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: 1049098
Sex: F
Age: 81
State: MA

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: REDNESS, ITCH, HOT AT INJECTION SITE FOR 5 DAYS AND COUNTING USED CORTISONE OINTMENT FOR ITCH WITH EFFECT

Other Meds: METOPROLOL SUCCINATE. APPLE CIDER VINEGAR AMLODIPINE TUMERIC PRAVASTATIN BABY ASA VIT D

Current Illness: NONE

ID: 1049099
Sex: F
Age: 34
State: ND

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: ER 2/5/21 CBC, CMP and magnesium levels- all unremarkable per ER physician.

Allergies: penicillin, levaquin

Symptoms: Approximately 5 minutes after injection pt became dizzy, reported double vision, and left sided weakness. VSS. Pt was sent to on-site ER for further evaluation. ER workup was "unremarkable" per ER notes and "likely due to low blood pressure or some form of anxiety." Symptoms had resolved by end of ER visit and she was sent home with general

Other Meds: alprazolam, fluoxetine, propranolol, bupropion, Mirena IUD, clobetasol, nifedipine, prenatal vitamins, albuterol prn

Current Illness:

ID: 1049100
Sex: M
Age: 77
State: AL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: NA

Allergies: NKDA

Symptoms: Patient received 1st dose on 01/18/2021, returned to clinic and presented for 2nd dose. Date written on 2nd dose Immunization 66form was 1/1/2021. Patient received 2nd dose of Moderna on 02/04/2021.

Other Meds: unknown

Current Illness: unknown

ID: 1049101
Sex: F
Age: 71
State: IN

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Adverse reactions to Cefdinir Doxycycline Ciprofloxacin Statins

Symptoms: Aching muscles all over (like with severe flu) Severe migraine headache--sensitive to light, noise, movement--causing vomiting Dizziness/lightheaded Dr. recommended alternate use of Tylenol and Advil and prescribed anti nausea medication. 3 days of reaction. Am still lightheaded and dizzy.

Other Meds: Minocycline 50mg 81 mg Aspirin Citracal (500 mg calcium) Triple Flex (Glucosamine/Chondroitin) Flaxseed Oil

Current Illness: No illness

ID: 1049102
Sex: F
Age: 32
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Raised, warm welt (approximately 2 inches diameter) at injection site, moderate itching at injection site

Other Meds: Multivitamin Vitamin C B-12 Iron Wellbutrin Zoloft Birth control

Current Illness: None

ID: 1049103
Sex: F
Age: 52
State: MI

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

Lab Data: None

Allergies: none

Symptoms: Red itchy rash around injection site

Other Meds: none

Current Illness: none

ID: 1049104
Sex: M
Age: 37
State: MO

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Full body bump rash

Other Meds: Full body bump rash

Current Illness:

ID: 1049105
Sex: F
Age: 64
State: PA

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: MRI of brain scheduled 2/24/21. Seen by a neurologist 2/15/21

Allergies: Sulfa, Cipro, Levaquin, Ampicillin, Cefdinir

Symptoms: Moderna COVID-19 Vaccine EUA 2 days after receiving the vaccine I woke up with facial tingling, numbness which extended around my ears. It comes and goes.

Other Meds: Symbicort Inhaler, Flonase Nasal Spray, Gabapentin

Current Illness: itching

ID: 1049106
Sex: U
Age: 76
State: PR

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: N/A

Allergies: PENICILLIN; CLARITHROMICIN; FLUOROQUINOLONES

Symptoms: I AM A FEMALE OF 77 YEARS OLD, WITH CONDITIONS OF HIGH BLOOD PREASSURE, COPD AND HYPOTHYROIDISM. I HAD MY 1ST SHOT OF THE PFIZER COVID 19 VACCINE, ON MONDAY FEBRUARY 8TH, 2021. ON THURSDAY, DAY 4, I DEVELOPED A PARTIAL FACIAL PARALYSIS ON THE RIGHT SIDE; MY PRIVATE DOCTORS IDENTIFIED IT AS THE BELL'S PALSY SYNDROME, DUE TO THE SIDE EFFECT OF THE VACCINE. I WAS IMMEDIATELY SUBJECTED TO A TREATMENT OF PREDNESONE OF 45 PILLS FOR 12 DAYS, AND SUBLINGUAL VIT. B-12. ON TUESDAY FEBRUARY 16TH 2021, I STARTED FACIAL THERAPY FOR 10 DAYS. I DID NOT RECEIVED ANY SUPPORT FROM THE CLINIC WHERE I HAD THE VACCINE: THEY INFORMED ME. TO CONSULT MY PRIVATE DOCTOR! MY 2ND DOSE IS DUE THIS MONDAY MARCH 1ST, 2021. I WOULD LIKE TO HAVE SOME INPUT AND SUPPORT, AS TO, WETHER OR NOT TO TAKE THE 2ND DOSE OF THIS VACCINE. I WOULD APPRECIATE ANY INFORMATION YOU MAY PROVIDE! THANK YOU VERY MUCH.

Other Meds: SPIROLACTONE 25MG W/HCTZ 25MG; SIMVASTATIN 5MG; DILTIAZEM 180MG; SYNTHROID .05MG; BREO 100/25; ESTROVEN, MULTIVITAMINS.

Current Illness: N/A

ID: 1049107
Sex: F
Age: 43
State: NC

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

Lab Data:

Allergies: unknown

Symptoms: Patient started to complain of chest tightness and coughing at 1545, was hot with mask on, used her albuterol rescue inhaler because thought it was asthma acting up. No relief after 2-3 minutes, Doctor notified to evaluate. Epinephrine recommended, EMS called. Epinephrine administered at 1558. Respiratory relief with epinephrine, patient started itching chest, back and arms. EMS arrived at 1620.

Other Meds: albuterol and unknown

Current Illness: unknown

ID: 1049108
Sex: F
Age: 36
State: OK

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Approx 10 minutes after receiving the vaccine client started c/o feeling hot inside and outside of body, sweating on neck, and light headed, clamminess to hands. Vitals monitored. no medications given.

Other Meds: Trazadone, and Tanazepam both for sleep

Current Illness: none

ID: 1049109
Sex: F
Age: 23
State: MN

Vax Date: 01/27/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: 10/23/21 spO2 100 % on room air, glucose 100, CBC and basic metabolic panel were within normal limits, urine Hcg negative

Allergies: No known drug allergies

Symptoms: Patient had a first time seizure and she has no other risk factors for seizure. Of note, the patient had COVID-19 infection three months ago and received her first dose of the Moderna vaccine three weeks ago

Other Meds: Singulair 10 mg daily Levalbuterol 1-2 puffs q4hrs prn levonorgestrel (Kyleena) 19.5 mg IUD

Current Illness:

ID: 1049110
Sex: M
Age: 87
State: MT

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Left deltoid area red with rash. Rash also present below deltoid to elbow and just below right scapula. Patient reports itching of entire upper outer arm and across midsection of his back. Lotion and hydrocortisone cream applied.

Other Meds:

Current Illness:

ID: 1049111
Sex: F
Age: 47
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness

Other Meds:

Current Illness:

ID: 1049112
Sex: F
Age: 90
State: CA

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Dairy & penicillin

Symptoms: Weak, upset stomach, and acid reflux

Other Meds: Ondansetron, warfarin, azelastine, fluticasone, buspirone, hydroxyurea, nortriptylin, alecensa, levothyroxin, montelukast, losartan, atorvastatin, metoprol

Current Illness: Cancer

ID: 1049113
Sex: M
Age: 77
State: OR

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/23/21 First shot: sore arm only. 2/20/21 Second shot in afternoon. By evening, fever 102.8 (then took Tylenol and fever reduced to 101). Fever, nausea, severe leg pain, moderate low back pain, severe fatigue. 2/21 morning through evening: 101 to 102, nausea, fatigue. 2/22 fatigue, temp 100 to 101. 2/23 fatigue, low temp 99.0.

Other Meds:

Current Illness:

ID: 1049114
Sex: F
Age: 50
State: MA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Body aches upon waking at 6am 2/11. arm was also sore.By 4:30 pm on 2/11 I felt awful with a temp of 102.7. I did not medicate and felt better by Saturday 2/1. I had temps off and on the entire time and extreme fatigue.

Other Meds: lisinopril , claritin , synthroid

Current Illness: none

ID: 1049115
Sex: F
Age: 29
State: MI

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: We are in ER right now 2/23/2021

Allergies: No

Symptoms: Itchy red hives and rash all over body and face. Painful joints. Swelling so bad it is Painful to walk on feet and use hands.

Other Meds: Armor thyroid, falmina oralcontraceptive

Current Illness: No

ID: 1049116
Sex: M
Age: 72
State: MI

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

Lab Data:

Allergies:

Symptoms: Client inadvertently given Modern Covid-19, after receiving Pfizer Covid-19 3 weeks ago.

Other Meds:

Current Illness:

ID: 1049117
Sex: F
Age: 85
State: NE

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: no

Allergies: eggs chicken turkey aspirin benadryl sulfa Zoster vaccine actenol evista Tricor crestor lovenox injections heparin arixtra levothyroxine fozenex

Symptoms: I had severe chills on Friday and my arm was feverish and sore until this morning. I also had weakness and dizziness.

Other Meds: levothyroxine 50 mg every other day 75 other days synthroid acytomil 5mg fish oil 1000 4x daily half capusle of miralax every day 2 fiber gummies muiltvitamin 1 daily caltrate 600 +D 2x daily glucosamine condratent 1 daily warfarin 5

Current Illness: hernia surgery January 17th

ID: 1049118
Sex: M
Age: 67
State: NH

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: high blood pressure for several days afterword

Other Meds: omeprazole 10 MG per day

Current Illness: none

ID: 1049119
Sex: F
Age: 27
State: AZ

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: na

Allergies:

Symptoms: I got the vaccine felt completely great that night. Next day i woke up queasy.

Other Meds:

Current Illness:

ID: 1049120
Sex: F
Age: 76
State: TN

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

Lab Data: None

Allergies: Tramadol, Sulfa drugs, latex, codeine, minocycline, doxycycline, benicar, benazepril, terazosin

Symptoms: I got extremely hot. I undressed quickly and got into my bed. My head moved from side to side with out my control. I was swallowing rapidly. I was awake and knew what was happening. I don?t know how long it lasted. When the episode was over, I went to sleep. I awakened in about 3 hours, went to the rest room, and returned to bed. I was uneasy and thought I might fall. I slept another three hours and went to the bathroom again. I felt a little better. I got up in about two more hours and felt a little better. Didn?t feel good all day and my arm was really sore.

Other Meds: Diltiazen, solifenacin succinate, ferrous sulf, aspirin, montelukast, rosuvastatin calcium, miralax, B12, caltrate, Alendronate sodium,

Current Illness: None

ID: 1049121
Sex: F
Age: 45
State: NY

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Erythromycin, MRI dye, and insect venom.

Symptoms: 102-103 Fever, chills, flu like symptoms, and 36 hours later was better.

Other Meds: Synthroid, multivitamins, Vitamin D, red yeast rice pills 1200 mgs, cranberry pills.

Current Illness: None

ID: 1049122
Sex: F
Age: 73
State: CA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None.

Allergies: Internal iodine.

Symptoms: I woke up in the night (approx. 2:00 a.m.) with freezing cold feet and hands. This continued throughout the night (I could not get warm) until I fully awoke at 7:00 a.m. when took my temperature. That was 100.6. After speaking to my doctors office, I took Tylenol and my temperature reduced to 99.8 for the rest of the day. By 9:00 p.m., it had gone down to normal without medication. I still suffered from exhaustion and seem to have ongoing digestive issues.

Other Meds: Eye vitamin, but not taken on this day.

Current Illness: None.

ID: 1049123
Sex: U
Age: 51
State: IL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: FEVER AND HEADACHE

Other Meds:

Current Illness:

ID: 1049124
Sex: F
Age: 70
State: NY

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: see above

Allergies: none

Symptoms: symptoms since her dose of Covid Moderna vaccine on Jan the 25th. In the first 1-2 days she had the usual soreness at the injection site but nothing else. Then, about a week after it, her arm in the area of the injection site gradually became red and warm and indurated slightly without pain About the same time she noted a sense of fatigue and feverishness. Her temp was 100.4 or thereabouts. This persisted for a couple of days with no fever in the morning or midday but feverishness in the late afternoon /early evening and the temp always between 100.2 100.4. The redness of the upper arm increased to an area of about 2x3 inches. On Feb 2nd or 3rd she began a ten day course of penicillin 500mg qid x 24 hr then 250 mg qid x 9 days. The redness, induration and warmth improved and returned to normal gradually over the next 5 days or so. She stopped the penicillin on Feb 12th. Her temperatures in the late afternoons during the time of taking the penicillin were mostly between 100 and 100.4 and in the final couple of days of taking the penicillin it seemed to be resolving. The day after the penicillin it was 99. However, on the 15th it was 101. and since then it has been about 100.4 Her arm still appears normal . Other symptoms she is complaining of bilateral lateral hip pain. She feels quite achy. She believes this started since the vaccine dose I believe she may have had some complaints prior to it. No joint complaints, no upper extremity symptoms other than as above. No HA, ST. She has had what she describes as "spasms in her chest") which has improved but presented about the same time as the arm and temperature did. No Gi symptoms. Her activity has not been curtailed. Neck pain bilat was noted starting the end of December without other symptoms and wo any hx of trauma and did not feel like a typical wry neck. No travel other than for the vaccine, to the grocery store and rarely to another shop. No exposures to anyone other than our grandchildren, son and dau-in-law who are in our "bubble" (the granddaughter attends an out door preschool where they all wear masks and have had no covid cases.Patient walks weekly out doors with a friend. She sees her mother who at 96 resides at home and sees no one. She had a NP swab for Covid PCR test yesterday (the 17th) which is reported this am as "undetected". An evaluation with Doctor led to blood work showing wbc 9.2, hgb 11, plt 546k, ESR 74, CRP 67 a diagnosis of PMR was tentatively made and she was started on prednisone 15 mg /d. Improvement was seen at 24 hours and persisted. Neck pain is 80% better as well. Questions: Did the vaccine play a role in exacerbating a preceeding condition of PMR? If the neck pain is a red herring, did the vaccine cause PMR?

Other Meds: none

Current Illness: neck aching starting about 12 /20/2020

ID: 1049125
Sex: M
Age: 50
State: TN

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None yet. It?s been a week. Doing PT so far.

Allergies: Penicillin, coprocessor, contrast dye

Symptoms: Moderna COVID-19 Vaccine EUA Pudendal nerve/testicular pain Aggravation of peripheral neuropathy Currently treating the testicular pain through physical therapy that was already doing for pelvic floor. But this a whole new problem. Moderate increase in otherwise existing peripheral neuropathy in feet legs and hands. Appointment with urologist next week. Testicular pain began about six to seven hours after shot and has remained for a week now.

Other Meds: Gabapentin, multi vitamin, Lysine.

Current Illness: More recent pelvic floor/prostrate issues

ID: 1049126
Sex: M
Age: 66
State: NY

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: NAA positive 1/14/2021 and confirmed 1/22/2021, met SIRS criteria with multiple biomarkers positive on 1/22/2021. Pulse ox dropped below 89% on 1/22/2021 six hours after admission.

Allergies:

Symptoms: Tested 1/14/2021 positive, fever & malaise 1/19-21/21, admitted with severe CoVID pneumonia 1/22/2021 ? 1/25/2021, required supplemental O2 1/22-24.

Other Meds:

Current Illness:

ID: 1049127
Sex: F
Age: 41
State:

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient became itchy. Given 25 mg diphenhydramine suspension. EMS took vital signs and checked BS. Patient monitored from 10:030-11:05.

Other Meds:

Current Illness:

ID: 1049128
Sex: F
Age: 58
State: NC

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

Lab Data:

Allergies: unknown

Symptoms: Around 1625 patient started complaining of tingling and itching around the mouth. Dr advised to evaluate patient. Benadryl ordered. BEnadryl 25 mg given IM at 1638. 1650 patient reported improved symptoms on Benadryl, patient declined EMS. Patient states has epipen at home if needs. Was advised to call 911 if symptoms worsen.

Other Meds: unknown

Current Illness: unknown

ID: 1049129
Sex: F
Age: 48
State:

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I received the Vaccine on 2/18 .At 22:00 I had chills and low grade Fever. Middle of the night I felt fatigue and body aches, dull Headache. In the morning I was nauseus. The symptoms lasted for 24 hours.

Other Meds:

Current Illness:

ID: 1049130
Sex: M
Age: 45
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported throat irritation, which started a few minutes after receiving vaccine. Symptoms improved at 15 minutes. Had similar reaction with flu vaccine. 14:00 Patient called. Reported he took diphenhydramine. Throat irritation decreased. Reports headache.

Other Meds:

Current Illness:

ID: 1049131
Sex: M
Age: 39
State: AZ

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

Lab Data: None

Allergies: Sulfa

Symptoms: Very, tight chest and very difficult to take a deep breathe. Measured O2 levels and high 90's - 98.

Other Meds: None

Current Illness: None

ID: 1049132
Sex: F
Age: 41
State: LA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Woke at 3am with severe body aches, headache, fever of 101.3 and nausea. Symptoms persisted throughout the day with max temp of 103. Also had swelling at injection site with redness the size of a baseball and extreme tenderness to upper arm.

Other Meds: None

Current Illness: None

ID: 1049133
Sex: F
Age: 71
State: IN

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

Lab Data:

Allergies: Penicillin, latex, sweet potatoes

Symptoms: 4 hours of rapid heart rate 14 hours of irregular heart beat 24 hours of diarrhea elevated blood pressure (continuing) Saw my PCP to evaluate reactions and advise whether to get second vaccine dose)

Other Meds: none

Current Illness: none

ID: 1049134
Sex: F
Age: 55
State: TN

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None at this time

Allergies: KNA

Symptoms: Severe headache woke me from sleep around 12:05 am - started taking extra strength Tylenol every 4 hours. This lasted roughly 12-14 hours after onset. Swelling of left side of neck, shoulder, and under left arm with noticeable inflammation of the Subraclavical Lymph Node. Swelling of the neck region has gone down some, but still quite significant along the collar bone and lymph node

Other Meds: Levothyroxine 0.075 mg Lovastatin 10 mg Liothyronine 5mcg

Current Illness: None

ID: 1049135
Sex: F
Age: 63
State: NY

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

Lab Data:

Allergies: PCN, Cipro, Shellfish, Statins

Symptoms: Subjective tingling to tongue and questionable subjective swelling but no visible swelling no hives no trouble breathing. Spontaneously began to resolve in a couple of minutes. Advised to see allergist before second dose.

Other Meds:

Current Illness:

ID: 1049136
Sex: F
Age: 69
State: AZ

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: they drew 4 tubes of blood but I don't know the results.

Allergies: Benadryl, Penicillin, chocolate, demurral

Symptoms: Arm burning at site and achy, malaise, Sunday I work up and my face felt hot and cheeks red and felt swelling, my cheek and neck and felt like it was going into my nose and up to my eyes, and I had hoarseness as well. I had difficulty breathing so I went to the ER. I was given an IV and they observed me.

Other Meds: Keflex antibiotics, Metoprolol,

Current Illness: no

ID: 1049137
Sex: M
Age: 70
State: IL

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: not sure if pt had Pfizer or mederna vaccination. pt had myalgias, arthralgias, and intense fatigue

Other Meds: Current Outpatient Medications on File Prior to Visit Medication Sig Dispense Refill ? ESCITALOPRAM 10 MG tablet TAKE 1 TABLET (10 MG TOTAL) BY MOUTH DAILY. (Patient taking differently: Take 10 mg by mouth nightly. ) 90 tablet 1 ? furosemid

Current Illness: cardiac eval and hospitalization earlier in month. episode on drive to appt of impaired consciousness, thought to be related to benzodiazepine use.

ID: 1049138
Sex: M
Age: 52
State:

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

Lab Data:

Allergies:

Symptoms: A few minutes after receiving the vaccine, patient reported 1/10 chest pressure to left chest, to left shoulder, improving after 15 minutes. No nausea, light headedness. Non-smoker, no HTN or DM.

Other Meds:

Current Illness:

ID: 1049139
Sex: F
Age: 17
State:

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

Lab Data:

Allergies:

Symptoms: Dad says 5-10 minutes after vaccine patient started having symptoms. Patient said it felt like she couldn't breathe, like her throat was closing off. Patient walked with staff member to EMS ambulance ~50 feet away.

Other Meds:

Current Illness:

ID: 1049140
Sex: F
Age: 61
State: IA

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Dye used in eye at time of stroke - don't know the name of it, but benedryl helped the reaction.

Symptoms: Pain at injection site first 4 days. No fever or swelling. On day 5 there was intense itching and a band of raised, red, warm-to-the-touch irritation appeared. Benadryl helps to ease the itching. It looks like a gigantic hive.

Other Meds: Aimovig Allopurinal Aprazolam B-Complex Benadryl Clopidogrel Combivent Respimat Fluoxetine HCL Furosemide Ibuprofen Iron Levothyroxine Lyrica Montelukast Prenatal Vitamin Propranolol Symbicort Triamterene/HCTZ Tylenol Vitamin D2 Vitamin D3

Current Illness: None

ID: 1049141
Sex: M
Age: 59
State: IL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: HEADACHES AND CHILLS THROUGHOUT BODY.

Other Meds:

Current Illness:

ID: 1049142
Sex: F
Age: 77
State: OH

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: covid arm, beginning 7 days after shot and lasting for 3-4 days

Other Meds:

Current Illness:

ID: 1049143
Sex: F
Age: 65
State: NY

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About 6 PM the day I received the vaccine, the arm started to become extremely sore. It was achy feeling and it radiated down to my wrist. This lasted until Sunday and it started to fade. Today it is just some soreness left at the injection site. I was taking OTC Acetaminophen 500MG between 100 MG for pain. It was difficult to sleep due to the pain. I was also putting cool compresses on it. The pain worse when I was trying to clean my car and shovel the snow. However the cold compress and stretching did help with some of the pain. I also felt agitated for different periods times after vaccination, I felt like my hormones were out of whack and I wanted to "bite someone's head off" this lasted for about an 1 hour or so. I also had mild headaches.

Other Meds: Advil as needed for pain/headache, Azelastine HCl nasal spray .1% (137 MCG per spray), 2 sprays in each nostril twice a day, Vitamin Super B complex daily, Vitamin D3 2000 IU daily, Vitamin C with rose hips 250 MG daily, Pepcid AC 10 MG as

Current Illness:

ID: 1049144
Sex: F
Age: 29
State:

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Lightheaded, short of breath, tightness across chest, unsteadiness in legs, cloudy brain. Went to ER with labs done (tryp 4.8). Discharged.

Other Meds:

Current Illness:

ID: 1049145
Sex: F
Age:
State: KY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: lab work, Covid-19 test, stool sample, liver function test

Allergies:

Symptoms: I experienced chills, fever, horrible joint pain and muscle pain. I also had the worst diarrhea for days. I went to see my PCP where lab work, stool sample, liver function test and flu test was performed which were negative. After two weeks I had a UTI, but think it was from all the diarrhea I experienced. A Covid-19 test was performed which was negative. I also received Iv fluids due to my dehydration. I missed two weeks of work due to my symptoms.

Other Meds: Toprol 50mg, Baby aspirin OD, Blackcohosh medication

Current Illness:

ID: 1049146
Sex: F
Age: 71
State: UT

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: CAT Scan Cardiogram

Allergies: Penicillin

Symptoms: Loss of control of my bladder. Couldnt walk. Taken to urgent care. Cardiogram was done. BP was over 300. Taken to Hospital, CAT scan confirmed that I was NOT having a stroke. after 4 days I was fine

Other Meds: Montelukast sodium amlodipine Besylate Carvedilol Rosuvastatin Calcium Lantus Insulin Humalog Insulin Hydrochlorothiazide Valsartan Xarelto Presevision Centrum Baby Aspirin

Current Illness: No

ID: 1049147
Sex: M
Age: 77
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had vasovagal reaction that required nurse to lay on floor and elevate feet. Patient's head slumped and nurse immediately noticed and placed in lying position with feet elevated. patient regained awareness and was A&Ox3, but required O2. patient was monitored and left under own power with out assistance. Patient given ER precautions and states understanding.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm