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: 1046112
Sex: F
Age: 82
State:

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

Lab Data:

Allergies:

Symptoms: Administration error - Vaccine was under diluted, and patient received dose calculated to be approximately 25% more than recommended.

Other Meds:

Current Illness:

ID: 1046113
Sex: F
Age: 53
State: PA

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

Lab Data: None

Allergies: Neomycin

Symptoms: Within 6 hours of vaccination, intense pain in the right arm - could not lift it overhead without pain. This continued - and got worse on Friday morning. The Friday morning event is what I am reporting. I got up to shower; put shampoo in my hair and then conditioner. My right arm was hurting so badly that I was having trouble rinsing my hair. Then I felt faint and nauseous. Got out of the shower and fell onto the bed in the bedroom. Woke my husband to tell him that I was feeling badly - faint and the whole room was spinning. Then I felt my airway closing. He went down to get my levalbuterol (rescue inhaler); took one puff and that opened my airways. I was still weak and he had to help me get dressed. (BTW- I'm a competitive athlete/ swimmer.) I held onto him going downstairs. I was not hungry though did eat a bit. I spent the day on the couch with the chills and the room spinning until early afternoon. By Saturday I was starting to feel better. The pain in my arm mostly subsided by Sunday and I went to swim practice. It wiped me out for the entire day and I spent the rest of Sunday on the couch. It's now Monday morning. I am feeling a bit off but better. I am concerned about getting the second shot.

Other Meds: Daily vitamin Nasacort Symbicort Levalbuterol Zyrtec

Current Illness: Asthma

ID: 1046114
Sex: M
Age: 72
State: WI

Vax Date: 02/06/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Compazine Altace

Symptoms: Redness, slight swelling, warm to touch, itchy, approximately four inch diameter, very irregular shape. Persists since onset. No treatment.

Other Meds: Alfuzosin (UROXATRAL) AVODART (dutasteride) Betamethasone cream Bisoprolol fumarate (ZEBETA) LIALDA (mesalamine) Losartan potassium (COZZAR) Omeprazole (PRILOCEC) Simvastatin (ZOCOR) XANAX (Alprazolam) Ammonium Lactate cream Aspirin Diphenh

Current Illness:

ID: 1046115
Sex: F
Age: 43
State: MI

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

Lab Data: none

Allergies: unknown

Symptoms: Patient started to have red bumpy rash on neck and face approximately 10 minutes after receiving vaccine. Patient received injectable Benadryl 50mg in left deltoid at 10:10am. Approximately at 10:32am patient stated to nurse she is having difficulty swallowing. RN then administered 3mg of Epinephrine in the right thigh at 10:36am. Patient refused EMS and had her sister-in-law who was with her drive her to hospital. RN called Pt at approximately 3:15pm for follow up. Patient stated to RN that she is well and was given Pepcid and observed at the emergency room for 4 hours than discharged home.

Other Meds: unknown

Current Illness: unknown

ID: 1046116
Sex: M
Age: 61
State: IN

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

Lab Data: none

Allergies: none

Symptoms: Flu-like symptoms lasting about 36 hours (myalgias, arthralgias, malaise, low grade fever, and intermittent chills)

Other Meds: Levoxyl Omeprazole

Current Illness: none

ID: 1046117
Sex: F
Age: 64
State: OH

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

Lab Data: 5:20PM BENADRYL 25MG PO, O2 SAT 99%, BP150/98, HR117, R24, SINUS TACH ON MONITOR, BS79MG/DL. 5:30PM HR87, BP160/110 5:40PM EPI PEN USED: LT THIGH (CLIENTS). 5:55PM EPI PEN USED: RT THIGH (CCCHDS). BP175/98, HR 120, SINUS TACH ON MONITOR.

Allergies: IBUPROFEN, TORADOL, HEPARIN, CODIENE, BIAXIN, ASPRIN, MORPHINE, DILANTIN, VISTARIL, STADOL, AUGMENTIN, AMOXICILLIN

Symptoms: 5:20PM 'SOB, DIZZY, THROAT TIGHT'. PLACED ON COT WITH HEAD ELEVATED. CONTINUES TO HAVE SOB. 5:30PM STATES 'FEELING BETTER'. 5:40PM BECOMING SOB AGAIN. 5:55PM INCREASED SOB/DYSPNEA- SQUAD CALLED. IV ATTEMPT X3 WITHOUT SUCCESS. 6:30PM TRANSPORTED TO ER VIA SQUAD, A/O X3, PINK, W/D, SEVERE DYSPNEA. (2-19-21 3PM TC PT RELEASED FROM HOSPITAL THIS AM. FULL RECOVERY .)

Other Meds:

Current Illness: NONE

ID: 1046118
Sex: M
Age: 82
State:

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

Lab Data:

Allergies:

Symptoms: Administration error - Vaccine was under diluted, and patient received dose calculated to be approximately 25% more than recommended.

Other Meds:

Current Illness:

ID: 1046119
Sex: F
Age: 61
State: MI

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

Lab Data: BP 156/90 HR 102 100% O2

Allergies: PENICILLIN AND SOME NARCOTICS

Symptoms: AFTER RECEIVING THE VACCINE, SHE STARTED HAVING DIFFICULTY BREATHING. ONSITE EMS/PHYSICIAN RESPONDED. VITALS ARE BELOW. EMS WANTED TO TRANSFER HER TO EMERGENCY ROOM BUT SHE REFUSED AND WENT HOME AGAINST MEDICAL ADVICE.

Other Meds: VENTOLIN INHALER, QVAR INHALER

Current Illness:

ID: 1046120
Sex: M
Age: 52
State: NV

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: Broke out in blistered bumps on legs, lingered for a month

Other Meds:

Current Illness:

ID: 1046121
Sex: M
Age: 87
State: KY

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

Lab Data: EKG, and wore a heart monitor for 5 days

Allergies: penicillin

Symptoms: fatigue, high heart rate, sob, low blood pressure, feels cold all the time, no appetitive, palpitations

Other Meds: toprolol, lipitor, flomax,

Current Illness: no

ID: 1046122
Sex: F
Age: 64
State: PA

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

Lab Data: none

Allergies: sulfa

Symptoms: delayed cutaneous hypersensitivity reaction,5 x 7 inches, discomfort, mild itch and redness not bothering me

Other Meds: imitrex 100 mg once,Aleve taken once ,amytriptilline 10 mg once

Current Illness: none

ID: 1046123
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies:

Symptoms: Lymphoid under left day swollen and bruised. 2 inches under vaccine site was swollen, red and hot to touch. Now bruising down the arm to her elbow. Last Lymphoid behind her left knee was swollen and enlarged.

Other Meds:

Current Illness:

ID: 1046124
Sex: F
Age: 67
State: NC

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

Lab Data: none

Allergies: codeine sensitive, lactose intolerance

Symptoms: no pain at injection stie; however very severe chills began 12 hours after vaccine, temperature 99.1, brutal joint pain (wrists, hips, knees, ankles, burning & stinging sensation in around nerves and muscles, mild nausea/headache, no sleep for 24 hours. symptoms improved after 48 hours; mild chills, joint/muscle/nerve pain (however, i had some of these symptoms from the chemotherapy and they are now back to that level) i tried to forego pain relievers, but i had to take 2 advil and 2 benadryl 16 hours after the vaccine (around midnight) and took 2 more of each about 12 hours later. drank lots of lemon water to stay rehydrated. normal appetite.

Other Meds: zyrtec, singulair, metopropol, hydrochlorothyzide, paxil, gabsapentin vit d3, calcium, b12, probiotics

Current Illness:

ID: 1046125
Sex: M
Age: 59
State: NY

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

Lab Data:

Allergies: NONE REPORTED

Symptoms: RASH APPEARED ON PATIENTS NECK AND TORSO. BENEDRYL 50MG PO ADMINISTERED.

Other Meds: RASH PRESENTED ON PATIENTS NECK AND TORSO. BENEDRYL 50MG PO ADMINISTERED.

Current Illness: NONE REPORTED

ID: 1046126
Sex: F
Age: 76
State:

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

Lab Data:

Allergies:

Symptoms: Administration error - Vaccine was under diluted, and patient received dose calculated to be approximately 25% more than recommended.

Other Meds:

Current Illness:

ID: 1046127
Sex: M
Age: 80
State: NY

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

Lab Data:

Allergies: none

Symptoms: Patient was observed after 15 minutes of vaccination, appeared to be well. 5 minutes after observation person, patient was in the waiting room and stated he was feeling dizzy and lightheaded

Other Meds: Hydrochlorothiazide, isosorbide, atorvastatin, combigan, finasteride, losartan,

Current Illness:

ID: 1046128
Sex: F
Age: 76
State: FL

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Penicillin Codeine

Symptoms: Extreme ache, pain and stiffness in left arm, from elbow up into neck and shoulder area. This began on Day 8 after receiving vaccine and has continued through today - 10 days after vaccine 2 Arthritis Tylenol 650 mg

Other Meds: Pravastatin 40mg Amlodipine Medoxim 10-20 mg Ibandronate Sodium 150 mg Venlafaxine 37.5 mg D3 2000 IU CENTRUM SILVER 50+ PreserVision Areds 2 Aller-chlor 4 mg x2 Omeprazole capsule 20 mg

Current Illness: None

ID: 1046129
Sex: F
Age: 70
State: OH

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

Lab Data:

Allergies: not allergies but hypersensitive to : latex, ct scan dye, ddavp, fentanyl, levaquin, codeine

Symptoms: Approx. 1 hr. & 20 min. post injection, severe reaction: Severe upper abdominal pains, multiple, uncontrollable formed to diarrheal bm's triggered vagal response, passed out, severe diaphoresis, violent chilling loss of control of bowel movements. Lasted approx. 30-35 minutes. crawled with head hanging to floor to keep from passing out, to locate a phone for help. after several of agonizing attempts to try and climb up to couch to elevate legs high above head and laying there for approx. 20 or more min. blood pressure came up some. (Did not call emergency services) afraid of hospitalization due to all chronic health problems, (forgot to report earlier that I am Hypothyroid as well) previously hospitalized for a Thyroid Storm. This is day 10 from injection and still have nausea, dizziness & fatigue, (also have couple episodes of abdominal pain). (I want to add that I felt completely fine prior to receiving 2nd Pfizer Covid dose). I am contacting my doctor today to receive some IV fluids.

Other Meds: pyridostigmine, folic acid, pantoprazole, misoprosotol, sodium chloride, biotin, hydroxychloroquine, famotidine (HS), metoprolol

Current Illness: none

ID: 1046130
Sex: F
Age: 33
State: WI

Vax Date: 02/05/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: N/A yet Doctor said to check back with them in a couple of weeks if the lymph node doesn't reduce in size.

Allergies: None

Symptoms: Received first dose on 1/8/21 and second dose on 2/5/21. Mild side effects after first dose (soreness in arm). During 1st 24 hours of having the 2nd dose I had chills, fever, body aches, sleeplessness. Symptoms subsided within 24-48 hours with the arm soreness taking about a week to completely go away. A week and a half after receiving the 2nd dose I noticed a lump on my neck, lower middle near the collarbone. It is significantly pronounced. I saw my primary doctor for an already scheduled physical and she said I was fighting off an infection and it was normal. I mentioned I had the COVID vaccine and she said it isn't uncommon to see the lymph node swell after vaccination and it should go away in a couple of weeks. I wanted to report this because it can freak people out to see a lump in their neck so long after being vaccinated without any other symptoms. We need to list this as a possible side effect on the vaccine information. I feel completely fine except my neck is a little tender/sore from the swollen lymph node.

Other Meds: Doxycycline monohydrate 100 MG capsule 2x daily Sulfacetamide sodium/sulfur 10-5% cream 2x daily

Current Illness: None

ID: 1046131
Sex: F
Age: 39
State: CO

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None. Doctor call about the rash/hive that they said was a delayed localized reaction to the vaccine and to continue with the anti-itch cream and to call back should it become more severe.

Allergies: Penicillin, Tree Nuts, Animals/Nature in general

Symptoms: 24 Hour Reaction included headache, dizziness, drowsiness 7 days post injection - large circular(ish) rash/hive/raised welt around the injection site. Itched. Anti-itch cream helped. This spot is still residual but is almost gone now. Unknown but estimated started at 5 days post injection, pain/discomfort/swelling in lymph nodes around breasts, especially left side. This discomfort continued 10 plus days after it appeared.

Other Meds: Xanax, Zoloft, Zyrtec, Clonidine, Asmanex, Ventolin, Pepcid AC, Vit D3, Multi-Vitamin, Probiotic

Current Illness: None

ID: 1046133
Sex: F
Age: 26
State: IA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Fatigue, headache, body aches and chills, fever, nausea and vomiting, blurred vision, loss of appetite.

Other Meds: N/A

Current Illness: N/A

ID: 1046134
Sex: F
Age: 76
State:

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

Lab Data:

Allergies:

Symptoms: Administration error - Vaccine was under diluted, and patient received dose calculated to be approximately 25% more than recommended.

Other Meds:

Current Illness:

ID: 1046135
Sex: F
Age: 70
State: NY

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None. I consulted with my doctor twice who said not to touch it.

Allergies: Allergic to IV contrast and Bactrim

Symptoms: On Day 8, my arm developed a rash, first small about 1 " around then the swelling and rash became large all the way to the bra strap line and all the way to the elbow and about 2 inches under the arm. My entire body also became itchy, area on the neck as the same side as the left arm where I had the vaccine.

Other Meds: NONE

Current Illness: NONE

ID: 1046136
Sex: F
Age: 81
State:

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

Lab Data:

Allergies:

Symptoms: Administration error - Vaccine was under diluted, and patient received dose calculated to be approximately 25% more than recommended.

Other Meds:

Current Illness:

ID: 1046137
Sex: F
Age: 65
State: NC

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Coedine

Symptoms: Seven days after receiving the Moderna vaccine my arm started itching, became swollen and a bright red rash appeared at the injection site. The size of the rash was approximately 6 x 4 inches. The itching subsided in approximately 48 hours but it was 9 days before the swelling and the rash finally improved.

Other Meds: None

Current Illness: None

ID: 1046138
Sex: F
Age: 76
State:

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

Lab Data:

Allergies:

Symptoms: During monitoring period post Pfizer COVID-19 vaccine, pt states she has mild tongue swelling and tongue numbness. VS: 123/72, Given Benadryl 25mg by mouth. Patient was transferred to: home

Other Meds:

Current Illness:

ID: 1046139
Sex: F
Age: 69
State: PA

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

Lab Data: None needed.

Allergies: Levaquin, Penicillin, Sulfa

Symptoms: Moderna COVID-19 Vaccine. About 15 hours after I received the second injection I experienced severe chills, with chattering teeth, while trying to go to sleep. This lasted for several hours. By the morning the chills were gone. My husband, who received the same vaccine at the same time had the same reaction--severe chills.

Other Meds: Simvastatin, Citrucel, Vitamins C & D, Ocuvite, 81 mg Aspirin

Current Illness:

ID: 1046140
Sex: M
Age: 92
State: NY

Vax Date: 02/14/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: Stomach bleeding with NSAIDS Severe headaches with Demerol

Symptoms: Rash at site of vaccine on day 5 Extreme fatigue and weakness on day 6 and 7

Other Meds: Levothyroxin, Creon (pancrelipase), Omeprazole, Vitamin B-12, A-Reds eye vitamin, Carafate, Iron infusions

Current Illness: None

ID: 1046141
Sex: F
Age: 30
State: MI

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

Lab Data: When she called, it seemed like it was more serious that itching so we had called the EMS staff. They checked her out and she was not having any issues breathing, just felt itch on the skin around her neck.

Allergies: NKA

Symptoms: Had itchyness on skin around neck/throat area

Other Meds: N/A

Current Illness: N/A

ID: 1046142
Sex: M
Age: 80
State:

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

Lab Data:

Allergies:

Symptoms: Administration error - Vaccine was under diluted, and patient received dose calculated to be approximately 25% more than recommended.

Other Meds:

Current Illness:

ID: 1046144
Sex: F
Age: 45
State: IA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin, Sulfa, Kiwi

Symptoms: Slight fever (99.3-99.5 degrees); headache, nausea/gagging, whole body aches/ very fatigued for approximately 24-36 hours. Took ibuprofen, and slept it off.

Other Meds: Paroxetine, Metformin, Amlodipine, Tylenol PM

Current Illness: None

ID: 1046145
Sex: M
Age: 68
State: NJ

Vax Date: 01/24/2021
Onset Date: 01/27/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: Was tested 2 times for flue and COVID 19 all tests came out negative

Allergies: None

Symptoms: Headache, 102 fever, diarrhea, nausea, dizziness, body aches for 17 days. Then continued sluggishness for another 7 days.

Other Meds: Nothing

Current Illness: Nothing perfect health

ID: 1046146
Sex: F
Age: 73
State: IL

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

Lab Data:

Allergies: aspirin, advil, tetracycline, soy, latex, nickel

Symptoms: Itchiness at injection site immediately after injection on 2/9/2021. Large -2-3 inch- raised, red, hard, area at injection site 2/22/2021

Other Meds: Losartan/hctz 100/12.5 amlopidine 5mg carvedilol 12.5 mg

Current Illness: none

ID: 1046147
Sex: M
Age: 76
State:

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

Lab Data:

Allergies:

Symptoms: Patient had itching after the 2nd dose Pfizer vaccine was given. Given diphenhydramine 25 mg PO. Patient had reported hives after first dose.

Other Meds:

Current Illness:

ID: 1046148
Sex: F
Age: 80
State: OH

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

Lab Data: No

Allergies: Sulfa Meds Insect Bites Latex

Symptoms: approx 1am I woke up and I was shivering so hard the bed was shaking and I could not get up out of bed safely. I have never experienced a chill like this before. 3-4am I was shivering and shaking and so very cold again. this lasted until at least 4-5pm. I was shaky and my voice was shaky. no appetite.

Other Meds: alopurinol amlodipine bisulfate lisinopril spirolactin Vitamin E Vitamin D

Current Illness: No

ID: 1046149
Sex: F
Age: 70
State: CA

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Latex - Contact Dermatitis Sulfa Drugs Skin very sensitive to topical products

Symptoms: Red inflamed rash at site of injection

Other Meds: Progesterone 100mg Cap Estradiol 0.5mg Tab Restasis 0.05% Opth. Centrum Silver Multivitamin Ester C Vitamin Glucosamine - Chondroitin Tablets Probiotic 10

Current Illness: None

ID: 1046151
Sex: F
Age: 70
State: VA

Vax Date: 02/06/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Arm is hot and itchy

Other Meds: Nothing

Current Illness: Diabetes

ID: 1046152
Sex: F
Age: 66
State: CO

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: On day 2 after vaccine (Sunday), woke up with very stiff lower back--I never have lower back issues and did nothing to provoke it. Was very stiff the whole day (took Naproxen Sodium AM and again that night.) Much improved when waking up on Monday.

Other Meds: Losarstan 10 mg Zolpidem 5 mg Maganesium time release Vitamin D 6000IU per week

Current Illness: none

ID: 1046153
Sex: F
Age: 63
State: IL

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

Lab Data: None.

Allergies: Penicillin; Erythromycin; Ginger Sensitivity to Latex, Green Bell Peppers, Cardamon, Cucumbers

Symptoms: Experienced Double Vision about 30 minutes after injection. Cleared within 20 minutes. After 36 hours: injection site tenderness, swelling, (no redness)

Other Meds: None

Current Illness: None

ID: 1046154
Sex: F
Age: 70
State:

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

Lab Data:

Allergies:

Symptoms: Patient reported lip tingling at observation station. Given a dose of diphenhydramine 25 mg PO and instructed to take another dose in 4-6 hours.

Other Meds:

Current Illness:

ID: 1046155
Sex: M
Age: 79
State: LA

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

Lab Data: N/A

Allergies: Penicillin

Symptoms: Patient became dizzy 15 minutes after vaccination. Emergency services was called. Patient went into a sleep state for about 15 seconds but with stimulation was responsive and was able to speak to me immediately. Patient then became nauseated and approximately 10 minutes from start of event vomited. After this the patient began to feel better. Paramedics arrived and evaluated patient. Blood pressure, pulse, oxygen level, glucose level were all normal. Patient was convinced to go to Emergency Room with paramedics to be evaluated.

Other Meds: N/A

Current Illness: Wife mentioned sees Cardiologist. No other information available.

ID: 1046156
Sex: M
Age: 82
State:

Vax Date: 01/26/2021
Onset Date: 02/08/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Codeine, Shellfish

Symptoms: Patient was asymptomatic to COVID and presented to the hospital for other health conditions. While in the hospital, patient was tested for COVID (standard protocol) left nasal swab via SARS-CoV-2 Test (T2 Biosystem/ T2SARS-CoV-2 Panel) and the result came back positive. This is on 2/8, roughly 2 weeks after first dose of Pfizer vaccination. Per physician, "Patient was COVID positive, but asymptomatic, no leucocytosis, no fever, CXR showed no signs of PNA, and pt SaO2 above 95% on RA". Patient was continue to be monitored and isolated. Patient was discharged once stable for his admitting condition other than COVID

Other Meds:

Current Illness:

ID: 1046157
Sex: F
Age: 61
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: Levaquin stomach cramping and hallucinations PCN rash

Symptoms: developed a skin rash on the same arm where vaccinated, nine days after the shot. It is red, firm and itchy. Then blisters

Other Meds: acyclovir 400 mg tabs, 1 tab tid x 5 days as needed for flare ups

Current Illness: Hyperlipidemia E78.5 Osteopenia M85.88 Herpes simplex infection

ID: 1046158
Sex: M
Age: 63
State: MI

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

Lab Data:

Allergies: Lisinopril

Symptoms: Patient experienced Chest pain & was diaphoretic approx 5 minutes after vaccination. Onsite EMS was called vitals BP 168/107 HR 63 100% O2 room air. No past reaction to vaccine, last flu vaccine in September. Patient said he was feeling better after approx 10 minutes. Relased to home.

Other Meds: Lisinopril

Current Illness:

ID: 1046159
Sex: F
Age: 16
State: TX

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PATIENT HAD NO ADVERSE EVENT. THIS REPORT IS BECAUSE THE PATIENT IS BELOW THE RECOMMENDED AGE. THE PATIENT'S PHYSICIAN AUTHORIZED THE IMMUNIZATION

Other Meds:

Current Illness:

ID: 1046160
Sex: F
Age: 67
State: PA

Vax Date: 02/10/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: milk

Symptoms: About 10 days after the vaccine there was itching at the vaccine site. 12 days later there was a rash approximately 4 inches in diameter. I am hoping it goes away on it's own.

Other Meds: multi vitamin, baby aspirin, calcium w/D, B complex, Farxiga, Trulicity, Metformin, glimiperide, omeprazole

Current Illness:

ID: 1046161
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: Heart racing, feeling hot, feeling like world is closing in. 10:49 improved and discharged home.

Other Meds:

Current Illness:

ID: 1046162
Sex: F
Age: 71
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Phenylpropanolamine

Symptoms: Eight days after the first vaccination, the injection site became inflamed, reddened, and itchy in an approximate 3-inch area. I Will continue to observe.

Other Meds: Lisinopril 2.5 mg; Daily NP Thyroid 90 mg Daily

Current Illness: None

ID: 1046163
Sex: F
Age: 54
State: GA

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

Lab Data: None

Allergies: Seasonal, grass

Symptoms: Itching at injection site and sporadic itching in multiple areas of body. Itching, very dry skin centralized on face starting Friday, February 19 around 5 PM. It continues. Benadryl 25 mg taken by mouth.

Other Meds: Multi-Vitamins

Current Illness: None

ID: 1046164
Sex: F
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: Patient self-reported left arm pain traveling down her arm after second dose of covid vaccine (pfizer) administration. Patient has documented history of anaphylaxis with IV contrast. EMS on-site provided cardiac monitoring. Observed elevated BP.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm