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: 1046668
Sex: F
Age: 61
State: MI

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

Lab Data:

Allergies:

Symptoms: Chills, Body Aches

Other Meds:

Current Illness:

ID: 1046669
Sex: F
Age: 65
State: CT

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

Lab Data:

Allergies: steriod eye drops

Symptoms: Seven hours after shot, while lying in bed, had pounding and racing heart for 2.5 hours. Did not call doctor because it was in the middle of the night and racing did stop. Now, continue to feel weak and fatigued, 70 hours after shot. Spoke to doctor's office this morning. Advised me to keep hydrated and take Tylenol if needed.

Other Meds: magnesium Vit. D

Current Illness:

ID: 1046670
Sex: M
Age: 70
State: WI

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data: 2/18/2021: Positive test for SARS-CoV-2 via PCR NP swab 2/18/2021: Chest Xray consistent with pneumonia related to COVID-19

Allergies: No known allergies

Symptoms: Pt received first dose of COVID-19 vaccine on 2/12/2021. Pt presented to ED 2/18/2021 with shortness of breath and confusion. He reported having an exposure to someone positive for COVID-19 prior to date of vaccination but was unaware of exposure until after. Pt had findings indicating pneumonia on chest X-ray and required supplemental O2 with admission to hospital (2/18/2021). Pt was discharged the evening of 2/21/2021.

Other Meds: Amlodipine, atorvastatin, biotin, calcitriol, cholecalciferol, gabapentin, glucosamine-chondroitin, multivitamin, terazosin.

Current Illness:

ID: 1046671
Sex: F
Age: 66
State: WA

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

Lab Data:

Allergies: penicillin, sulfa, cechlor, seldane

Symptoms: 24 hours post injection: Chills, fever (102 F), pain at injection site, nausea, fatigue, body and joint aching, Side effects gone after 36 hours, except sore arm, which lasted 2 days.

Other Meds: levothyroxine

Current Illness:

ID: 1046672
Sex: F
Age: 64
State: NC

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

Lab Data: Vital Signs, Blood Glucose

Allergies: Shellfish, PCN, MSG, Aspirin

Symptoms: Patient initially described superficial itiching of hands. Upon observation, was scratching all over her torso and arms as well as neck. Benadryl 50 mg provided with improvement in superficial itching but endorsed internal abdominal itching and continues to touch her throat.

Other Meds: Oxycodene Q2 x 12 hours

Current Illness: Back pain

ID: 1046673
Sex: F
Age: 35
State: MD

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

Lab Data: None

Allergies: Latex Oral allergy syndrome

Symptoms: Reports sensation of tingling and puffiness of lips starting about 2 hours after immunization, which was still present the next morning. She did not visualize any change in her lips, and did not tell anyone about the reaction until it was time for her 2nd dose. She had previously tested positive for COVID in September and was not given a 2nd dose.

Other Meds: Zyrtec, Claritin, Flonase, Nexium, Prevacid, OTC Stool softener

Current Illness: None

ID: 1046674
Sex: F
Age: 87
State: TX

Vax Date: 02/06/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: Chest xray, CBC, Chem panel, Cardiac Enzyme test, EKG, uranalysis. WBC, necrophiles, and chest x-ray were all abnormal.

Allergies: Penicillin, Vinegar, Cheyanne pepper, Prednisone

Symptoms: About 6 day later, she developed a low grade fever (99.6), headache, her chest was feeling heavy and tight, she was achy all over, she had chills. She had a horrible cough (deep, barky cough, non productive cough) Her symptoms continually got worse. She also had an earache. She was having trouble breathing so we went to the ER on 02/16/2021. They diagnosed her with bilateral pneumonia and fluid on both of her lungs. She was discharged from the ER same day under my care, I am an RN. The prescribed her a Zpack (Azithromycin) 500 MG for 1 day, the next 4 days 250 MG, Naproxen 500 MG every 12 hours, Albuterol nebulizer treatments every 4 hours. ER doctor believes that the vaccine may of effected her immune system. She does have a follow up with Dr. on March 2nd. She is improving. She still has a mellitic/bitter taste in her mouth from the first vaccine. She is doing better but not completely over it.

Other Meds: Flexeril 10 MG daily, Lexapro 10 MG twice a day, Aspirin 81 MG daily, Claritin 10 MG twice a day, Multi-vitamin gummy (2 gummies daily), Vitamin C gummy (2 gummies every day), Prilosec 40 MG daily Eye drops prescribed after the first dos

Current Illness:

ID: 1046675
Sex: M
Age: 96
State: OH

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

Lab Data:

Allergies: Iodine contrast

Symptoms: Received the vaccine in the morning and came to ER later post fall. he was admitted with a fracture and later transferred to a higher level of care hospital

Other Meds:

Current Illness:

ID: 1046676
Sex: F
Age: 60
State: MI

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

Lab Data:

Allergies:

Symptoms: Temp, body aches, chills, headache, dizzy, (L) arm very painful, swollen

Other Meds:

Current Illness:

ID: 1046677
Sex: F
Age: 68
State: IN

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

Lab Data:

Allergies: Benadryl - infusion of Amoxicillin

Symptoms: Eighteen days after receiving the shot, I noticed a large, red blotch area around the vaccination site on my left arm.

Other Meds: Levoxyl Currently undergoing chemotherapy - date of infusion previous to vaccine was January 19, 2021

Current Illness: Ovarian Cancer

ID: 1046678
Sex: F
Age: 77
State: AZ

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

Lab Data: none

Allergies: none

Symptoms: This was my second vaccination at the same site. I was fine with the first shot, and seemed fine with the second one until the next afternoon around 3:00 p.m. All of a sudden I could feel some aching in the back of my neck and just a feeling of aching down my back. Then I started to get the chills, chills that were so bad my body was almost convulsing with chills. I ended up going to bed and I turned my electric mattress pad on to warm up. I then slept very well and I don't think I moved all night. I woke up sort of achy, but not much to be concerned with.

Other Meds: Doxycycline, 20mg., Estradiol, prevastatin 50 mg.

Current Illness: none

ID: 1046679
Sex: F
Age: 56
State: OH

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

Lab Data:

Allergies:

Symptoms: warm to touch ,redness and swelling of entire deltoid and below injection site , itching of arm .Took 2 Benadryl, Same reaction happened after first vaccination but not as significant. Second vaccination symptoms have worsened. I have not required further medical treatment.

Other Meds:

Current Illness:

ID: 1046680
Sex: F
Age: 49
State: OK

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

Lab Data: Potassium level drawn-normal

Allergies: Cephlasporins

Symptoms: Facial drooping, watering of the right eye, twitching of the right eye. Diagnosed as Bell's Palsey. Rx for prednisone.

Other Meds: Synthroid, and HCTZ

Current Illness: none

ID: 1046681
Sex: F
Age: 27
State: MI

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

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient experienced generalized anxiety disorder. Onsite EMS was called vitals BP 149/93 100% O2 room air HR 84 Patient refused evaluation/care released against medcial advice.

Other Meds:

Current Illness:

ID: 1046682
Sex: M
Age: 32
State: HI

Vax Date: 01/21/2021
Onset Date: 02/14/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: head and neck CT scan: negative, neuro exam by neurologist: negative

Allergies: none

Symptoms: Left arm and facial numbness starting 2/14/21 and lasting 10 min. I had two episodes one week apart.

Other Meds: Left hand numbness radiated to elbow. Left facial numbness, left tongue numbness. Numbness lasting 10 min. I have had two episodes. I had another episode yesterday 2/21/21 at 630 am. Numbness lasting 10 min. I went to the ER and had a head

Current Illness: none

ID: 1046683
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies:

Symptoms: fatigue low grade fever 100.9 chills nausea lasted for 24 hours

Other Meds:

Current Illness:

ID: 1046684
Sex: F
Age: 46
State: MN

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data: Chest CT 1/10/2021 Labs 1/10/2021 Lower leg US 1/10/2021

Allergies: Vicodin Environmental allergies

Symptoms: L arm pain, HA, body aches/chills starting 12/29/2020. Chest pain, SOB, cough, fevers starting 1/3/2021. Hemoptysis 1/7/2021 with worsening SOB and positional cough. Multiple PEs found on chest CT 1/10/2021 and hospitalized on heparin drip for >24hrs. DVT found on lower leg US 1/10/2021. Remain on DOAC for anticoagulation.

Other Meds: Vitamin C, xyzal PRN

Current Illness: none

ID: 1046685
Sex: F
Age: 63
State:

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

Lab Data:

Allergies: nkda

Symptoms: After 7 hours after the injection, the injection site was itchy. It was not swollen or red, but there was an itchy, tingling sensation. A week later the injection site was swollen, red, and itchy.

Other Meds:

Current Illness: na

ID: 1046686
Sex: F
Age: 70
State: NY

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

Lab Data:

Allergies:

Symptoms: 5min after vaccine as per daughter, her mother began complaining of "burning " in her chest , itching in her throat, lump in her throat, hives/redness noted on throat and chest. RRT responded and accompanied patient to ED

Other Meds:

Current Illness:

ID: 1046687
Sex: F
Age: 54
State: MD

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

Lab Data:

Allergies: Latex, sulfa drugs

Symptoms: After both doses of the Moderna vaccine, about 2-3 minutes post-injection, I noticed a metallic taste in my mouth for about 2 seconds. The taste was there just long enough for me to notice the metallic taste and then it was gone. I had no other adverse reactions to the vaccine. I did have the muscle aches and fatigue that been documented as common side effects post-vaccination but those eased after about 36 hours. I searched online for "metallic taste" but was unable to find any information as to whether this is an expected side effect, hence my reporting it now.

Other Meds: Magnesium, vitamin C, multivitamin, D3, iron, echinacea

Current Illness: none

ID: 1046688
Sex: M
Age: 74
State: NE

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: CT Angiogram, (L) lower extremity venous doppler

Allergies: Flagyl, PCN, pravastatin

Symptoms: (L) lower extremity pain, patient seen in office 2/19/2021, pt started on Eliquis

Other Meds: Tylenol 500mg, Aspirin 81mg, Clopidogrel 75mg, Metoprolol Tartrate 25mg 0.5 tab daily, MTV, Nitroglycerin 0.4mg, Pantoprazole 40mg BID, Crestor 20mg, CoQ10 300mg

Current Illness: none known

ID: 1046689
Sex: M
Age: 32
State: AK

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2-3hrs after the vaccine I started feeling pain in my lungs it was a 6 or 7 out of 10 pain. I also had arm soreness. My lung pain started getting better day by day but I still have a little pain here and there. I saw my doctor on base we did breathing treatments it was like Asthma treatment.

Other Meds:

Current Illness:

ID: 1046690
Sex: F
Age: 49
State: AZ

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

Lab Data: None.

Allergies: None

Symptoms: Dizziness started with 1st injection on Dec 22nd and got worse with second injection on Jan 21st. Has subsided but it is not gone. Persists to current day. Muscle Aches within 12hrs of injection for a duration of 4 days Nausea within 4 hrs of injection for a duration of 24hrs Pain at the injection site within 12hrs of injection for a duration of 7 days Burning skin within 12hrs of injection for a duration of 48hrs Sore joints within 12hrs of injection for a duration of 48hrs

Other Meds: B Complex Vitamin C Vitamin D3 Zinc Turmeric

Current Illness: No

ID: 1046691
Sex: F
Age: 75
State: AZ

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

Lab Data: none

Allergies: NOne

Symptoms: Severe shaking during teh night with chest congestion and headache. Resolved by teh following day at 3pm

Other Meds: Developed chills developed at 1800, then developed violent shaking, chest congestion. Then had a cough at night. Had a Heaache, resolved by the next day at 1500.

Current Illness: None

ID: 1046692
Sex: M
Age: 31
State: NV

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: within 12 hours had a reaction to include significant shakes and chills. After a period of respite patient developed chest pains, was admitted to hospital on 14FEB, and diagnosed as having had a Type 2 heart attack.

Other Meds:

Current Illness:

ID: 1046693
Sex: F
Age: 63
State: NY

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

Lab Data:

Allergies: Possible allergy to penicillin - but never confirmed

Symptoms: On 2/19/21 was just the slightest headache, and tired. Took 2 Tylenol and was in bed by 10. On 2/20/21 still a slight headache, took 2 Tylenol then went out and walked about a mile, visited family, then walked back home. By the time I got home I was barely able to walk up the stairs. Felt exhausted and nauseous. Slept for a few hours and got up and just sat on the couch for another few hours and then felt that same nausea and exhaustion and went to bed. Took 2 more Tylenol. Started drinking more water. On 2/21/21 felt pretty good -- stayed in all day -- ate a little -- but saw the site on my arm just under the injection site was very large, red, and hot to the touch. The red welt area went from just below the injection in the left arm to just above the elbow. On 2/22/21 (today) feel pretty good. Drinking a lot of water and tool 1 Tylenol.

Other Meds: Lorsartan Potassium (25 mg daily); Atorvastatin (10 mg daily); Iron (65 mg daily); B-12 (1000 mcg daily) -- and usually COQ10

Current Illness: No

ID: 1046694
Sex: F
Age: 56
State: GA

Vax Date: 02/13/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Swollen, sore, itchy patch at injection site.

Other Meds: Losartin, water pill, estrogen

Current Illness: NA

ID: 1046695
Sex: F
Age: 64
State: CA

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: Codeine

Symptoms: Swollen Arm -- very hot-and itchy at the vaccine injection site----severe headache---

Other Meds: Tirosint 175MCG Lansoprazole 30MG Estradiol 1 MG Escitalopram 10 MG Losartan Potassium 50MG hydrochlorothiazide 25 MG

Current Illness: none

ID: 1046696
Sex: M
Age: 86
State: GA

Vax Date: 02/03/2021
Onset Date: 02/13/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none to date

Allergies: NKDA

Symptoms: psoriasiform eruption at lower buttock and inner thighs- never with similar rash in past. raised, red, serpiginous + annular lesions with silvery/white, rough scale at surface.

Other Meds: losartan, finasteride, gabapentin, cholestyramine, diltiazem ER, atorvastatin

Current Illness: none known

ID: 1046697
Sex: M
Age: 76
State: KY

Vax Date: 02/10/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data:

Allergies: Ciprofloxacin; Flagyl

Symptoms: 1st vaccine 2/10/21; developed chest pain 2/21/21; seen at ED and admitted to Hospital 2/22/21 for chest pain.

Other Meds:

Current Illness:

Date Died: 02/20/2021

ID: 1046698
Sex: M
Age: 63
State:

Vax Date: 01/26/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient passed away within 60 days of receiving a COVID vaccine

Other Meds:

Current Illness:

ID: 1046699
Sex: F
Age: 83
State: AK

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

Lab Data:

Allergies: codeine

Symptoms: One hour after second injection on 2/17, felt a little 'out of it', then redness at injection site. 3" by 4" area of redness, warmth, stiffness and soreness at shoulder.

Other Meds: Simvastatin 20mg 1/daily Glucophage 4 daily

Current Illness: None

ID: 1046700
Sex: F
Age: 61
State: NE

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

Lab Data: NONE

Allergies: NONE

Symptoms: Nurse and patient unsure if there was actually vaccine in syringe used to give shot. Nurse noticed after injecting into left deltoid that syringe plunger was already pushed in and didn't notice any vaccine in syringe. No side effects or reactions following "injection". Nurse called manufacturer for guidance--- following up with pt as well.

Other Meds: NONE

Current Illness: NONE

ID: 1046701
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies:

Symptoms: itchy eye watering eye all around eyes were watering and itchy they are swollen and puffy

Other Meds:

Current Illness:

ID: 1046702
Sex: F
Age: 43
State: AZ

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: vomiting, chills, body aches

Other Meds:

Current Illness:

ID: 1046703
Sex: F
Age: 29
State: MI

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

Lab Data: N/A

Allergies: None that I am aware of.

Symptoms: The day I received the shot there was some pain and a hive appeared. It was about .5 inch thick and 1.5-2 inches long at the injection site. I got the shot on Friday and by Monday afternoon those symptoms had disappeared. Nine days after receiving the shot (about 5 days after reaction disappeared) the same reaction came back. The bump does appear to be a hive. I have not seen a doctor about this, I have not had insurance and have not recently been to the doctor. It is swelled and is very itchy but there is no arm pain.

Other Meds: None

Current Illness: Stuffy nose and sore throat about a month prior. Tested negative for COVID 19 around the same time. The day that I originally got the vaccine I had some arm pain near the injection sight, and a similar red hive appeared. Both symptoms were gone by Monday afternoon.

ID: 1046704
Sex: F
Age: 68
State: GA

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

Lab Data: I was alone. Could not dial at worst Point.

Allergies: No

Symptoms: In about 12 hrs I felt fevered, then went to cold, then I started trembling. So hard, I still felt cold, but this wasn?t shivering, I wanted to go to get in warm water. I was shaking so bad I couldn?t take my clothes off. I got in with clothes on, I was getting delirious. My whole body was contracting so hard I couldn?t sit in the tub flat, my but cheeks contracting with all muscles. I found myself in the night with a sticking hat soaked in water to cover my face. I could not have called for help when the muscle contractions were going on. That lasted I think 30-45 minutes. I was groggy on the 20th all day but getting much better. I was very excited for vaccine and would do it again, but wanted to report what I consider pretty rough side effect, so you could make note of it. And I still thank you for the vaccine, but dang I truly thought I was dying.

Other Meds: Air Borne Supplement, aspirins, Advil for Sinus

Current Illness: No

ID: 1046705
Sex: M
Age: 35
State: HI

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: urticaria beginning approximately 24-36 hours after vaccination, affecting bilateral upper and lower extremities and trunk. Predominantly peripheral distribution of concentrated urticarial lesions. No angioedema/anyphylactic sxs. Treated with Benadryl prn with improvement.

Other Meds: NA

Current Illness: Cellulitis, finished antibiotic course of Septra 14Feb2021

ID: 1046706
Sex: F
Age: 64
State: MA

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

Lab Data: MD not notified

Allergies: Pseudophedrines

Symptoms: Swelling in muscle near injection site followed by red rash with mild discomfort . Rash still present

Other Meds: Rouvastatin Vitamin D Vitamin B12

Current Illness: GERD

ID: 1046707
Sex: F
Age: 46
State: TX

Vax Date: 02/09/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: N/A

Allergies: Demerol, Sulfa drugs

Symptoms: Received Moderna vaccine on 2/9. Developed a rash 5-6 days later at the injection site. Over time the rash has gotten larger and developed white bumps. Tenderness. +Itching. Works as a police and fire dispatcher. At time of visit: Localized erythema of the left upper arm at injection site of Moderna COVID-19 vaccine Recommend applying cool compress, aloe vera gel, topical benadryl, or hydrocortisone cream to relieve irritation and itching Benadryl as needed for itching Tylenol or Motrin as needed for pain relief Follow-up as needed

Other Meds: Tizanidine, Bystolic, Ibuprofen, Lisinopril

Current Illness: None

ID: 1046708
Sex: F
Age: 67
State: DC

Vax Date: 02/04/2021
Onset Date: 02/16/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Augmentin possibility of skin reaction to Cocoa Butter

Symptoms: MODERNA COVID-19 Vaccine EUA On 2/4/21 I received my vaccination in my left arm. On 2/16/21 noticed a red hive like rash at the injection site that extended down to the inside of my arm. No bumps, not itching, just a red patch about the size of a half of chicken breast. Applied Triamcinolone cream to the site. Saw Dr. on 2/17/21 and she said to monitor and apply the Triamcinolone cream. If it worsened we may treat it as a skin infection. The redness lessened over the next few days and was gone by 2/21/21

Other Meds: Fluticasone propionate Naproxen 500mg Joint formula supplement, Kelp tablet Floragen, Vitamin C Calcium with Vitamin D, Zicam

Current Illness: None

ID: 1046709
Sex: F
Age: 48
State: MI

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

Lab Data:

Allergies:

Symptoms: Chills, body aches, fever, Vomitting

Other Meds:

Current Illness:

ID: 1046710
Sex: M
Age: 22
State: OR

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

Lab Data:

Allergies: unknown

Symptoms: SOB after vaccine administration. lasted 4-5 min, resolved after taking off mask

Other Meds: Lisinopril. insulin,

Current Illness: unknown

ID: 1046711
Sex: F
Age: 66
State: AZ

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

Lab Data:

Allergies: Penicillin

Symptoms: Fever, weak, dizzy, vomite, no appetite

Other Meds: Metform, Glipizide, Montelukast Sod., Triamt/HCTZ, Metroprolol, Pantoprazole, Oxbutynin, Isosorb, Linsinopril

Current Illness: None

ID: 1046712
Sex: F
Age: 71
State: OH

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None required

Allergies: N/A

Symptoms: Red area approximately 2 x 2 inches, no itching, no pain, lasted approximately 36 hours. Similar to "Covid Arm" described online. No other adverse effects.

Other Meds: Lisinopril, Femara, Metformin, Simvastatin, Calcium, Vitamin D. Culturelle

Current Illness: N/a

ID: 1046714
Sex: F
Age: 74
State: FL

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

Lab Data:

Allergies: none

Symptoms: 8 days after shot arm is red warm and itchy where shot was given

Other Meds: baby aspirin 20mg lovastatin probiotic gummy fiber gummy calcium 900

Current Illness: nonenn

ID: 1046715
Sex: F
Age: 69
State: MO

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

Lab Data: None

Allergies: Sulfa, coconut, strawberry

Symptoms: Blood surges not controlled, slept ca 24/7, tired, felt out of place r kilter

Other Meds: Bydureon exenatide suspect. ER, duloxetine 60 mg cap x1, ezetimibe 10 mg tab x1, ferrous sulfate etc. 325 tab 2x 1, moving sliding scale, levothyroxine 112 mg tab x1 linagliptin 5 mg tab x1, valsartan 100 mg tab x1, metoprolol succinate,xl

Current Illness: Diabetes, high blood pressure kidney problems high cholesterol joint disease

ID: 1046716
Sex: F
Age: 30
State: GA

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

Lab Data: Day of- Shortness of breath from simply walking around swelling of the glands and tonsils in the neck and throat And by the end of the night cannot speak at all and hardly breathe Following day- did not sleep out of fear and ended up calling primary Doctor Who told me to go to the ER immediately and when I went I was immediately put on IV for anaphylaxis and a high dose of steroids for the following week After steroid was done all glands and throat began to swell once again leading to shortness of breath and trouble breathing and was put on steroids again and now at current date of the 22nd I am still on steroids but things seem to be OK and my voice is finally back to mostly normal. Have been exhausted and feeling sick for the past couple weeks

Allergies: None

Symptoms: Fine for hour or so then began to lose voice slowly over the next few hours and cough. Shortness of breath from simply walking around swelling of the glands and consul in the neck and throat

Other Meds: Paxil 40 Singular 10 Vyvanse 60 Propranolol Er 60

Current Illness: None

ID: 1046717
Sex: F
Age: 58
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: stiff jaw, but also had a recent dental appointment. Not sure which it is from.

Other Meds:

Current Illness:

ID: 1046718
Sex: F
Age: 69
State: MD

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data:

Allergies: gluten (celiac disease), penicillins (hives, swelling), latex (unknown), lisinopril (cough)

Symptoms: Patient was admitted after having a syncopal episode. After evaluation by cardiology and neurology, patient was discharged

Other Meds: calcium-vitamin D, MVI, cetirizine, aspirin, diltiazem, hydrochlorothiazide, krill oil, losartan, magnesium gluconate, metoprolol succinate

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm