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: 1049779
Sex: F
Age: 25
State: TX

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

Lab Data:

Allergies:

Symptoms: Arm pain (moderate), injection site redness, fatigue (mild)

Other Meds: Sprintec, Lexapro, Wellbutrin

Current Illness:

ID: 1049780
Sex: F
Age: 36
State: VA

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

Lab Data:

Allergies:

Symptoms: Chills, body aches, lymph node swelling, headache, severe fatigue, purple bruise, swallowing issue

Other Meds:

Current Illness:

ID: 1049781
Sex: F
Age: 74
State: NY

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: had bad reaction to penicillin as a teenager so not taken since bad reaction to Cipro taken for food poisoning in my 40s so will not take again

Symptoms: right arm where shot was given began to be sore and then itch and when I looked at it there was a rash a few inches long and oval in shape. It is the 2nd day of the rash and it is the same in size and redness but not as itchy and some soreness.

Other Meds: Daily multiple vitamin for women over 50 (no iron) 400 IU Vitamin D every other day 250mg magnesium tablet 2 times a week 1 Tablespoon of Mineral oil at bedtime

Current Illness: sinus headache

ID: 1049782
Sex: F
Age: 84
State: FL

Vax Date: 01/22/2021
Onset Date: 02/03/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: 2/3/21: PLT 1

Allergies:

Symptoms: Severe thrombocytopenia with epistaxis requiring hematology consultation, IVIG, and ultimately daily eltrombopag therapy to correct.

Other Meds:

Current Illness: Seen in ER for UTI on 1/17/21

ID: 1049783
Sex: F
Age: 24
State: VA

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

Lab Data: NA

Allergies: Dairy, penicillin, latex

Symptoms: Mouth sores

Other Meds: Sertraline 50 mg daily Lo loestrin fe daily Melatonin Multivitamin

Current Illness: NA

ID: 1049784
Sex: F
Age: 72
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: 2/18/21 itching at site, 2 circles one quarter and one silver dollar size, hot to touch and hard-2/20/21 circles grew to 3 inches and connected-2/22/21 top part of arm faded, turned hot and red/ covid arm- went back to dr. on 2/23/21

Other Meds: Eliquis , zinc, vitamin d, pravastatin

Current Illness: n/a

ID: 1049785
Sex: M
Age: 27
State: TX

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

Lab Data:

Allergies:

Symptoms: Immediately post-vaccination patient had emesis x1 with nausea. Resolved with supportive management.

Other Meds:

Current Illness:

ID: 1049786
Sex: F
Age: 69
State: VA

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

Lab Data: None

Allergies: Penicillins, ibuprofen, cephalosporins, clindamycin

Symptoms: Sore arm, slight fever (100.6), fatigue, slight intestinal distress

Other Meds: Escitalopram, vitamins, Allegra, citracal w/ D3

Current Illness: None

Date Died:

ID: 1049787
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies: None

Symptoms: Without showing any side effect symtoms, patient suddenly fell unconscious and passed away within an hour. Though 911 was called and Paramedic was trying to revive the patient.

Other Meds: None

Current Illness: None

ID: 1049788
Sex: F
Age: 74
State: AL

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

Lab Data: Not applicable

Allergies: Unknown

Symptoms: Patient has yellow discoloration on arm below the injection site and bruising around the area.

Other Meds: Unknown

Current Illness: Unknown

ID: 1049789
Sex: F
Age: 56
State: IL

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

Lab Data: None-- Vitals all normal upon office visit 2/23/2021

Allergies: None

Symptoms: 16 days after receiving the first dose of Modern, I experienced a painful inflamed rash on upperpart of my body including neck, back, chest, torso, ears, and hips. No other symptoms. I have not made any changes to soaps,medicines, diet, or other environmental triggers. I saw my doctor immediately and was prescribed a steroid pack to relieve the swelling and pain of the rash.

Other Meds: Estradil .5 mghydroxychloroquine sulfate 200 mg, Biotin 5000 mcg Vitamin C 500 mg Vit D 400 IU Miralax as needed

Current Illness: None

ID: 1049790
Sex: F
Age: 54
State: AL

Vax Date: 02/11/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None. Had a Teledoc call and was advised to take Zyrtec daily, tylenol for the fever and 2 Benadryl at bedtime.

Allergies: none

Symptoms: Arm began itching on day 5 after injection. The itching progressed, became red around the injection site and the redness expanded down the arm (to the elbow) and around the arm front and back until it met at the bicep. This has lasted for 7 days so far.... It is much better but still a bit red and itching a small bit.

Other Meds: Premarin

Current Illness: none

ID: 1049791
Sex: F
Age: 66
State: NY

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Apples

Symptoms: On day 8 after first dose of Moderna, injection arm started itching . It was under the arm of the injection site. On day 9 injection site also became itchy, red and swollen and bigger than the day before. It feels hot and slightly painful. Day 10 the warmth went down but still itchy, red and feel a hard lump on injection site. Today is day 11 and still red and itchy but feels slightly better.

Other Meds: Rouvastatin 10mg Centrum Vitamin D 2000mg Baby Aspirin Alendronate 5mg Magnesium

Current Illness:

ID: 1049792
Sex: F
Age: 68
State: IL

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

Lab Data: stroke scale completed on 2/22/2021 by provider at dr office and treatment for left eye and hypertension.

Allergies:

Symptoms: Developed stroke like symptoms with hypertension on 2/19/2021. treated on 2/22/2021 for bells palsy with left sided facial droop and severe hypertension at dr office.

Other Meds: Metformin levothyroxin

Current Illness:

ID: 1049793
Sex: F
Age: 68
State: MA

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

Lab Data:

Allergies: NKA

Symptoms: Error in administration. Flu shot given prior to scheduled time. No adverse reaction noted. Pt informed. Doctor and RN manager informed.

Other Meds:

Current Illness:

ID: 1049794
Sex: M
Age: 86
State: NE

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

Lab Data:

Allergies:

Symptoms: MORNING OF 2/17/21, DEVELOPED WEAKNESS, AND INABILITY TO STAND. GENERALIZED BODY ACHES AND PAIN, AND CONFUSION. WAS TRANSPORTED TO THE ER AND ADMITTED TO THE HOSPITAL.

Other Meds:

Current Illness:

ID: 1049795
Sex: M
Age: 69
State: MI

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

Lab Data: None reported.

Allergies: Bee Stings

Symptoms: Pain, swelling, extreme bruising at the injection site lasting 11 days. Injection site is still dark blue and swollen. Adverse effect happened right after the vaccine process.

Other Meds: Aspirin 81mg, carvedilol, glipizide, metformin, paroxetine, Tamsulosin.

Current Illness: No illness reported.

ID: 1049796
Sex: F
Age: 48
State: NC

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pain at injection site in left arm at initial time of injection. Patient within one day had pain that radiates down the arm into the thumb. Patient is left hand subjective decreased grip strength with normal grip strength on exam. Patient also reports uncontrolled twitching in left thumb.

Other Meds: Atorvastatin 40mg , Lisinopril 10mg

Current Illness:

ID: 1049797
Sex: F
Age: 67
State: MD

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

Lab Data: none

Allergies: percocet = hives betadine sol = hives

Symptoms: On 2/19/2021 Day 7 following the date of my first vaccination which was occurred on 2/12/2021, a delayed local reaction occurred with a 3'x4' red, raised, itchy, painful area appearing at the vaccination site on my L arm. On 2/19//2021 I also experienced repeat generalized symptoms: including repeat headaches. body aches & extreme fatigue since 2/19/21 including today, which is 2/23/2021. I did not have the pronounced local reaction at the vaccination site on my L arm initially after the vaccination. When I looked up the delayed reaction online I realized some others have experienced this delayed reaction.

Other Meds:

Current Illness: None

ID: 1049798
Sex: F
Age: 64
State: CA

Vax Date: 01/26/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen lymph nodes during MRI

Other Meds:

Current Illness:

ID: 1049799
Sex: F
Age: 82
State: OK

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

Lab Data:

Allergies: Penicillin, Excedrin, Benadryl

Symptoms: I got got the vaccine at 10:47 AM on 2/1/2021. On the morning of the 5th I was itching. The on the 4th I have a lady who comes out to my house and helps me bath and she put gold bond lotion all over. I thought it was the lotion so I bathed again and got the lotion off my body. It is has since gotten worse and worse, I have little red spots on back, shoulders and arm. My shoulder has red bumps on it, looks like a rash and is rough feeling. The itching and spots are still there as of 2/23/2021. I spoke PA at my doctor's office and she called in a prescription Pepcid AC 20 MG (one a day) and Wal-zyr (generic Zyrtec ) on the 2/19/2021. I have also been putting some Hydrocortisone cream on it as well.

Other Meds: Metformin 500 MG 3times a day, Gabapentin 300 MG 3times a day, Aspirin 81 MG daily, Pantoprazole 40MG daily, Magnesium 500 MG daily,

Current Illness:

ID: 1049800
Sex: M
Age: 86
State: OH

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

Lab Data:

Allergies: None

Symptoms: Patient came to mass vaccination clinic and received Moderna for second dose. Second dose should have been Pfizer.

Other Meds:

Current Illness:

ID: 1049801
Sex: F
Age: 52
State: VI

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none- she has not been seen by a physician

Allergies: None

Symptoms: Recipient reports itching left arm and rash on left arm noted the day after receiving the vaccine. She added that the itching is gone and no new bumps have appeared.

Other Meds: Vitamins D and C, Zinc, Magnesium and Calcium

Current Illness: None

ID: 1049802
Sex: M
Age: 87
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Fatigue, sleep, Ok after 4 hours

Other Meds: Benazepril, Eliquis

Current Illness: None

ID: 1049803
Sex: F
Age: 53
State: MO

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: X rays and EKG at HOSPITAL. Following up with Dr

Allergies: NA

Symptoms: I woke up with severe shoulder/joint pain and weakness plus popping and cracking burning as well, in both arms left and right. Plus joint pain in hips. Still having. the same weakness and pain as of today on 2/23/2021.

Other Meds: Mobic and albuterol

Current Illness: Rheumatoid Arthritis

ID: 1049804
Sex: F
Age: 75
State: NY

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

Lab Data: no

Allergies: Calan Sr, Latex, Niasin, Tenorman, Iodine

Symptoms: chills, fever, weakness, fatigue, nausea

Other Meds: Eliquis 5mg 1 tab 2X a day Metropol ER 25mg 1 tab @ night Pravastatin 80mg 1 tab @ night Irbesartan 150mg 1 tab a day C-Pap

Current Illness: A-Fib, Asthma

ID: 1049805
Sex: M
Age: 56
State: VA

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

Lab Data:

Allergies:

Symptoms: Light headache, dizziness, low blood pressure (100/64 mmHg)

Other Meds:

Current Illness:

ID: 1049806
Sex: M
Age: 67
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Had a COVID 19 test evening of 02/07 and Monday 02/08 Negative results reported back in the AM

Allergies: Penicillin

Symptoms: 02/05/2021 PM onset of chills, extra tired, no fever; 02/06 - nausea, low grade fever, and extra tired , moderate not severe; 02/07- generalized crimson body rash, did not itch; 02/08 Improved

Other Meds:

Current Illness: None

ID: 1049807
Sex: F
Age: 78
State: IL

Vax Date: 01/03/2021
Onset Date: 01/12/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: Discontinue IV PRIOR TO DISCHARGE, Status: Canceled 01/15/21 0822 Foley Catheter - Discontinue PRIOR TO DISCHARGE, Status: Canceled 01/15/21 0822 DISCHARGE PATIENTon Discharge Date: 1/15/2021 ONE TIME 01/15/21 0818 Vancomycin, trough ONE TIME, Status: Canceled 01/14/21 1248 amoxicillin-clavulanate (AUGMENTIN) 875-125 MG per tablet EVERY 12 HOURS SCHEDULED 01/15/21 0818 levoFLOXacin (LEVAQUIN) 500 MG tablet AT BEDTIME (EARLY) 01/15/21 0818 May Substitute Generic Equivalent Drugs 01/15/21 0822 Activity 01/15/21 0822 Physician/Nurse Practioner Authorization 01/15/21 0822 DNR 01/15/21 0822 Diet 01/15/21 0822 levoFLOXacin (LEVAQUIN) tablet 500 mg AT BEDTIME (EARLY), Status: Discontinued 01/14/21 1821 amoxicillin-clavulanate (AUGMENTIN) 875-125 MG per tablet 1 tablet 2 times per day, Status: Discontinued 01/14/21 1821 scopolamine (TRANSDERM-SCOP) 1 mg/3 days TD patch EVERY 72 HOURS, Status: Discontinued Note to Pharmacy: OP SIG:Place 1 patch onto the ... 01/12/21 1919 Vancomycin, trough ONE TIME 01/12/21 1655 CBC w Auto Diff TOMORROW 0500 ONCE 01/13/21 2308 Comprehensive metabolic panel TOMORROW 0500 ONCE 01/13/21 2308 piperacillin-tazobactam (ZOSYN) 3.375 g in sodium chloride 0.9 % 100 mL IVPB EVERY 8 HOURS, Status: Discontinued 01/13/21 0853 amiodarone (CORDARONE) tablet 200 mg DAILY WITH BREAKFAST, Status: Discontinued Note to Pharmacy: OP SIG:Take 200 mg by mouth da... 01/12/21 1451 omeprazole (PRILOSEC) capsule 20 mg EVERY MORNING BEFORE BREAKFAST, Status: Discontinued Note to Pharmacy: OP SIG:Take 1 capsule (20 mg) ... 01/12/21 1451 CBC with Auto Diff TOMORROW 0500 ONCE 01/12/21 1446 Comprehensive metabolic panel TOMORROW 0500 ONCE 01/12/21 1446 ALPRAZolam (XANAX) tablet 0.25 mg AT BEDTIME, Status: Discontinued Note to Pharmacy: OP SIG:Take 1 tablet (0.25 mg)... 01/12/21 1451 atorvaSTATin (LIPITOR) tablet 10 mg AT BEDTIME, Status: Discontinued Note to Pharmacy: OP SIG:Take 10 mg by mouth at ... 01/12/21 1451 insulin glargine (LANTUS, SEMGLEE) Syringe 10 Units AT BEDTIME, Status: Discontinued 01/12/21 1451 apixaban (ELIQUIS) tablet 5 mg 2 TIMES DAILY, Status: Discontinued Note to Pharmacy: OP SIG:Take 5 mg by mouth 2 ti... 01/12/21 1451 clotrimazole (LOTRIMIN) 1 % cream 2 TIMES DAILY, Status: Discontinued Note to Pharmacy: OP SIG:Apply topically 2 times... 01/12/21 1451 potassium chloride (K-DUR) CR tablet 20 mEq 2 TIMES DAILY, Status: Discontinued Note to Pharmacy: OP SIG:Take 1 tablet (20 mEq) ... 01/12/21 1451 risperiDONE (RISPERDAL) tablet 0.25 mg 2 TIMES DAILY, Status: Discontinued Note to Pharmacy: OP SIG:Take 0.25 mg by mouth 2... 01/12/21 1451 saccharomyces boulardii (FLORASTOR) capsule 500 mg 2 TIMES DAILY, Status: Discontinued Note to Pharmacy: OP SIG:Take 500 mg by mouth 2 ... 01/12/21 1451 alcohol (NOZIN) nasal sanitizer 2 TIMES DAILY, Status: Discontinued 01/12/21 1611 vancomycin (VANCOCIN) 750 mg in sodium chloride 0.9 % 250 mL IVPB EVERY 12 HOU

Allergies: Allergies Allergen Reactions ? Cafergot Other/Unknown (See Comments) ? Caffeine Other/Unknown (See Comments) ? Ergotamine Other/Unknown (See Comments) ? Lisinopril ? Rythmol [Propafenone] Other/Unknown (See Comments) ? Tonocard [Tocainide]

Symptoms: 1/12/21 er HPI: HPI 78 y.o. female who presents with pain swelling and redness left wrist and hand associated with fever according to EMS, but temperature in the ER is 98.4? F. patient was said to have fallen on 1/7/2021. *incidental finding bacterial pne* 1/12/21 admission History: The patient is a 78 y.o. female with a past medical history notable for Dementia, atrial fibrillation, CHF, diabetes, reflux. The patient presents for evaluation of Worsening issues of decline and trouble with breathing. Patient was evaluated the ER and found to have a urinary tract infection in addition to pneumonia. Due to patient's dementia history is difficult to take outside of history of which was taken for patient's nursing staff at skilled care facility. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed

Other Meds: Current Outpatient Medications on File Prior to Encounter Medication Sig Dispense Refill ? albuterol-ipratropium (DUO-NEB) nebulizer solution Take 3 mL by nebulization every 12 hours as needed for Shortness of Breath ? ALPRAZolam (XAN

Current Illness: 12/29/21 Pneumonia Left lower lobe due to infectious organism; Acute on Chronic systolic heart failure

ID: 1049808
Sex: F
Age: 42
State: CO

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

Lab Data: None performed

Allergies: None reported

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: shortly after vaccination patient reported itching and injection site redness. Vital signs within normal ranges except heart rate 102 beats per minute. Patient administered oral diphenhydramine and observed. Symptoms improved and repeat vital signs all within normal ranges. Patient was discharged from vaccine clinic stable with symptom improvement.

Other Meds: amlodipine, losartan

Current Illness: None reported

ID: 1049809
Sex: F
Age: 84
State: OH

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

Lab Data:

Allergies:

Symptoms: Patient attended mass vaccination clinic and received Moderna as second dose. Patient should have received Pfizer for second dose.

Other Meds:

Current Illness:

ID: 1049810
Sex: F
Age: 70
State: MI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: n/a

Allergies: lactose

Symptoms: fever

Other Meds: Zoloft, Latuda, Potassium, Atorvastatin Calcium Tablet,Ergocalciferol Tablet 50 MCG (2000 UT) ,Oyster-Cal 500 Tablet (Calcium)

Current Illness: no

ID: 1049811
Sex: F
Age: 65
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bright red itchy and painful rash at injection site, started about 12 after injection and remained for 1 week. Size from shoulder to below elbow.

Other Meds:

Current Illness:

ID: 1049812
Sex: M
Age: 74
State: NJ

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: Sars CoV2 NAAT positive 2/6/2021 CXR 2/6/2021 multifocal pneumonia

Allergies: None

Symptoms: Patient c/o fever, headache, myalgias, weakness on 2/4/2021. Presented to ED 2/6/2021 with above symptoms and shortness of breath.

Other Meds: Airduo, atorvastatin, basaglar, Humalog, Januvia, montelukast, albuterol, pantoprazole, vitamin B12

Current Illness:

ID: 1049813
Sex: M
Age: 67
State: MA

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

Lab Data: BP 124/61; temp normal, pulse 67, oximeter 98

Allergies: Cefaclor, Augmenting, Hydrocodone, Norvasc Seasonal grass allergies

Symptoms: Felt Dizzy, plus rapid heartbeat, tightening of throat, muscle soreness and fatigue. Symptoms occurred 45 minutes after injection. Symptoms lasted about 90 minutes. Did lay down for 15 minutes which helped.

Other Meds: Hydrochlorothiazide, 25mg, once per day Lisinopril IC, 5mg, 0nce per day Potassium Chloride ER, 10 meg, once per day Pantoprazole, 40mg, once per day Atorvastatin, 40mg, once per day Sertraline HCL, 50mg once per day

Current Illness: None

ID: 1049814
Sex: F
Age: 90
State: WI

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

Lab Data: MRI (confirmed stroke), CATscan (confirmed stroke), Echo-cardiogram (negative)

Allergies: sensitive to statins

Symptoms: Stroke confirmed on MRI.

Other Meds: thyroid extract, aspirin, myrbetriq, triampterien-htct,calcium

Current Illness: none

ID: 1049815
Sex: F
Age: 52
State: TX

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

Lab Data: None

Allergies: Moxifloxacin, Avocados, Mangos

Symptoms: Burning itchness all over body

Other Meds: Prednisone, Florinef, Metformin, Synthyroid, Verapamil

Current Illness: None

ID: 1049816
Sex: F
Age: 68
State: SC

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

Lab Data: None

Allergies: Yes. Some antibiotics but food sensitivities only due to environmental allergies. I have many of those.

Symptoms: Fever, chills, fatigue, ache, at injection site minor soreness. This went on for about 32 hours

Other Meds: Simvatatin. Vitamin D3. Benadryl 2 teaspoon. Allergy shots 2 per week. Last taken 48 hours before covid shot

Current Illness: None

ID: 1049817
Sex: F
Age: 62
State: MI

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

Lab Data:

Allergies: Bee, somebody, some nut

Symptoms: Heart flutters , sore arm , trouble sleeping

Other Meds: Atenolol /chlorthalidone

Current Illness: None

ID: 1049818
Sex: F
Age: 65
State: TX

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

Lab Data:

Allergies:

Symptoms: Headache within 2 hours of injection, and flu like sym, chills, fever, muscle and joint aches for 3 days.

Other Meds:

Current Illness:

ID: 1049819
Sex: M
Age: 56
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: CSF analysis, showed elevation of serum protein MRI of Lumbar spine showed mild to moderate neural foraminal stenosis. Vitamin B12 was also reported deficient.

Allergies: Penicillin

Symptoms: Patient developed lower extremity weakness, the weakness progressed and after few days he was not able to walk even with help of crutches. Guillain barre syndrome was suspected. He was sent to hospital. Lumbar puncture was performed on him showed elevation of CSF protein. He received IVIG and his weakness improved. He also received Vitamin B12 injection due to Vitamin B12 deficiency

Other Meds: acetaminophen 325 mg Tab (Tylenol) 650 mg 2 tab Oral TID PRN: pain capsaicin 0.025% Cream 60 gm (capsaicin 0.025% topical cream) 1 app Topical Daily cholecalciferol 2,000 unit Cap (Vitamin D3) 2,000 unit 1 cap Oral Daily clotrimaz

Current Illness: DM HTN Chronic kidney disease

ID: 1049820
Sex: F
Age: 73
State: VA

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

Lab Data:

Allergies: Celebrex

Symptoms: Patient received Moderna vaccine for first dose and then Pfizer for second dose

Other Meds: Claritin/ Singulair

Current Illness:

ID: 1049821
Sex: F
Age: 47
State: MD

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

Lab Data: None

Allergies: History of anaphylaxis to tree nuts

Symptoms: Onset of migraine visual aura and nausea. Migraine headache did not occur while the patient was under our observation. Patient thinks the aura may have been triggered by bright lights in observation room. No medications given.

Other Meds: None

Current Illness: Migraine HAs

ID: 1049822
Sex: F
Age: 66
State: OK

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: dizziness

Other Meds: oxybutynin vitamin d3, multivitamin, vitamin c, collagen

Current Illness: n/a

ID: 1049823
Sex: M
Age: 60
State: TX

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

Lab Data:

Allergies:

Symptoms: Mild flu like sym. that started approx. 8 hrs after injection and lasted approx. 8 hrs.

Other Meds:

Current Illness:

ID: 1049824
Sex: F
Age: 85
State: AZ

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

Lab Data:

Allergies: tetnus, metropolol, latex

Symptoms: My arm is swollen and red.

Other Meds: eliquis, irbesartan, amalodipine, multivitamin, omega 3 6 9, super B complex, caltrate, vitamin C,

Current Illness: none

ID: 1049825
Sex: F
Age: 38
State: VA

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

Lab Data:

Allergies:

Symptoms: Stiffness in the left shoulder

Other Meds:

Current Illness:

ID: 1049826
Sex: F
Age: 36
State: TX

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

Lab Data:

Allergies: Coffee, ibuprofen, OxyContin

Symptoms: Adverse Events: Slight Fever, pain at injection site, fatigue, muscle pain Treatment: acetaminophen Outcome: symptoms lasted 4 days

Other Meds: Labetalol

Current Illness:

ID: 1049827
Sex: F
Age: 27
State: TX

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

Lab Data:

Allergies:

Symptoms: Nausea, fever, muscle aches

Other Meds:

Current Illness:

ID: 1049828
Sex: M
Age: 38
State: NJ

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

Lab Data: none.

Allergies:

Symptoms: Horrible chills that night starting at 2am, along with body and muscle aches in both arms and shoulders. Next day the muscle aches were all over but not as bad, but a severe headache all day. Treated with tylenol all day along with ibuprofen + tylenol at night. The next day I felt fine, however noticed a baseball sized lump under my left armpit about 60 hours after the shot in my left shoulder. Internet says it's a swollen lymph node and known side effect. The next morning the swelling went down significantly and after another day it seems to be getting better.

Other Meds: rosuvastatin 5mg 3/week, coQ10 200mg/day, tadalafil 5mg/day

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm