650mg 2 tabs around 5am. ? At 1100 am-Shivering, Fever 102 degrees, exploding headaches, joint pains, muscle pains, body aches, neck pain, diarrhea x 2, dizziness, nausea, extreme weakness, and little fingers are bending forward and painful. My headache was unbearable, I felt like my brain is going to explode. Tylenol 650mg 2 tabs taken. Ice compress to forehead and back of neck applied. Called Dr office which I was told to be in the clinic office at 1330 and I will be consulting with Dr instead. ? At the Clinic- I was told that I was having bad reactions from the Covid Vaccine and my symptoms will be treated as if I have ?Covid?. My Blood pressure was 150/100 as I am extremely in pain. He gave me a Toradol shot 1st thing and let me rest for about an hour with lights off. By then, my pain were tolerable including my headache. He gave me Medrol Dose (steroid) shot and Rocephin shot then. I was instructed to come back in the Clinic for f/u the next day. He wants to monitor me closely as he has seen uneventful cases of this that leads to death. He sent me a dose of Toradol for pain to be given between about 11pm if needed for pain. ? At 11pm -Started having chills again with fever of 100 degrees. My body aches/joint pain started to intensify and my head starting to ache. Took Tylenol 650mg 2 tabs for fever. My Sister who?s a Nurse gave me the IM shot of Toradol dose prescribed by the doctor. I was able to sleep all night without interruptions, but woke up with clothing wet because of too much sweats. ? 02/16/2021 at 0830-My body aches/HA are under control, but still extremely weak. As I was getting ready for 1000 am Doctor?s follow up. I started getting short of breath with simple activities such as dressing and walking. By the time I got to the office I am very much short of breath, but my oxygen Saturations has been staying up above 90?s. He gave me an inhaler to ease my breathing. Prescribed me Dexamethasone and Azithromycin, Symbicort. He?s not releasing me to work until he sees me in a week, schedule for 02/22/2021. ? At 11pm that night- started to have mild chest pain lasted about 30 minutes. I took Ibuprofen 600mg and force myself to sleep. I roughly sleep that night. ? 02/17/2021 at 0930-Start having increased Short of breathe with talking, walking, dressing (simple activities). My lungs felt bruise and painful, but I have no cough nor phlegm. My headaches are back with intensity of 9/10. I felt very exhausted as I gotten up at 0500 and felt like I have not slept and unable to rest/calm my mind. Started having chest pain again on and off. I took all the prescribed medications and inhalers. My BP 149/98, Pulse 108, R 22, T 98 Spo2- 96%. Started having chest pain again on and off. My short of breath has ease a little at rest and after inhalers usage. ? 3:00pm-Gotten up to check Vital signs BP- 138/82, P-100, R 20, T 97.8, Spo2-95%. Lungs still painful, breathing?s better, headaches still there annoying but tolerable. Then I started seeing floater?s in my eyes. Checked Blood sugar-131. 02/18/2021- I feel like 60% better with breathing. However, I?m very weak and easily fatigue. Needs intermittent rest every 2-3 hours. My voice seems to be fading, can only speak in soft volume voice as if not enough strength with my vocal voice. 02/19/2021- Called Dr office for update of my condition and was told to come to Clinic at 5pm. EKG was done in clinic , spirometer. Due to new onset of chest pain and EKG result. Doc suggested direct admission for more lab works, cardiac work out and CXR. I was direct admitted at Hospital at 6:30pm at Cardiac/Telemetry unit. 02/20/2021 ?See data?s/documentations from hospital. I was discharged at 8:30pm to home. To f/u with Dr on Monday the 22nd. As I arrived home, I ate a little then vomited a lot. 02/21/2021- I have massive abdominal cramps with diarrhea. Very dizzy and very weak still, but no more short of breath at this time. My voice seems to be coming back to normal volume.

Other Meds: Amlodipine, omeprazole, aspirin 81mg, Vit C, Vit D, Tylenol

Current Illness: None

ID: 1046054
Sex: F
Age: 61
State: CO

Vax Date: 02/11/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Shrimp Sulfa drugs

Symptoms: Arm at site of injection swelled, sore, broke out in hives and itches Had strawberries and blueberries 2 hours before reaction

Other Meds: daily multi vitamins Tylenol elderberry Blood pressure herbal vitamins tumeric

Current Illness: none

ID: 1046055
Sex: F
Age: 90
State: MI

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: BP 184/90 HR 88 85% O2 ON ROOM AIR GLUCOSE 85MG/DL

Allergies: PENICILLIN

Symptoms: AFTER 5 MINUTES AFTER RECEIVING THE VACCINE, SHE COMPLAINED OF BEING WEAK. ONSITE EMS RESPONDED. SHE WAS EVALUATED BY EMS AND TRANSPORTED TO A LOCAL HOSPITAL FOR FURTHER EVALUATION. VITALS BELOW

Other Meds: ASPIRIN, METOPROLOL, FELODIPINE, SIMVASTATIN, TIMOLOL

Current Illness:

ID: 1046056
Sex: M
Age: 66
State: AZ

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: N/A

Allergies: N/A (this was an administration error, not an adverse reaction)

Symptoms: Please help be get a replacement shot. This was a drive-through vaccination, and only the second shot of the day by the volunteer doctor. She was flustered (in fact, she even dropped a needle on my lap through the car window). She reached through the window, squeezed the inner side of my arm, raising the fat, and then injected the dose at a 45 degree angle. I thought it was weird that it was so different than the hundreds of images we've seen on the news, but figured she knew what she was doing, until I researched it at home. She automatically did a subcutaneous fat injection. How can I get signed up for a replacement of that Dose 1? Please help. FYI: I had NO reactions, not even a sore arm.

Other Meds: N/A (this was an administration error, not an adverse reaction)

Current Illness: none

ID: 1046057
Sex: F
Age: 66
State: AZ

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: No

Allergies: sulfa

Symptoms: Body aches, fever 99.8, chills, chattering teeth, general feeling unwell. Pounding headache, fatigue, really sore arm. Night sweats. Lasted about 48 hours. I'm still waking up with a pounding headache every morning. Still lingering sense of unwellness.

Other Meds: Losartin 50 mg daily venlafaxine 37.5 mg every other day vitamin D vitamin C multivitamin

Current Illness: No

ID: 1046058
Sex: M
Age: 60
State: NC

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: None Known

Symptoms: Mile to moderate tinnitus predominately in the right ear, but sometimes also sensed in the left. The sensation began within 5-10 minutes of the injection and continues to date. The intensity of the ringing varies, and seems a bit less pronounced as time goes by.

Other Meds: See Continuation Page; Prescriptions, over-the-counter medications, dietary supplements List: Glaucoma Dorzolamide HCl/Timolol Maleate Ophthalmic Solution ? 22.3 mg/6.8 mg per mL (1 drop, 2 x day, both eyes) Zioptan (Tafluprost Ophthalmic

Current Illness: None

ID: 1046059
Sex: F
Age: 30
State: NY

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Day after vaccination-- At 3:45:Whole-body fatigue/soreness. Before 4pm, chills. At around 5:30pm: Fever (101.2-102.6F). Drank plenty of fluids and stayed in bed with multiple blankets for over 14 hours - in and out of sleep (mostly sleep).

Other Meds: Vitamin D supplement (50 mcg daily)

Current Illness: None

ID: 1046060
Sex: F
Age: 71
State: FL

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: Feb 19: EKG/Monitor - showed bigeminy with heart rate of 60; CBC, Urinalysis, Comprehensive chemistry panel; Cardiac enzymes (all lab tests were normal)

Allergies: Vibramycin, cranberries, cherries

Symptoms: Feb 11, sore arm for one day; Feb 17 started with muscle and joint pain, especially tender right knee and overall not feeling well; Feb 18 felt lightheaded and weak with standing through out the day; Feb 19 weakness and lightheaded much worse, had several episodes of vomiting and become too weak to stand; went to ER

Other Meds: Vitamin D 1,000u twice a day; B12 500mg daily; Magnesium 400mg daily

Current Illness: none

ID: 1046061
Sex: F
Age: 69
State: VA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: I will be seeing my doctor today on February 22

Allergies: Pencillin, Latex, Bacterim, Iodine,

Symptoms: After my vaccine, I had problems breathing for about 5-10 minutes. My symptoms were different this past two weeks. I experienced nausea, dizziness, felt like my brain was on fire. Last week I could not comprehend what people were saying, I did not understand. Extreme irritation, anxiety, depression. Fatigue and tiredness, my legs are weak. My blood pressure went skyrocketed: 169/80.

Other Meds: Zoloft, Synthroid, Vitamin D3, Fish Oil, DGL, Nutramedix: Burbur, Pinella, Ezov,

Current Illness: NONE

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm