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: 1047477
Sex: F
Age: 17
State: CO

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

Lab Data: none

Allergies: none

Symptoms: Client was 17 yrs old at time of administration.

Other Meds: none

Current Illness: none

ID: 1047478
Sex: F
Age: 66
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash started 2 days after, continued to spread daily through sunday on bilateral arms, hips, thighs, ankles lower legs Itchy, sent pics to portal endocrinologist and office visit to dermatologiston monday . after trying benedryl and hydrocortisone cream derm ordered steroid prescription cream and endocrinologist ordered oral steroid pac, will wait till friday before start oral to see if gets better

Other Meds: Vit d, calcium, prolia, brio, biotin estrace cream

Current Illness: None

ID: 1047479
Sex: F
Age: 60
State: DE

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

Lab Data: none

Allergies: Latex & latex based foods Environmental allergies dust, dust mites, feathers, birch bark

Symptoms: 30 min after the injection I developed arm pain and a headache. Over the next 36 hours I developed a migraine, extreme body aches and severe arm pain. This was distinctly different arm and body pain compared to the first dose. I now understand the intractable headache after the first dose was a migraine. It was a horrible experience!!!!!!!. I laid down with ice on my body and finally took Tylenol after 24 hours. I was not able to get out of bed without pain; my life ceased for the duration. It was as it an alarm was set because ~ 6:00 a.m. Monday the 15th I woke up afraid to move only to learn that my body has reset and the pain was gone. I had returned to myself with only residual right arm pain.

Other Meds:

Current Illness: Adverse reaction to 1st does of Covid-19 vaccine

ID: 1047480
Sex: F
Age: 70
State: CA

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

Lab Data: Exam

Allergies: Avelox, lyrica, nortriptyline , sumatriptan, topamax

Symptoms: Patient developed L sided facial tingling and left sided Headache about 6 hours after injection. No facial droop noted, neuro exam by MD was normal. Patient was given Benadryl 25mg PO x one dose, and improved within 30 mins. Discharged home in NAD

Other Meds: Synthroid, welbutrin, Butalbital-Acetominophen-caff

Current Illness: Fibromyalgia, Migraines, hypothyroidism

ID: 1047481
Sex: F
Age: 67
State: OH

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

Lab Data: Observation of dermotologist -- 2/22/20210 @ 2:30 pm

Allergies: codeine derivatives; Mepergan; methadone related drugs; Morphine; Naloxone; fentanol; Celecoxib

Symptoms: Moderna COVID?19 Vaccine EUA no immediate impact; severe joint pain began ~ 8 hours after injection; rash on back of right leg a few hours later; rash expanded to left leg and chest, and inside of both elbows; slight temperature for a few hours, but gone now. still have the rash and it is expanding. Saw a dermatologist, who said it is a typical "viral allergic rash." Told me he could not give me steroids, but gave me sample of cream to reduce itch and recommended OTC antihistamine seasonal allergy pills. He said I should not take the 2nd dose, but to follow the advice of Moderna and CDC re: that decision.

Other Meds: alendronate 70 mg tablet; atorvastatin 20 mg tablet; PARoxetine 20 mg tablet (off label use for neck arthritis and pain); levothyroxine 50 mcg tablet; lansoprazole 30 mg capsule; Calcium with vit. d ; Vit b6 qd ; D3-2000 50 mcg (2,000 unit

Current Illness: none

ID: 1047482
Sex: F
Age: 68
State: NY

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

Lab Data:

Allergies:

Symptoms: Next day after vaccine: headache, some chills, some fatigue. Second day after vaccine: extreme fatigue until mid-afternoon.

Other Meds:

Current Illness:

ID: 1047483
Sex: F
Age: 82
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Pain, redness, itchiness all over upper right arm near injection site. Started 6 days after vaccination and has lasted 6 days so far. Most severe on days 6-10 after injection.

Other Meds: None

Current Illness: None

ID: 1047484
Sex: M
Age: 62
State: NJ

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

Lab Data:

Allergies: Buproprion

Symptoms: During our 3rd visit to the facility this patient was registered to receive their second dose of the Pfizer COVID-19 Vaccine. The Nurse did not produce the vaccination record card. We administered the dose as requested. Upon returning to the pharmacy to process the VAR our records indicated that the pt received 2 previous doses at previous clinics.

Other Meds:

Current Illness:

ID: 1047485
Sex: F
Age: 67
State: DC

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

Lab Data:

Allergies:

Symptoms: Fever of 100.3 degrees onset 24 hours after injection. Temperature returned to normal by 42 hours after injection. Soreness in arm where vaccine was administered.

Other Meds: Vitamin D

Current Illness:

ID: 1047486
Sex: F
Age: 42
State: NY

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

Lab Data:

Allergies: Penicillin

Symptoms: Since the night of my shot, I have had the chills, fever, muscle and bodyaches, I can?t move my left arm where I got the shot, and it hurts to walk. I can?t keep food down and I am incredibly thirsty

Other Meds: Venavlacene

Current Illness: None

ID: 1047487
Sex: F
Age: 41
State: NJ

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Peniclin

Symptoms: Large red lump around site and itching comes and goes

Other Meds: None

Current Illness: None

ID: 1047488
Sex: F
Age: 26
State: MI

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

Lab Data:

Allergies: Clindamycin Penicillin

Symptoms: COVID vaccine at approximately 0815 on 2/19/21. Thirty minutes after receiving the vaccine patient started experiencing nausea and dizziness. A few minutes after the nausea began she had one episode of vomiting. She was asked to sit at the Nurse's station and elevate her feet. Her BP was 123/79, HR 88. Patient was advised that she needs to go to the ED. At first she did not want to go to the ED. She was convinced of the need to go and one of the Ophthalmology staff members took her to the ED.

Other Meds:

Current Illness:

ID: 1047489
Sex: F
Age: 91
State: TX

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: She had the vaccine on Thursday and no visible side effects. On Saturday she was very weak and had to be lowered to the ground. She was drooling and staring vacantly and was not responding to questions. This lasted for a bit. I called the ambulance which took her to the hospital. They hydrated her and sent her home with no idea what caused it. The next day she was sitting on the toilet and passed out with her eyes closed. She started drooling. I again called the EMTs and they came. She had come to and they said she fainted and it was probably because she was having a bowel movement. This has not happened before or since these two episodes. I do not know if she should get the next shot.

Other Meds: Acidophilus, Aspirin, Biotin, Exemestane, Levothyroxine, Protonix DR, Glucosamine Chondroitin, Memantine, Tylenol, Amiodarone, Calcium citrate, Ocuvite, Vitamin K2 + D

Current Illness: UTI

ID: 1047490
Sex: F
Age: 36
State: CA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: no

Allergies: Ceclor

Symptoms: Starting the night of vaccine - had a headache about 8PM in evening .I woke up feeling weird throughout the morning: fatigue - didn't want to move at all but not moving wasn't comfortable; fever, chills, joint and muscle aches - mostly in my back (I couldn't get comfortable) - felt like I had been hit by semi truck. Very weak - if that was a 10th of what COVID felt like, I didn't want it! Those symptoms lasted about three to five days. By the5th day - I was mostly back to myself. I took Motrin - which helped slightly for headache.

Other Meds: Adderall

Current Illness: no

ID: 1047491
Sex: F
Age: 73
State: CO

Vax Date: 02/01/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none. If it had not been covid, when I was aware Friday am, I would have had someone take me to ER for fluid drip.

Allergies: Allergic to shrimp cannot take NSAIDS due to Kidney issues

Symptoms: 12 hrs after vaccination, sudden onset of violent vomiting , fever and diarrhea,.weakness.. was barely aware of self all night. at 9Am these Sx stopped and I noticed: swelling/redness at injection site 5" diameter, burning skin left trapezius and below, on back of shoulder and down arm to wrist, walnut sized lump on left upper rib (5" down from "adams apple" 2" from center) similar on right side not as sore or big. In bed all day Sat and Sun with slight nausea, weakness, fatigue, joint pain.

Other Meds: Prednisone 7mg/day Oxicodone 45mg/24 hr period daily

Current Illness:

ID: 1047492
Sex: F
Age: 17
State: NC

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

Lab Data:

Allergies:

Symptoms: First shot of Moderna given accidentally on 1/23/21, without realizing patient was under 18; therefore, second shot was need on 2/20/21. Corporate and Moderna approved patient getting second shot on 2/20/21. Consent form was signed by gaurdian and authorized by pharmacy corporate and Moderna, since patient had already recieved first dose. No known adverse effects.

Other Meds:

Current Illness:

ID: 1047493
Sex: F
Age: 45
State: MN

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

Lab Data:

Allergies: none

Symptoms: After 8 days of getting the vaccine, I experienced redness and a hard bump on the vaccine area. It itches and it's hot. I went to the doctor and they prescribed Triamcinolone Acetonide Cream USP, 0,1% and zyrtec, plus cold compresses.

Other Meds: none

Current Illness: none

ID: 1047494
Sex: F
Age: 87
State: FL

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

Lab Data:

Allergies:

Symptoms: Itchy rash at site of injection. Going away after 3 days.

Other Meds:

Current Illness:

ID: 1047495
Sex: F
Age: 71
State: TX

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

Lab Data:

Allergies: NKDA

Symptoms: RAISED RED ITCHY AND SCRATCHY, WELTS APPEARED AT INJECTION SITE 8 DAYS AFTER RECEIVING IMMUNIZATION

Other Meds: FLUTICASONE NASAL SPRAY, METOPROLOL SUCC ER 50MG, OMEPRAZOLE DR 40MG, SIMVISTATIN 40MG

Current Illness:

ID: 1047496
Sex: F
Age: 62
State: KY

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

Lab Data: DECLINED CT

Allergies: SIMVASTATIN LYRICA WASP VENOM SAXENDA AMLODIPINE

Symptoms: RECEIVED 1ST DOSE OF PFIZER COVID 19 VACCINE ON 02/13/21. ON 02/22/21 WENT TO PROVIDER WITH COMPLAINT OF SEVERE HEADACHE AND WAS INSTRUCTED TO GO TO ER. ON 02/22/21 WENT TO ER WITH COMPLAINT OF SEVERE HEADACHE. DISCHARGE TO HOME SELF CARE IN REGARD TO FOLLOW UP WITH PCP FOR FURTHER EVALUATION SINCE DID NOT AGREE TO CT SCAN.

Other Meds:

Current Illness:

ID: 1047497
Sex: M
Age: 76
State: AR

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

Lab Data:

Allergies:

Symptoms: ADMINISTRATION OF EXTRA DOSE BY NURSING HOME STAFF

Other Meds:

Current Illness:

ID: 1047498
Sex: M
Age: 30
State:

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

Lab Data:

Allergies: wheat and dairy sensitivities

Symptoms: Fever, chills, dizziness, weakness, fatigue. Onset roughly 6hrs after 2nd dose of vaccine. Duration: 30 hours. 2 weeks after 2nd dose of vaccine- full body hives, itching, constricted airway following exposure to cat. This was an unprecedented reaction.

Other Meds: Vitamin D 5,000 iu qd N.A.C.- 1,000 mg qd

Current Illness: NA

ID: 1047499
Sex: F
Age: 78
State: PR

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

Lab Data:

Allergies: Sulfa, vancomycin, parafonforte

Symptoms: Fever, pain on injection site

Other Meds:

Current Illness:

ID: 1047500
Sex: F
Age: 66
State: IN

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

Lab Data: None

Allergies: Cefdinir Sulfa drugs

Symptoms: Redness at injection site, itching at injection site, injection site is warm to the touch

Other Meds: None

Current Illness: None

ID: 1047501
Sex: F
Age: 89
State: AR

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

Lab Data:

Allergies:

Symptoms: ADMINISTRATION OF EXTRA DOSE BY NURSING HOME STAFF

Other Meds:

Current Illness:

ID: 1047502
Sex: F
Age: 29
State: OR

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

Lab Data: None

Allergies: None

Symptoms: Chest pain within 5 minutes and heart palpitations every 5 minutes for 30 minutes. After 30 minutes they were their worst and blood pressure was checked to be 140/90. Heart palpitations and chest pain have not subsided for patient.

Other Meds: None

Current Illness: Radial Fracture Right arm

ID: 1047503
Sex: M
Age: 83
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Patient?s first dose of the COVID vaccine was Moderna but on the second dose, he was accidentally given the Pfizer vaccine. The nurse realized she had given the wrong one when she went to fill out his card.

Other Meds: Atorvastatin, Advil, baby aspirin, vitamin D

Current Illness: None

ID: 1047504
Sex: F
Age: 67
State: TN

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

Lab Data: Bp 124/66, pulse 64, resp 17, temp 96.5, O2 sat 99 % on room air. Vital signs taken during visit to Clinic on 2/20/21 @ 2:28 PM.

Allergies: Aspirin- lips swelling.

Symptoms: Edema, warmth, redness, pain to left arm, including bicep, shoulder, forearm, armpit. Redness and edema to left side of face, and neck. Tingling and weakness to right leg. Left shoulder and elbow joints enlarged. Redness to left side of back/shoulder blade. Visit to well key clinic on 2/20/21- treatment included rocephin shot 1 gram to buttock, dexamethasone 4 mg injection to buttock. Doxycycline 100 mg BID x 7 days. Medrol dose pack. Symptoms are unresolved at this time.

Other Meds: Wellbutrin, trazadone, singulair, xanax, nasonex, levothyroxine

Current Illness: None

ID: 1047505
Sex: F
Age: 34
State: CA

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

Lab Data: None.

Allergies: Acetaminophen, NSAIDS

Symptoms: Developed swelling to face, gums, throat-unable to swallow. Denies SOB. Went to urgent care treated to Solumendrol and Solumedrol dose pack. Resolved after 3-4 weeks. Now at baseline.

Other Meds: None.

Current Illness: None

ID: 1047506
Sex: F
Age: 78
State: AL

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

Lab Data:

Allergies: Sulpha, adverse effects with Fentanyl and Demerol.

Symptoms: Approx. 6 h after injection, chills; followed by headache, nausea, aching, vomiting and diarrhea. Duration approx. 24 h.

Other Meds: Prednisone 10 mg., Acyclovir 40 mg., Buspirone 10 mg., Bisoprolol 5 mg, Pravastatin 10 mg., Montelukast10 mg., Nortriptyline 25 mg.

Current Illness: None

ID: 1047507
Sex: F
Age: 81
State: AR

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

Lab Data:

Allergies:

Symptoms: ADMINISTRATION OF EXTRA DOSE BY NURSING HOME STAFF

Other Meds:

Current Illness:

ID: 1047508
Sex: F
Age: 39
State: WA

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Arm was red and slightly swollen. The red area itched. The redness appeared where the vaccine was injected. It was about 2 inches by 6 inches down my arm.

Other Meds: Daily vitamin

Current Illness: None

ID: 1047509
Sex: M
Age: 65
State: WA

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

Lab Data: n/a -

Allergies: NKDA

Symptoms: Sudden onset fever, headache, exhaustion Duration < 24 hours

Other Meds: Supplements: Vitamin C, Folic Acid, D3, Fish oil, Cal/Mag/Zinc, ASA 81mg, Vitamin 3 Dupixent, Combivent Respimat, Serevent Diskus, Montelukast, Alvesco, Furosemide, Testosterone, Bystolic, Adderall, Lamotrigine, Potassium, Trimix

Current Illness: none

ID: 1047510
Sex: M
Age: 30
State: AZ

Vax Date: 01/20/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: COVID-19 Site / Specimen 19 Feb 2021 0826 Units Ref Range SARS-CoV-2 PCR NASOPHARYNX POSITIVE (H*) (NEGATIVE) Resulted on 21 FEB 2021 at 1003 POSITIVE - SARS-CoV-2 RNA detected by combined technologies of target capture, Transcription Mediated Amplification (TMA), and Dual Kinetic Assay (DKA).

Allergies: amoxicillin, septra - rash

Symptoms: Received on 12/23/2020 Dose 1 MODERNA 011J20A; Dose 2 on 1/20/2021 042L20A On 2/19/2021, patient underwent asymptomatic pre-travel testing that returned positive PCR for COVID-19 He was asymptomatic. He has no known prior history of COVID-19

Other Meds: none

Current Illness:

ID: 1047511
Sex: F
Age: 62
State: WA

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

Lab Data: I did not seek medical attention.

Allergies: No

Symptoms: I developed chills/shivering in the evening of the vaccination (2/19/21) but was not alarmed, just tried to stay warm. I ate normally. I awakened in the night with extreme chills and was shaking most of the night, unable to get warm. I felt feverish and had body aches as well as nausea. I threw up what I could to alleviate the feeling of nausea, about 2 a.m. I slept restlessly until 9:00 am, then tried to take a hot shower. Though the chills were gone, I felt weak and listless and went back to bed shortly after showering. I slept for about 4 hours. I had little/no appetite for most of the day after the vaccine. By the second day I still had a headache but felt better, albeit weak. I took Ibuprofen for the body/headaches with minimal success.

Other Meds: levoxyl - generic

Current Illness: No

ID: 1047512
Sex: U
Age:
State: KS

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

Lab Data:

Allergies:

Symptoms: Patient had a delayed swelling and expanding rash at injection site -- 8 days after vaccination

Other Meds:

Current Illness:

ID: 1047513
Sex: M
Age: 36
State: MO

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

Lab Data: NONE

Allergies: NO KNOWN ALLERGIES TO MEDICATION, FOOD, OR OTHER PRODUCTS.

Symptoms: EXPERIENCED NUMBING AT THE BASE OF THE TONGUE THE EVENING OF 2/13/21. EXPERIENCED TINGLING AT THE NAPE OF THE HEAD 2/14/21. PT WAS NOT ABLE TO CLOSE LEFT EYE COMPLETELY THE MORNING OF 2/15/21.

Other Meds: NONE.

Current Illness: NONE.

ID: 1047514
Sex: M
Age: 60
State: IL

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

Lab Data: none

Allergies: Codeine, Penicillin, Leviquin, ekg lead adhesive

Symptoms: muscle/body ache, bad headache, pain, redness, and swelling at injection site approximately the size of a grapefruit, nauseated, neck swelling.

Other Meds: Eliquis, Fish Oil, Lisinoprol, Metformin, Zetia, Xyzal, Multi-vitamin, Preservision, Praluent.

Current Illness: none

ID: 1047515
Sex: F
Age: 50
State: NY

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

Lab Data:

Allergies: none

Symptoms: body aches, fever, chills, head ache, arm soreness

Other Meds: generic adderall 50mg generic Wellbutrin 150mg

Current Illness: none

ID: 1047516
Sex: F
Age: 77
State: OK

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: No labs

Allergies: Codeine - rash, nausea

Symptoms: 2/15 (day 4 following injection) dev rash on chest, no itch. Twelve hours later developed rash on both forearms which was itchy. Then rash dev on her back and abdomen, and dev severe itch in vaginal and rectal area. Eval in Minor Emergency center 2/19. Prescribed Prednisone orally, which she has not started, and also Triamcinolone cream which she is applying as needed. 2/21 developed rash on back of upper thighs.

Other Meds: Bisoprolol 25 mg daily

Current Illness: no

ID: 1047517
Sex: F
Age: 78
State: PR

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

Lab Data:

Allergies: Sulfa, vancomycin, parafonforte

Symptoms: Fever, pain on injection site, headache

Other Meds:

Current Illness:

ID: 1047518
Sex: F
Age: 60
State: CA

Vax Date: 01/18/2021
Onset Date: 01/28/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Possibly Penicillin (overall slight rash as teenager).

Symptoms: "Covid Arm": Day 10 after 1st dose - Huge triangle shaped rash on injection site ca 4w" x 6h", warm to touch, itchy; no hardness no welts. Lasted ca 4-5 days. Slight fever 99.0 fahrenheit (my usual average 97.9-98.0), very slight headache both lasting ca 1.0-1.5 hours when rash appeared after showering. Since then have received 2nd dose (Moderna #006M20A) same arm as 1st dose; day 7 and no side affects. I have also reported this on V-Safe App. (Have picture to share if needed.)

Other Meds: St. John's Wort (1 capsul, 300 mg 0.3% Hypericin + 150mg Hypericum perforatum flowering herb, Sprouts Brand) daily. Enjoy wine.

Current Illness: None

ID: 1047519
Sex: M
Age: 33
State: NY

Vax Date: 02/13/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: N/A

Allergies: Pollen Some fruits

Symptoms: About five to six days after the vaccine, extremely itchy hives broke out across various parts of my body, after having no side effects (not even a sore arm) following the vaccine. It went away with no treatment in about 48 hours. I know that is not one of the common side effects and it occurred long after the shot, so I wanted to report it in case anyone else does as well. Of course, it may have been caused by something else, but I have never in my life had anything similar occur; nor had taken any new medications or eaten new foods.

Other Meds: Doxycycline 40 mg Solantra Financea Rhofade NatureMade Multivitamins NatureMade Vitamin C

Current Illness: None

ID: 1047520
Sex: F
Age: 55
State: OH

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

Lab Data: none

Allergies: Ultram, Zofran, Letrozole, Anastrozole

Symptoms: 2) "Stoned" From 8:15pm 2/5 thru 12:00 pm 2/7 1) Sporadic vibration of entire body 3) Constipation

Other Meds: Tomoxifen, D3, multi vitamin

Current Illness: none

ID: 1047521
Sex: F
Age: 43
State: MN

Vax Date: 02/13/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Red swollen area at the site of injection, approx 3 inches by 5 inches

Other Meds: Sertraline, Wellbutrin

Current Illness: None

ID: 1047522
Sex: F
Age: 51
State: CA

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: Bloodwork ordered, taken on Feb 17th. Results normal. Scheduled for EMG on Feb 25th (arms and legs). Will be scheduled for MRI of cervical spine. Concerned this is MS or Transverse Myelitis episode that has been undiagnosed but was triggered by the vaccine.

Allergies: none

Symptoms: Both arms began feeling heavy, weak, clumsy 2 days after my 1st dose. Kept up and got more pronounced throughout week and started feeling burning sensations in both arms through Feb 15th. Self referred to Neurology on Feb. 16th. Feb 17th, began to feel worse, spreading to both legs feeling weak, burning sensation, fatigue, and began feeling VERY foggy brained. Have been sleeping a lot, but legs and arms go from burning sensations, weakness, to cold sensations, and achy right leg thigh muscle, to this moment. Brain fog and fatigue seem worst in morning.

Other Meds: none

Current Illness: none

ID: 1047523
Sex: F
Age: 26
State: OH

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

Lab Data:

Allergies:

Symptoms: Pt states she developed muscle aches about 12 hours after receiving the vaccine and the muscle aches continued for 24 hours. She states the muscle aches has resolved now.

Other Meds:

Current Illness:

ID: 1047524
Sex: F
Age: 28
State: NM

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

Lab Data: n/a- responded to ibuprofen and Claritin

Allergies: None

Symptoms: 1 week post-vaccine, my deltoid (injection site) became swollen, severely erythematous and very itchy with a single wheel/welt over the injection site. Lasted approximately 36-48 hours, then swelling, erythema, and itchiness began dissipating .

Other Meds: Ocella (drospirenone 3mg/ethinyl estradiol 0.03mg)

Current Illness: None

ID: 1047525
Sex: F
Age: 37
State: TX

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

Lab Data: 4th of January - COVID test - positive result

Allergies: Sulpha; Penicillin

Symptoms: Started with sinus congestion on the 2nd. Then a bad headache - on the 3rd. Both continued and on the 4th I went to the Care Now Urgent Care COVID test. No treatment except ibuprofen; Claritin; Tylenol - those helped some. I had the headache and sinus congestion until Wednesday - and then I felt pretty much back to normal except for some fatigue for next two days. I got the second dose of the vaccine - Monday, January 25th. I had a bad headache - and achy feeling - but after 24 hours I felt back to normal again.

Other Meds: Multi-Vitamin; Krill oil

Current Illness: no

ID: 1047526
Sex: F
Age: 85
State: OR

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

Lab Data:

Allergies:

Symptoms: Patient reports lower lip feels tingly and puffy, denies other symptoms. Given Benadryl 25 mg PO per MD. Approx 20 min later reports feet feel tingly, provider ordered another dose of Benadryl 25 mg PO. Symptoms subsided and MD cleared for discharge. Friend will drive patient home.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm