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: 1049503
Sex: F
Age: 53
State: WA

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

Lab Data: no

Allergies: bee stings, various foods and environmental thing, nuts, trees, grass, shellfish

Symptoms: Shortly after the vaccine I developed chest tightness and SOB causing me to use my Albuterol Inhaler. Later that evening I took my reg asthma meds. Sat morning still experiencing the SOB but a bad headache appeared and had some stomach aches as well. 1/9 I spoke with my Allergist who advised to take an additional Singulair and Xyzal meds on top of what I was originally taking already. 1/10 was advised to take and Allergra for the SOB along with my reg meds that evening and by the Tuesday of the next week I was finally able to get my back Asthma balanced out.

Other Meds: Levothyroxine, Xyzal, Singulair, Pantoprazole, Prempro

Current Illness: no

ID: 1049504
Sex: M
Age: 27
State: PR

Vax Date: 12/16/2020
Onset Date: 12/18/2020
Rec V Date: 02/23/2021
Hospital:

Lab Data: Unknown.

Allergies: None.

Symptoms: Two days after the administration, the patient started to feel headaches that lasted all the way through January 3, 2021.

Other Meds: None.

Current Illness: None.

ID: 1049505
Sex: M
Age: 69
State: CA

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

Lab Data:

Allergies:

Symptoms: extreme gut pain right behind my solar plexus. I had the shot on Saturday and Sunday morning I was in agony all day. It is Tuesday and it is still very much there

Other Meds: xarelto and pepcid

Current Illness:

ID: 1049506
Sex: F
Age: 73
State: NY

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

Lab Data: None.

Allergies: Levaquin, Sulfa, Penicillin, aspirin, NSAIDS. All melons. Bee and wasp stings.

Symptoms: After 15 minutes of the vaccine she left and when she got home had an anaphylactic reaction, had to use her Epi-Pen. Did a telemed appointment with her physician who told her to take one dose of the Epi-Pen, Benadryl, Prednisone, Ventolin, and Singulair. These medications have worn off, and wants her to take even more doses of the Prednisone, Benadryl and the inhaler. She is still having symptoms, but improving. She does not itch as badly. Her arm is sore.

Other Meds: Januvia, Micronase, Diovan, Singulair.

Current Illness: None.

ID: 1049507
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies:

Symptoms: Shortly after receiving the vaccine, diarrhea & fatigue developed. Continued x 2 days, then subsided on day 3.

Other Meds:

Current Illness:

ID: 1049508
Sex: F
Age: 70
State: GA

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

Lab Data: none

Allergies: none

Symptoms: Noticed redness and tenderness on 4 gums in mouth soon after shot, visited dentist who recommended salt water rinses, have been doing that for 5 days, somewhat better but not gone, dentist mentioned that he had seen a photo of something similar in the mouths of two men who tested positive for Covid.

Other Meds: Losartan 100 mg, Verapimil 180mg, ibuprofin 400 mg

Current Illness: none

ID: 1049509
Sex: F
Age: 64
State: MN

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

Lab Data: none

Allergies: Zoledronic

Symptoms: (L) ear Hearing Loss: hearing loss occurred after both vaccinations. After Vaccination #1-1/28/2021: Hearing loss occurred on Friday 1/29/2021 about 0200-0300 then returned 100% by Saturday afternoon. Then after vaccination #2 - 2/19/2021: hearing loss occurred on Friday 0200-0300 as of 2/22/2021 hearing loss is approximately 90% returned.

Other Meds: Albuterol 90mcg 1 puff q4-6h prn; lactobacillus Acidophilllus 2 capsules qd; Lanolin/mineral oil topically prn; vag gel 1 application 2X/week; mometasone furoate 50mcg 2 sprays each nostril QD; pantoprazole Na 40 MG QAM; ranitidine hcl 150m

Current Illness: Sinus Headache.

ID: 1049510
Sex: F
Age: 55
State: MA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Sore arm, headache, dizzy, tired, chill. a little fever, from 6 hrs to 40 hrs after dose.

Other Meds: None

Current Illness: None

ID: 1049511
Sex: F
Age: 62
State: OH

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

Lab Data: I did no seek medical attention. Treated the fever alternating Tylenol with Motrin, increased fluids.

Allergies: Sulfa, Pineapples, Environmental

Symptoms: Afternoon of vaccine began chilling, body aches, fatigue, sore arm. Temp rose to 103.5. I alternated Tylenol with Motrin. Tylenol did little to decrease this fever, motrin seemed to bring it down for about and hour then would go back up again. Temp stayed between 102 to 103 through Sunday 2/21/21. Temp 99-101 on Monday 2/22/21. Today as I report, temp is 99 and continue to feel very fatigued with no energy and poor appetite.

Other Meds: Synthroid Lotrel ASA Lozol

Current Illness: none

ID: 1049512
Sex: F
Age: 75
State: MT

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

Lab Data:

Allergies: codeine, NSAIDS, stings

Symptoms: headache, muscle aches, pain at injection site, sensitivity to touch--prickly skin, severe elbow and shoulder pain--both sides, insomnia, 100 degree fever approximately 18 hours after shot, treated successfully with acetominophen. Symptoms still present 24 hours

Other Meds: budesonide, triamterene, diltiazem, celebrex, atorvastatin, vitamins, calcium with D

Current Illness: none

ID: 1049513
Sex: F
Age: 33
State: AL

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: NA

Allergies: latex

Symptoms: There were no immediate adverse affects after the vaccine. Arm tenderness near the injection site became very noticeable the morning after the shot. About a day after the vaccine, I developed flu-like symptoms: joint tenderness, body aches, chills, and a low-grade fever of 99 - 100.1 degrees. These symptoms were completely gone within 48 hrs. I experienced moderate to severe arm tenderness for 3-4 days. I also had slight periods of itchiness near the site of injection, but again, this dissipated completely after 3-4 days.

Other Meds: Zoloft, Klonopin

Current Illness: None

ID: 1049514
Sex: M
Age: 73
State: MI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Doctor visit on 02/22/2021. Diagnosed as "Drug induced rash."

Allergies: Asprin

Symptoms: As listed in the v-Safe materials, "A bad rash all over your body."

Other Meds: bisoprolol 5mg/day hydrochlorothiazide 25mg/day penicillin V potassium 500mg/day omeprazole 20mg/day vitamin D3 4000IU/day vitamin C 500mg/day probiotic 1time/day

Current Illness: None

ID: 1049515
Sex: M
Age: 48
State: PA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Lye titre was negative

Allergies:

Symptoms: developed slight eye tearing and left ear pressure within 24 hours of vaccination. followed by left facial drooped. was seen in ER on day 3 after vaccination, diagnosed with Bells Palsy. treated with eye care and oral prednisone.

Other Meds:

Current Illness:

ID: 1049516
Sex: F
Age: 69
State: CT

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

Lab Data: n/a

Allergies: Patient reports allergies to Vicodin, Percocet, Dilaudid, Benzoyl Peroxide, Dramamine, Iodine, silk tape, and lanolin.

Symptoms: After vaccination the pt reported feeling light headed. Pt was evaluated by Prospect EMS paramedic. BP 140/100, HR 59. Pt reports allergies to Vicodin, Percocet, Dilaudid, Benzoyl Peroxide, Dramamine, Iodine, silk tape, and lanolin. Pt declined transport to the ED. Pt ate a snack and drank some water, she then reported feeling better.

Other Meds: N/A- not in VAMS

Current Illness: Not in VAMS and not indicated by patient

ID: 1049517
Sex: F
Age: 39
State: MA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Labs are drawn and are normal. My doctors are unsure of what to do, they say it could be a hyper adrenergic immune response to the vaccine.

Allergies: None

Symptoms: The day after I received the 2nd Moderna vaccine I started to have intense internal vibrating/tremors. My BP is higher, pulse is higher, pupils are dilated. The internal vibration/tremor has not gone away for 4 weeks.

Other Meds: None

Current Illness: None

ID: 1049518
Sex: F
Age: 51
State: NY

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

Lab Data: Vitals: BP: 140/78 HR: 80

Allergies: All NSAIDs, Flygyl Bees Delarex

Symptoms: Left arm 1st dose given at 12:39 pm. 15 mins post vaccination, patient began having a warms sensation on her left shoulder blade followed by itching in her extremities. She was brought to observation and reported urticaria all over, flushing of the face, and hives in her upper and lower extremities. Vitals taken and were stable. Benadryl 50mg was administered 15 mins post vaccination and immediately patient reported decreasing symptoms of warmth sensation, itching, and hives. Patient reports she has recently developed hives with cortisone injections. Patient examined 20 mins post vaccination: S1,S2, CTA, hives noted on bilateral UE and LE. Hives resolved 25 mins post vaccination. Patient monitored for over 45mins and reported her symptoms were mild. She declined transportation to the ER. She left in stable condition with her husband.

Other Meds:

Current Illness:

ID: 1049519
Sex: U
Age:
State: CA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 02/23/2021
Hospital:

Lab Data: nne

Allergies: Sulfa, Hizentra, Hgvia

Symptoms: Light headedness, dizziness, fatigue, Chest pain

Other Meds: none

Current Illness: None

ID: 1049520
Sex: F
Age: 75
State: MI

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 2/19/21 - 2/20/21 Chills & achy; 2/21/21 Severe joint pain continuing to present

Other Meds: Hydrochlorothiazide 25mg, Losarten 25mg, Norco7.5/325mg, Centrum Silver, Calcium1,000 mg +Zinc 25mg, magnesium glycinate 400mg, collagen, B12 5,000, Ferrous gluconate 65mg

Current Illness: none

ID: 1049521
Sex: F
Age: 69
State: CA

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Nono

Allergies: Penicillin, Septra

Symptoms: Large red area at injection site (left arm), itching & tenderness to touch, red rash in armpit with itching. For 2-3 days before the redness I noticed tenderness & itching at the injection site & armpit. Only other symptom is feeling very tired. I contacted my doctor & sent her photos. She agreed it was Covid arm & told me to contact this site & to let her know if I was getting better or not.

Other Meds: Levothyroxin, multivitamin, calcium, magnesium, Vit D, Vit K

Current Illness:

ID: 1049522
Sex: F
Age: 37
State: GA

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

Lab Data: Vital signs

Allergies: none

Symptoms: Pt. received second dose of Moderna Covid 19 EUA vaccine at 3:15pm. At 3:31, pt stated she felt lightheaded/dizzy and could "taste the vaccine", which was making her anxious. Vitals @ 3:22 139/86, HR79, Resp 36, O2 97, temp 97.3. Patient given water. Vitals @3:37 119/81, HR80 O2 98. Patient reported feeling better, and taste was gone. Vitals @ 3:42 120/84 HR78 O2 98, resp 32. Patient then released with instructions to contact MD/ER should any symptoms recur. Patient expressed understanding.

Other Meds: Prilosec, Multivitamins

Current Illness: none

ID: 1049523
Sex: F
Age: 63
State: NJ

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Latex, bacitracin, neosporin, chlorhexidine

Symptoms: Initially, just pain at the injection site but it was followed by a very large bruise which has lasted over a week. Yesterday, I noticed that the injection site area has a red rash all around it.

Other Meds: Lisinopril, Climara, desloratadine, Vitamin D, multivitamin, Metamucil

Current Illness: None

ID: 1049524
Sex: M
Age: 77
State: KY

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

Lab Data:

Allergies: PCN

Symptoms: 1st vaccine 2/19/21; developed N/V/D abdominal pain and fatigue 2/20/21; seen in ED 2/23/21 for ongoing symptoms

Other Meds:

Current Illness:

ID: 1049525
Sex: F
Age: 41
State: PR

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 10 minutes after the vaccine was administered, the patient started presenting a tingling sensation on her throat. She was given diphenhydramine 50 mg IM.

Other Meds:

Current Illness:

ID: 1049526
Sex: M
Age: 69
State: NE

Vax Date: 09/28/2020
Onset Date: 09/28/2020
Rec V Date: 02/23/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: large knot on arm that lasted for 7 weeks

Other Meds: vitamin c, multi vitamin b

Current Illness: n/a

ID: 1049527
Sex: F
Age: 71
State: MD

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

Lab Data: NO

Allergies: NO

Symptoms: FACIAL REDNESS TOOK ORAL BENADRYL AT HOME 1 HOUR LATER PT FELT IMPROVED

Other Meds:

Current Illness: NO

ID: 1049528
Sex: F
Age: 41
State: OH

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: n/a

Allergies: adhesives, latex

Symptoms: 1/16 Vaccination. Later that evening at about 6:30, my arm was wicked sore. Naproxen and heating pad. Symptoms lasted for 48 hours.

Other Meds: miralax

Current Illness: n/a

ID: 1049529
Sex: F
Age: 45
State: WA

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

Lab Data: no tests

Allergies: egg sensitivity milk allergy an antibiotic - unknown at this time - hives

Symptoms: About 11 hours after vaccine, my temperature went up to 101.5 - pounding headaches and dizzy. No digestive issues this time. My arm was very sore again - not quite as bad as first time. Body aches - general. I woke up drenched in sweat about 4 am in the morning - I went and took a shower and went back to bed. Tuesday, temperature was doing up and down - 100.5 or .6 down to 96.7. Normally I'm 97.2 or 97.4. My arm was sore. By Wednesday, I was feeling much better - 99.3 - 99.8 (may have not hit 100 degrees). My arm was sore but not as achy so it was better on Wednesday. By Thursday, I was feeling a lot better. It didn't last as long as first dose.. I was able to work after that.

Other Meds: daily zyrtec - 10 mg; allergy shots - maybe the week before the vaccine

Current Illness: adverse health event after dose 1 of the Moderna vaccine

ID: 1049530
Sex: F
Age: 82
State: NJ

Vax Date: 01/23/2021
Onset Date: 01/30/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Sulphate Penicillin Mono sodium glutamate

Symptoms: For both the 1st and 2nd vaccination of moderna, an itchy red patch appeared on my right arm measuring approximately 2? x 3.5?. The red patch after the 1st shot appeared 5 days after the shot and lasted 5 days. For the 2nd shot on 2/20/21, the red patch appeared the next day.

Other Meds: Diltiazem hcl er (tz)-180mg Digoxin 125 mg Centrum silver multi vitamin Vitamin D3-2000units Xaralto-15mg

Current Illness: None

ID: 1049531
Sex: M
Age: 39
State: IN

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

Lab Data: None

Allergies: Penicillin

Symptoms: 19 Feb: Received vaccinate roughly 1330hrs. [1400hrs through 2100hrs] lightheaded, slight headache. [1500hrs onward] tightness in throat. 20 Feb: [All day] tightness in throat; fatigue; glands swollen in jaw/neck; joint pain in shoulders and ankles. 21 Feb: [All day] tightness in throat; fatigue; glands swollen in jaw/neck; joint pain in shoulders, lower spine, and ankles. 22 Feb: [as of 1100hrs] tightness in throat; fatigue; glandes swollen in jaw/neck; joint pain in shoulders and ankles. Takes benadryl to alleviate sysmptoms, declines advise for further care.

Other Meds: Dietary Supplment: One a day mens

Current Illness: None

ID: 1049532
Sex: F
Age: 62
State: CO

Vax Date: 01/19/2021
Onset Date: 01/29/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient reported Red raised itchy area around the site of injection 10 days post vaccination. Consulted with PCP was given go ahead for second dose. Irritated area resolved in 5 days with no treatment.

Other Meds: Unknown

Current Illness: None

ID: 1049533
Sex: M
Age: 75
State: NH

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

Lab Data: CT Scan, Blood tests all negative, IV fluids

Allergies: IV contrast dye

Symptoms: Diarrhea, Gastric pain, nauesa

Other Meds: Lisinopril, Atorvastatin, Omeprazole

Current Illness: none

ID: 1049534
Sex: F
Age: 79
State: GA

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

Lab Data:

Allergies: Codeine

Symptoms: Grandson reported that she passed out while getting dressed for the day and that her arm was extremely sore and painfully. At the time of event it was reported that her BP was WML and she had not eaten since the night before. She is not a diabetic.

Other Meds: Patient grandson reported thyroid medication and a daily vitamin

Current Illness: unknown

ID: 1049535
Sex: F
Age: 34
State: PA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: denies

Symptoms: 2/16/21 1500 PM received covid vaccine, 2/17/21 at 2200 pm started itching persistently around areas where clothing fit tightly along with a rash. Rash started to spread to bilateral shins appearing as welts. Pt. states that she took claritin and called a nurse. Pt. then took benadryl 25 mg po. Pt. then started taking 50 mg of benadryl for worsening rash and itching. Pt. states that itching and rash are still present as of 2/23/2021.

Other Meds: synthroid, multivitamin

Current Illness: denies

ID: 1049536
Sex: F
Age: 50
State: GA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: PCR NASAL SWAB FOR COVID-19 POSITIVE AND SWABBED ON 1/29/2021.

Allergies: ERYTHROMYCIN CAUSES N/V, TRAMADOL CAUSES N/V POLLEN ALLERGY

Symptoms: Developed symptoms of COVID-19 and tested positive with PCR test for COVID-19 on 1-29-2021. Symptoms included cough, rhinorrhea, sore throat, sinus congestion, severe headache, weakness, body aches, N/V/D, fever, chills, night sweats, abdominal pain. Was quarantined for 10 days post symptom onset.

Other Meds: FLEXERIL AS NEEDED, HYDROCODONE 7.5 MG PRN, MOTRIN 800 MG PRN, EMERGEN-CEE PRN, ONE-A-DAY MULTIVITAMIN DAILY

Current Illness: NONE

ID: 1049537
Sex: F
Age: 69
State: MD

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: doxycyclin, vancomycyn

Symptoms: Severe lump on arm and rash.

Other Meds: metformin, simvistatin, lisiniprol, fiber, zinc, viatimin C, fish oil, zinc, calcium

Current Illness: no

ID: 1049538
Sex: F
Age: 68
State: MA

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

Lab Data: n/a

Allergies: unknown

Symptoms: Reported that she experienced slight blurry vision. Moved to observation chair- BP 124/76 pulse 72. Had 5 oz bottle of water. Reports that she has had high blood pressure. After 5 minutes- vision no longer blurry. Reported that she believe she was anxious.

Other Meds: unknown

Current Illness: unknown

ID: 1049539
Sex: F
Age: 71
State: TN

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Culture of lesions

Allergies: Penicillin

Symptoms: Per patient: " I received my 2nd vaccine on Friday, February 12, 2021 and started breaking out on Saturday, February 13, 2021 around my forehead and into my eyebrow. I developed body aches as well as a headache and arm soreness. I went to the dermatologist on Wednesday, February 17, 2021 and they cultured the lesions and results came back positive for shingles on February 22, 2021. I called the health department to let you know. "

Other Meds: Prefer not to answer

Current Illness: None

ID: 1049540
Sex: F
Age: 70
State: OK

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

Lab Data: none

Allergies: NKDA

Symptoms: approx. 5 minutes after receiving the vaccine client started c/o nausea. She was given an antacid and it helped. She says by the time she got home she had a Headache that lasted off and on for 3 days. She took Excedrin and it helped.

Other Meds: Lisinopril, HCTZ, Prilosec, baby ASA

Current Illness: none

ID: 1049541
Sex: M
Age: 52
State: CA

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

Lab Data:

Allergies:

Symptoms: should have received 2nd dose of moderna but was mistakenly given pfizer

Other Meds:

Current Illness:

ID: 1049542
Sex: M
Age: 26
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: physical examination 2/18/21

Allergies: NKA

Symptoms: Patient's Psoriasis flared up, he had itching , redness of the healing , very extensive

Other Meds: Apremilast 30 mg twice a day , calcipotriene0.005%cream twice a day, Triamcinolone 0.1% cream twice a day

Current Illness: Chronic Hep C , Guttate psoriasis. sialoadenitis of the submandibular gland

ID: 1049543
Sex: M
Age: 43
State: GA

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Mild environmental allergies to dog and cat dander

Symptoms: Woke up on 2/13/2020 and upon standing had severe vertigo that lasted 10-15 seconds accompanied by nausea and vomiting. He then would then have on and off again vertigo for 6 days through 2/19/2020 accompanied by nausea (no vomiting). Vertigo was mostly positional, worse when going from recumbent position to sitting or standing. Would occur throughout the day. Experienced extreme fatigue from 2/13/2021 through the 2/19, that was progressively better as time went on. , Experienced general weakness, mental fogginess, and "heaviness" behind eyes and in the occipital muscles. Muscle aches in legs and torso were worse in the AM and present from 2/13/21 to 2/19/21 that got progressively better further out from vaccination.

Other Meds: None

Current Illness: None

ID: 1049544
Sex: F
Age: 58
State: GA

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

Lab Data: Benadryl administered 20ml oral

Allergies:

Symptoms: Toung swollen

Other Meds: Unknown

Current Illness:

ID: 1049545
Sex: F
Age: 46
State: IN

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Brain MRI~ February 16, 2021 ECG 12-LEAD Feb 18, 2021 Lab CBC WITH DIFFERENTIAL Feb 17, 2021 Lab BASIC METABOLIC PANEL Feb 17, 2021 Imaging MRI brain without IV contrast Feb 16, 2021 Lab CBC AND DIFFERENTIAL Feb 8, 2021 Lab COMPREHENSIVE METABOLIC PANEL

Allergies: MRI contrast Die

Symptoms: Excessive tremors, inability to walk due to shaking uncontrollably. Delayed speech. Severe headaches, body aches, and muscle pain.

Other Meds: Desvenlafaxine sucer 100 mg daily Trokendi XR CAP 100 mg daily Simvastatin Tab 20 mg

Current Illness: None

ID: 1049546
Sex: F
Age: 68
State:

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

Lab Data:

Allergies:

Symptoms: "Cotton mouth" within minutes, left arm swelling, weak swallow

Other Meds:

Current Illness:

ID: 1049547
Sex: F
Age: 79
State: NE

Vax Date: 12/01/2020
Onset Date: 01/02/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: CT MRI Lab work

Allergies: none

Symptoms: Woke up with severe dizziness, nausea/vomiting and increased while at work(denies palpitations). In ER 1/2/2021-CT of head(WNL), MRI (saw lesion and physician thought she had a stroke). Neurologist consult on 1/3 and felt it was not a stroke and unsure the reason of dizziness.. 1/3 no arm or leg weakness. Order to see a cardiologist d/t residual dizziness and advised against 2nd moderna covid 19 vaccine.

Other Meds: losartan, amlopidine, Lipitor, levothyroxine

Current Illness: none

ID: 1049548
Sex: F
Age: 37
State: MO

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

Lab Data: none

Allergies: none

Symptoms: About 10 min after patient received 2nd dose, swelling on face and eyes. patient described difficulty breathing/something in throat. administered 1 dose of epipen. within 1 minute reaction was getting better, patient was back to normal in 5-10 min. facility called ambulance, patient was taken to hospital for futher evaluation.

Other Meds: n/a

Current Illness: none

ID: 1049549
Sex: F
Age: 67
State: NY

Vax Date: 09/08/2020
Onset Date: 09/10/2020
Rec V Date: 02/23/2021
Hospital:

Lab Data: None to date.

Allergies: none

Symptoms: Pain from shoulder to elbow, impaired range of motion. This has gradually gotten worse. I did not have a doctor look at this yet. Pain is worse at night.

Other Meds: Levothyroxine 125 mcg, fish oil, calcium, magnesium, multivit

Current Illness: none

ID: 1049550
Sex: F
Age: 65
State: GA

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Sulfa, Tetracycline, Eggplant, Latex, Diflucan

Symptoms: Raised red rash & itching around injection site. About 6-inches in diameter. Purplish bruising at injection site, about 2-inches in diameter.

Other Meds: Acyclovir, Aspirin, Atorvastatin, Baclofen, Bisoprolol Fumarate, Brilinta, Cetrizine, Citalopram, Clonazepam, Gabapentin, Lisinopril HCTZ, Metformin, Montelukast, Pantoprazole. Avonex, interferon Beta 1-a Trulicity

Current Illness: Sinus infection

ID: 1049551
Sex: F
Age: 28
State: NC

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

Lab Data:

Allergies: Codeine, caffeine

Symptoms: fever of 102 for 2 days unrelieved by Tylenol, nausea, malaise

Other Meds: Singulair, Zyrtec, Cryselle (birth control)

Current Illness: none

ID: 1049552
Sex: F
Age: 43
State: IL

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

Lab Data:

Allergies:

Symptoms: It is itchy and firm. She has been using a hydrocortisone cream and tylenol so far. It is warm to the touch. it is increasing in size.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm