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: 1047527
Sex: F
Age: 63
State: CA

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

Lab Data: none

Allergies: ?bergamot?

Symptoms: nausea, sharp abdominal pains, flushing, fever to 100.9 degrees F beginning the morning after second immunization (approx. 18 hours post) and lasting approx. 12 hours, some residual abdominal pain and nausea for an additional day

Other Meds: thyroxine, bioidentical progesterone/estradiol, baby aspirin, Vit. D, multivitamin

Current Illness: none

ID: 1047528
Sex: F
Age: 42
State: MN

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

Lab Data:

Allergies: Sulfur drugs

Symptoms: One week to the day of receiving my first dose of the Moderna COVID-19 vaccine, the injection site began to itch and a hard ?knot? developed. I thought the ?knot? was in my muscle, but maybe not. Upon visual inspection, a red area developed around the injection site, about the size of a 50-cent coin. The red area was slightly painful when touched. Now, 2 days later, the red area is still visible and the area still itches, but much reduced in intensity.

Other Meds: Apri - oral contraceptive Flinstone multi-vitamin Gaia Black Elderberry syrup

Current Illness: None

ID: 1047529
Sex: F
Age: 81
State: NC

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

Lab Data:

Allergies: Bactrim [Sulfamethoxazole W/trimethoprim]Itching LatexItching AmoxicillinRash, Hives CiprofloxacinRash MetronidazoleUnknown CodeineNausea Only ProtonixRash Tetracyclines & RelatedDiarrhea

Symptoms: Patient became flush and light headed after her 2nd shot of Pfizer. Patients BP was 140/78 and continued to rise to 170/80, pulse dropped from 78 to 62, patient developed facial redness and after 90 minutes of observation she became to feel a lump in her throat. No difficulty breathing or respiratory issues.

Other Meds: acetaminophen (TYLENOL) 500 MG tablet amLODIPine besylate (NORVASC) 5 mg tablet aspirin (ASPRI-LOW,ECOTRIN LOW DOSE) 81 mg EC tablet atorvastatin (LIPITOR) 40 mg tablet FERROUS SULFATE 325 (65 FE) MG EC tablet glucose blood (ONETOUCH ULTRA

Current Illness:

ID: 1047530
Sex: F
Age: 68
State: CA

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

Lab Data: none

Allergies: allergy to codeine

Symptoms: Patient reported lightheadedness within 30 mins after vaccination. Patient denied any other symptoms. Patient was also noted to be hypertensive (BP=160/100) upon taking vital signs.

Other Meds: n/a

Current Illness: none

ID: 1047531
Sex: F
Age: 66
State: CA

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

Lab Data: none

Allergies: Food Allergies: strawberries, jackfruit, kiwi, dried apricots, shellfish Medications: Erythromycin, CT contrast dye, Sulphur on dried fruits

Symptoms: Within 45 minutes of receiving the the Moderna injection I started with a headache and the beginning of hives. I took a Benadryl to stop the hives progression. I had to take antihistimes for several days. The hives never popped up so the meds helped. My head felt bruised and heated as if the blood was pumping around my skull. The headaches are still intermittent 6 days later. I did not seek medical care.

Other Meds: Brimonidine Tartrate Ophthalmic Solution

Current Illness: None

ID: 1047532
Sex: F
Age: 57
State: WA

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

Lab Data: N/A

Allergies: Latex, Tolmetin

Symptoms: There is no adverse event, but the patient received 2nd dose of Moderna vaccine on day 49 after 1st dose because she received the 1st dose at another site (healthcare clinic) and she had to travel out of state due to a family member's death.

Other Meds: None

Current Illness: None

ID: 1047533
Sex: M
Age: 65
State: MI

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

Lab Data: N/A

Allergies: fluoroquinolones, Flagyl,, Bactrim,, prednisone, MiraLax, numerous other medications but never a vaccine.

Symptoms: I am allergic to polyethylene glycol ? it actually put me in the hospital for years ago. I had no idea it was in the vaccine, although a smaller amount than I had taken before. I started experiencing severe and awful anxiety and panic that night I got the vaccine. I had other minor side effects that were expected but they went away within a day. Several days later, I began experiencing pain in both my bilateral Achilles tendons and bilateral knee pain. A physical therapist examined both and said that I was swollen. I have had both of those problems under control for a very long time. I am improving somewhat but nearly 2 weeks later I am still having some repercussions. I am now scared and don't know if I should get the second injection done because the previous adverse symptoms were awful. Thank you.

Other Meds: Synthroid Latanprost eyedrop the night before

Current Illness: Fluoroquinolone toxicity. Minor heart afib..

ID: 1047534
Sex: F
Age: 58
State: CO

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

Lab Data:

Allergies: penecillin

Symptoms: Shot was given Tues morning around 7:40 am. It was a bit sore, but nothing else that day. Wednesday morning woke up, arm very sore still. I had no energy, very lethargic. Got a fever by mid morning. Chills, hot and cold off an on all day. Not much of an appetite. Thursday I woke up feeling fine, however arm was still pretty sore. By late Thursday night I started seeing a red rash on my left arm (injection site) It continued to spread all over my body for the next few days. Legs are very itchy and red. Used an anti itch cream, took a Claritin antihistamine. No real pain, but uncomfortable with the itching.

Other Meds: Warfarin Sodium 5 MG Potassium chloride ER 10 MEQ hydroCHLOROthiazide 25 MG Multi vitamin Vit D Vit E Vit B complex fish oil glucosamine condrigton calcium magnesium leutein

Current Illness:

ID: 1047535
Sex: M
Age: 33
State: SC

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

Lab Data:

Allergies: NKDA

Symptoms: PATIENT WAS IN POST-VACCINE WAITING PERIOD IN A CHAIR NEAR PHARMACY TWO TO THREE MINUTES POST VACCINE AND HAD A SYNCOPAL EPISODE. PATIENT SLOWLY FELL OUT OF CHAIR ONTO THE FLOOR. PHARMACIST WAS NEAR AND WAS ABLE TO HOLD ONTO HIM AND LOWER HIM TO THE FLOOR ALONG WITH HIS MOTHER. WHILE 911 WAS CALLED PHARMACIST CHECKED BLOOD PRESSURE AND LOWERED HIM TO A YOGA MAT. BP WAS 95/63 WITH PULSE 49. PATIENT SWEATING PROFUSELY BUT DID REGAIN CONSCIOUSNESS QUICKLY. PATIENT WAS REMOVED FROM PHARMACY VIA PARAMEDICS ON A STRETCHER. VACCINE ADMINISTERED AT 6:16PM, EMS ARRIVED AT 6:27PM. PATIENT'S MOTHER RETURNED TO PHARMACY AROUND 6:45PM AND STATED THAT HE WAS RELEASED FROM AMBULANCE AND WAS GOING HOME WITH HER.

Other Meds: LOSARTAN, GABAPENTIN, EFFEXOR,

Current Illness: HIGH BLOOD PRESSURE, ASTHMA, HISTORY OF SYNCOPE

ID: 1047536
Sex: F
Age: 31
State: DE

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

Lab Data: N/A

Allergies: N/A

Symptoms: Received vaccine on 02/02, 4 weeks pregnant on 02/03 02/03-02/05: Severe lethargy, tiredness, pain at injection sites, fever all lasting 48 hours. Symptoms subsided after taking tylenol on 02/05. I'm not attributing this to the vaccine, but on 02/12, my hcg started to plateau and decline, no egg yolk or fetal pole was seen at 6 weeks (2/17). Sac was measuring at 5 weeks. I eventually had a miscarriage on 2/21

Other Meds: Tylenol on day 2 after vaccination

Current Illness: N/A

ID: 1047537
Sex: F
Age: 65
State: WI

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Sensitivity to Cipro= hives and sore hip joints.

Symptoms: Nausea and vomiting; fatigue; headache; light sensitivity; muscle and joint pain; fever 99.1; chills; tenderness injection site

Other Meds: Fluticasone prop/salmeterol 250/50 inhaler; multivitamin/minerals;Esomeprazole 20mg; vitamin d 5000iu; vitamin B12 50mcg; Clobetasol prop 0.05% topical solution/ cetaphil cream

Current Illness: None

ID: 1047538
Sex: F
Age: 68
State: NY

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

Lab Data: None. I'd just like to make a comment here....It's not clear to me (I'm not schooled in medicine!) whether or not I should report the symptoms I had as an "adverse" event....I didn't understand the documentation you have provided. But I just thought it might be helpful, so I'm reporting it.

Allergies: sulfa, retin-A, several antibiotics

Symptoms: After receiving the shot at 9:00 a.m., at 6:00 p.m. I started to feel very tired and as if I was getting a fever. By 9:00 p.m. I was shaking from chills (despite being bundled up under a blanket), so I took my temperature -- it was 100.5 degrees orally. My normal temperature on that thermometer is 97.6 degrees. That night, I kept waking up every two hours or so and was very uncomfortable. THe next day I felt very lethargic -- unable to do anything other than make myself something to eat. I took two naps, one in the morning, and the other in the afternoon (that was about two hours). I felt slightly better by around 8 p.m. That night I slept somewhat better and felt myself break into a sweat during the night -- so I guess that is when the fever broke. The next day (today) my temperature was back to normal and I feel okay. Throughout the now three days, the arm where I got the shot was painful, but gets less so each day.

Other Meds: Pepcid , 20 mg; Citracal; Vitamin B complex plus C

Current Illness: none

ID: 1047539
Sex: M
Age: 20
State: IN

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

Lab Data: none

Allergies: NKDA

Symptoms: Pt. became anxious, cold and developed moderate shivering. Pt. sent to ER for evaluation and treatment.

Other Meds: None

Current Illness: NONE REPORTED

ID: 1047540
Sex: M
Age: 26
State: NY

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

Lab Data:

Allergies: Latex and amoxicillin

Symptoms: Fever, sorness in the injection site, chills. Started to occurs between 4- 7 hours after the injection.

Other Meds: Oxybutynin, iron, Prozac, Levaquin, Protonix, multivitamin.

Current Illness: Uti, bronchitis

ID: 1047541
Sex: F
Age: 57
State: MA

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

Lab Data: none

Allergies: Doxycycline, penicillin

Symptoms: The injection area of the left arm with redness and swollen. It's the 8th day after receiving the vaccine. No treatment.

Other Meds: none

Current Illness: none

ID: 1047542
Sex: F
Age: 48
State: CO

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

Lab Data:

Allergies: meloxicam, bactrim, cipro,

Symptoms: I had a sore arm and a raised bump for about 3 days, It went away. 10 days later it is back. Hard raised bump at injection site.

Other Meds:

Current Illness: na

ID: 1047543
Sex: F
Age: 25
State: TX

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

Lab Data: Tylenol

Allergies:

Symptoms: 102 Fever, inactive high heart rate 144, loss of appetite, weight loss, Injection site pain

Other Meds: Levothyroxine

Current Illness: UTI

ID: 1047544
Sex: F
Age: 44
State: CA

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

Lab Data: none

Allergies: NOne

Symptoms: Stye developed on 2/1/2021 to left eye, consulted PMD. NO tx resolved after 4 days later. Then 5 days later developed rash to bialteral arms and gluteal region, resolved at the end of day.

Other Meds: None

Current Illness: None.

ID: 1047545
Sex: F
Age: 45
State: IL

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Gluten intolerance; penicillin allergy

Symptoms: Nausea, dizzy, hot flashes, chills, gastrointestinal upset

Other Meds:

Current Illness: Mild gastrointestinal illness the weekend before

ID: 1047546
Sex: F
Age: 73
State: CA

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills,headache, dizziness and weakness, palpitations

Other Meds: Blood pressure medicine

Current Illness: None

ID: 1047547
Sex: F
Age: 66
State: NC

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

Lab Data: NA

Allergies: Codiene

Symptoms: Swelling, redness and itching in L arm 7 days after injection

Other Meds: Lisinopril 10 mg daily

Current Illness: None

ID: 1047548
Sex: F
Age: 33
State: VA

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none, only doctor consultation and prescriptions.

Allergies: none

Symptoms: Severe headaches exhaustion depression, crying spells, mental breakdown severe muscle spasms over the neck, upper, middle, and lower back Knee pain

Other Meds: Motrin, multivitamins, vitamin D, Biotin, Metaxalano (occasionally), Allegra

Current Illness: none

ID: 1047549
Sex: F
Age: 78
State: TX

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

Lab Data:

Allergies:

Symptoms: Facial flush, flare of eczema, burning

Other Meds: advair, albuterol, mukolast,

Current Illness:

ID: 1047550
Sex: F
Age: 34
State: OH

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: On 2/17, I had a KUB X-ray showing left distal ureteral stone

Allergies: N/A

Symptoms: Left-sided back pain started 2/6 and occurred intermittently. On 2/15, the back pain worsened and I developed gross hematuria, urinary urgency and frequency. On 2/17, I had a KUB series which showed a left distal ureteral stone. On 2/18, I passed a 3 mm kidney stone. I have no prior history of nephrolithiasis. There were no recent changes in diet or fluid intake.

Other Meds: Metformin 500 mg BID, Zoloft 50 mg QD, vitamin D 2,000 IU daily

Current Illness: Anxiety, miscarriage 11/2020

ID: 1047551
Sex: F
Age: 45
State: OR

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

Lab Data: N/A

Allergies: Food- Agave, Stevia, Sumac

Symptoms: Elevated temperature, feeling as though I was outside of my body during fever (quasi-dissociative), sweating and heat episodes (heat feels like it's emanating from from my neck/shoulder area). Additional SE's: pain at injection site, fatigue. Quasi-dissociative feeling resolved after fever stopped. At this writing, still having sweating episodes, pain diminished considerably, fatigue waxing and waning.

Other Meds: Zyrtec Wellbutrin Trintellix Turmeric Vitamin D Trazadone

Current Illness: None

ID: 1047552
Sex: M
Age: 67
State: CA

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

Lab Data: none

Allergies: none

Symptoms: One week after 1st shot, woke up with Moderna "Covid Arm", large red circle at the injection site. It was itchy but not painful to the touch, treated it with topical spray. Today is 2nd day, "rash" grew from 2" to 3" around, still itchy but not painful. I was concerned until I read a helpful article at website which said to report it to you, assist you with research. The article says it goes away in 3-7 days, so I will mark "No" under "is patient recovered" below, as it has not yet.

Other Meds: Fluvaststatin, Omeprazole, fish oil pills, 1-A-Day vitamin

Current Illness: none

ID: 1047553
Sex: F
Age: 60
State: WA

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

Lab Data:

Allergies: None

Symptoms: Woke up during the night with chills that had my body shivering and a headache. Did not get up until morning because I didn't want to get out of the covers even though I was cold. Took some ibuprofen which helped with both the chills and headache. I had no energy and was very tired. I slept most of the day and woke up to go to the bathroom and take more ibuprofen. Towards the evening I could tell that I was feeling a bit better. I was able to take a bath, more ibuprofen and went to bed. Slept pretty well. Woke up once and took ibuprofen because of headache and body aches. Felt much better on Sunday. Was still tired and slept a good part of the day. My arm continues to ache, but is not really painful unless I try to lift it.

Other Meds: None

Current Illness: None

ID: 1047554
Sex: F
Age: 75
State: NC

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

Lab Data: on 2-19-21, had Dr check lungs to be sure they were clear at a regularly scheduled appointment

Allergies: none

Symptoms: at 11:30 PM noticed increasing labored breathing with wheezing ; felt like a band was across chest;. Sat up in chair, concentrated on NOT gasping , as exhale was most difficult. Started to ease up around 5:30 AM and had totally cleared up by10:00 AM

Other Meds: levothyroxin, omeprazole, losartan ,hydrochlorothiazide , metoproloe, ezetimisimmmmmvastin, fluticasone propionate, Vitamin B, D, Calcium=D,multivitamin, fish oil, flaxseed oil, Berberine, iron

Current Illness: none

ID: 1047555
Sex: M
Age: 72
State: OH

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

Lab Data: None

Allergies: none

Symptoms: Severe left leg pain above the knee

Other Meds: AmLODIpine, acetaminophen 500 mg,Alever, Atorvastati 40 mg, Lisinopril 20 mg

Current Illness: None

ID: 1047556
Sex: F
Age: 79
State: PA

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Penicillin Soap

Symptoms: Red, slightly raised area, itchy and painful 2x1inches area Lasted for 3 days

Other Meds:

Current Illness:

ID: 1047557
Sex: F
Age: 21
State: CA

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

Lab Data:

Allergies:

Symptoms: Flushed cheeks, red ears. BP 147/111 (pulse 77), BP 141/83 (pulse 66).

Other Meds:

Current Illness:

ID: 1047558
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies: imetrex

Symptoms: complained of feeling weird and heart racing. HR 120s BP 168/78 at 1510. by 1600 HR down to 92, BP 142/76. Patient reported feeling better. Denied shortness of breath, chest pain and denied other symptoms. Advise to see primary care physician.

Other Meds: none

Current Illness:

ID: 1047559
Sex: F
Age: 54
State: MA

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

Lab Data: None

Allergies: Only allergic to surgical tape

Symptoms: Noticed site of injection was itchy swollen and hard. Described as COVID Arm

Other Meds: Allegra, Aleve, Vitamins, Vitamin C, omeprazole, Iron supplement,

Current Illness: Ear ache die to fluid in ear began one week prior to injection

ID: 1047560
Sex: F
Age: 40
State: MD

Vax Date: 02/17/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm pit pain, lymph node swollen

Other Meds:

Current Illness:

ID: 1047561
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: Benadryl

Symptoms: Patient reported light headedness and cough 45 min after injection. with rest and oral fluids. resolved. over the next few days. patient reported increased fatigue and SOB. advised patient to seek medical attention for symptoms which she did today. reports she has now left sided chest discomfort. and left arm pain.

Other Meds: Unknown

Current Illness: Patient had unknown exposed to Covid -19 one moth prior to vaccination. Has had hx of cough

ID: 1047562
Sex: F
Age: 67
State: IL

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

Lab Data:

Allergies: SULFA

Symptoms: Fever and extreme headache and aches from head to toe

Other Meds: EXTRA STRENGTH TYLENOL, GABAPENTIN, BLOOD PRESSURE MEDS

Current Illness: NONE

ID: 1047563
Sex: F
Age: 46
State: AL

Vax Date: 02/05/2021
Onset Date: 02/11/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: COVID-19 rapid test, COVID-19 PCR test, Influenza

Allergies: N/A

Symptoms: Body aches, fever, headache, ear pressure, chills, sweating.

Other Meds: N/A

Current Illness: None

ID: 1047564
Sex: F
Age: 48
State: NV

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On Sunday 2/21/21, I noticed a rash had formed on the right side of my lower stomach/hip. I applied lotion and when I got home from work at 7 p.m., the rash was more painful and prominent. I took Benadryl and applied Cortizone cream. This morning when I woke up, the rash was still there. All day I have periodically applied Cortizone cream to keep the itching and slight pain at bay. The rash consists of small red bumps over a 3 inch by 3 inch area.

Other Meds:

Current Illness:

ID: 1047565
Sex: F
Age: 52
State: CA

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

Lab Data: no

Allergies: seafood; shellfish - tongue and throat closes

Symptoms: Within 15 minutes, left arm got got really cold - like ice. Lasted about 2 hours. The arm to the touch was warm but it felt like it was in ice bucket. They kept me for 2 hours. Started to resolve in those two hours but didn't go away completely. By evening it was mostly returned to normal. Next day, I woke up with flu-like symptoms - felt like I had the flu. Every hair on my head hurt; wanted to sleep; no appetite. Three in afternoon - I felt much better. As quickly as it came on, it went away quickly.

Other Meds: Synthroid; daily vitamin

Current Illness: no

ID: 1047566
Sex: F
Age: 78
State: LA

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

Lab Data: Unknown

Allergies: no known drug allergies

Symptoms: Approximately 10 minutes after receiving the Moderna vaccine patient started complaining of heart racing. After assessing the patient her heart rate was 117 and irregular, her bp was 172/100. We advised the patient to go to the emergency room for evaluation, she refused transport by ambulance but agreed for her friend to bring her.

Other Meds: Unknown

Current Illness: unknown

ID: 1047567
Sex: F
Age: 33
State:

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

Lab Data:

Allergies: Just ceclor

Symptoms: After 7 days, a red rash near my injection site appeared. Minimal itching. No pain.

Other Meds: None

Current Illness:

ID: 1047568
Sex: F
Age: 67
State: IN

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: NONE

Allergies: None

Symptoms: 2/15/21 evening, Pain down both legs, Skin feels electrified, hurts and is sensitive. Pain in lower belly & back. Fatigue 2/16/21 Pain legs, joint pain in knees, ankles & hips all day, Fatigue 2/17/21 Arthralgia & Myalgia all over, but mostly legs, and insomnia, Fatigue 2/18/21 - 2/19/21 - fatigue 2/20/21 - Nausea, no appetite, RASH on lower back, left to middle and down hip and leg and groin area (no itch), no fever, but hot and cold

Other Meds: None

Current Illness: None

ID: 1047569
Sex: F
Age: 57
State: WI

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

Lab Data: none

Allergies: nkda

Symptoms: After getting my first covid vaccine on 1/13/21, I woke up the morning of 1/15/21 with vertigo, which I had never experienced before. It lasted 3 to 4 hours before resolving on it's own. After getting my second covid vaccine on 2/3/21, I again experienced an episode of vertigo starting the morning of 2/14/21 lasting 3 to 4 hours, then again the morning of 2/15/21 lasting all day until the morning of 2/16/21 before resolving on it's own.

Other Meds: armour thyroid 90 mg

Current Illness: none

ID: 1047570
Sex: M
Age: 31
State: MO

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

Lab Data: NA

Allergies: NA

Symptoms: Fever, muscle aches, stomach cramps, chills, swollen lymph nodes in Jaw, Neck, and armpit.

Other Meds: NA

Current Illness: NA

Date Died: 02/20/2021

ID: 1047571
Sex: F
Age: 74
State: WA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Death after stroke .

Other Meds:

Current Illness:

ID: 1047573
Sex: F
Age: 46
State:

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Sore throat, back pain and general fatigue on the 3rd and 4th day post second vaccine dose. Took Ibuprofen 400 mg 3 times daily x 2 days

Other Meds: Vitamin B complex; Vitamin D3

Current Illness:

ID: 1047574
Sex: F
Age: 39
State:

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ?Covid toe? - wasn?t painful but slightly itchy in the beginning. Middle toe on each foot.

Other Meds:

Current Illness:

ID: 1047575
Sex: M
Age: 73
State: MN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: penicillin, ativan

Symptoms: Moderna COVID-19 Vaccine EUA High temperature of 104.4, fatigue, chills, body aches. Symptoms lasted approximately 30 hours

Other Meds: omeprazole 20mg, zetia 10mg, lopressor 50mg, brilinta 90mg twice a day, norvasc 10mg, metoprolol-er succinate 50mg, gabapentin 100mg five per day, remeron 15mg, aspirin 81mg

Current Illness:

ID: 1047576
Sex: F
Age: 67
State: CA

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

Lab Data: none

Allergies: P.E.G. raw onions

Symptoms: diarrhea low gas pain chills / sweating dry mouth sleepy no apatite cough with phlegm dizzy loss of bladder control blood clots in nose mucus

Other Meds: Lisinopril 25mg Baclofen Atarax lasix multi vitamins B vitamins

Current Illness: NONE

ID: 1047577
Sex: F
Age: 51
State: OR

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

Lab Data: N/A

Allergies: NKDFA

Symptoms: I felt extremely tired and wiped out for 2 days, wouldn't have been able to work. Experienced hypothermia and a splitting headache. Thankfully it all went away on the morning of the 21st. The reason I am reporting this is because the app misses the days and hours directly after vaccination in their data collection that is reflecting this time frame. So their data is " garbage in - Garbage out".

Other Meds: Hormone replacement, Vitamin D

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm