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: 1050381
Sex: M
Age: 68
State: SC

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

Lab Data:

Allergies:

Symptoms: feeling extremely week, whole body hurts, no energy, feeling faint

Other Meds: levothyroxine, tamsulosin,myrbetriq

Current Illness:

ID: 1050382
Sex: F
Age: 36
State: AZ

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

Lab Data:

Allergies: Penicillin, seasonal allergies

Symptoms: About 10 minutes after getting the shot I suddenly felt like I was having an anxiety attack. My heart was racing and a tingling adrenaline feeling started in my head and spread down through my body. My throat felt strange, but I could still breathe. It started to subside after a couple of minutes but didn?t resolve completely for another hour or so. I also had a headache almost immediately. In the days following the vaccine I had such sore muscles it was hard to get out of chair or go upstairs. That lasted 3 days. About one week after the shot I started noticing my brain felt glitchy. At night I have not slept well since about one week after the vaccination and I frequently awaken feeling confused, stressed, and disoriented. This is not normal for me. Additionally, about 3 weeks after the vaccine I had another mild panic attack. I have not been troubled by panic attacks before getting the vaccine. As of today I am starting to feel less glitchy in my thinking. I am still not sleeping soundly and waking often, sometimes accompanied with confusion.

Other Meds: Zyrtec

Current Illness: N/A

ID: 1050383
Sex: F
Age: 68
State: NY

Vax Date: 02/14/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Allergic to aspirin and aspirin-like products (ibuprofen, etc.)

Symptoms: One week to the day after the injection, on February 21, 2021, I developed large red itchy blotch on left arm at injection site. About 3-4 inches in size. Two days later, today, it is still there. I have since learned that this has a name: "Covid arm". And that it is known only to occur with the Moderna vaccine, and more common in women than men. It is quite itchy, warm to the touch. I have been applying ice and using OTC anti-itch cream.

Other Meds: Acyclovir and Mimvey (hormone replacement therapy)

Current Illness: None

ID: 1050384
Sex: F
Age: 49
State: TX

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

Lab Data: The ER just monitored my BP, heartbeat and oxygen levels to make sure my throat wasn't swelling shut.

Allergies: Allergic to codeine; flagyl; lyrica

Symptoms: Very soon after receiving the shot, my throat began to feel tight and I told my husband it felt funny. Within about 45 minutes, it hurt swallow, more than any sore throat I have ever had. It wasn't like a dry, scratchy sore throat, it was almost like ti was on the outside of my throat. Had the clinic that gave me the shot kept me for monitoring, they would have been able to catch this reaction but they didn't. When I called them they told me it could be 24 hours before I would get a call back so I went to the ER because I was afraid I was having an allergic reaction of some type. The ER monitored me for 3 hours and then released me. About 12 hours later, the pain in my throat and when swallowing began to subside.

Other Meds: Gabapentin; Trentillix; Cinnamon; Ibuprofen

Current Illness: None

ID: 1050385
Sex: M
Age: 26
State: CA

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

Lab Data:

Allergies: Penicillin

Symptoms: Having fatigue, chills, alopecia, arthralgias, N/V, diarrhea, intermittent rhinorrhea and nasal congestion, lower back pain, neck pain for the last 2 weeks

Other Meds: Albuterol

Current Illness:

ID: 1050386
Sex: F
Age: 48
State: KY

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Sulfa rx

Symptoms: Presented with Shingles on Jan 11/2021. Had a rash on the ribs. Right side, burning sensation on the rib area, both sides and the feeling that my clothes were made of sand paper. I was prescribed acyclovir tablets. 1g every 8 hours for a week. After that shingles progressed and over the next week I developed more discomfort at wearing clothes, the rash moved to my back. I also had numbing sensation in the area and the feeling of warm tickling worms crawling over the area. Finally I started experiencing a lot of pain in the area. All of this caused me to miss about a week and a half of work. I was given gabapentin for the pain, but it messed with my equilibrium a lot so now I am taking l?rica 150mg every 8 hours. The rash is almost gone as are most of the other symptoms except for the pain and occasional discomfort to clothes. I am also on lidocaine cream to help that.

Other Meds: Metformin, topiramate, atorvastatin, vitamin D, iron, fluoxetine, cetirizine, aymovig, duloxetine,

Current Illness: None

ID: 1050387
Sex: U
Age: 45
State: KY

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

Lab Data:

Allergies:

Symptoms: 45-year-old female presents the emergency room for evaluation of headache, chest discomfort, nausea, hot flash sensation while at work today. States she felt well yesterday. Has not measured a temperature. Has not had any recent Covid testing or no known ill exposures but does work in as a medical assistant in a medical office. Headache is dull in nature frontal, gradual and not of sudden onset. No associated vision/speech change, neck pain or stiffness, focal extremity numbness or weakness. Chest is discomfort with some shortness of breath and congestion but no productive cough or purulent phlegm. No associated palpitations or lightheadedness and no history of heart disease, DVT/PE. Did have nausea but no abdominal pain and did not vomit. No unusual recent foods. Normal bowel movements without constipation, diarrhea, melena. Normal urination. No new leg pain or swelling. Symptoms mostly improved at this time but still has some head discomfort.

Other Meds:

Current Illness:

ID: 1050388
Sex: F
Age: 46
State: AZ

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

Lab Data:

Allergies: sulfa

Symptoms: 46 year old female states got symptoms of loss of sensation Feb 5 and on way home felt pins and needles and decrease sensation. Got better until 2/17 when was gone am. States since them come on as day goes on with face always and tongue and top of arm at times. 1/5 states no sx. States slept for 3 days after shot. Denies any other symptoms. No weakiness or numbness. change loss of sensation. Felt fine other wise. Onset sudden Location face originally and has since included tongue and top of arm at times Quality change of sensation, pins and needles feeling

Other Meds: Vitamin D3

Current Illness: 46 year old female states got symptoms of loss of sensation Feb 5 and on way home felt pins and needles and decrease sensation. Got better until 2/17 when was gone am. States since them come on as day goes on with face always and tongue and top of arm at times. 1/5 states no sx. States slept for 3 days after shot. Denies any other symptoms. No weakiness or numbness. change loss of sensation. Felt fine other wise. Onset sudden Location face originally and has since included tongue and top of arm at times Quality change of sensation, pins and needles feeling Status stable since 2/17 Severity moderate Duration 18 days Timing comes and goes Context worse as day goes on Relieved by movement and laying down Aggravated by none Associated signs and symptoms none history of 2 concussions 2018 ad 2019 No ongoing symptoms. Review of Systems Constitutional: _No fevers, chills, sweats, fatigue, appetite change, weight loss, weight gain. Eye: _ No recent visual problems, redness, discharge, tearing, itching, burning. Ear: _ No ear pain, plugging, itching or discharge. Nose: _No nasal congestion, rhinitis, epistaxis. Mouth/Throat: _No pain, tonsillar enlargement, mouth sores. Respiratory: _No shortness of breath, cough, wheezing Cardiovascular: _No Chest pain, palpitations, syncope Gastrointestinal: _No nausea, vomiting, diarrhea, abdominal pain No blood in stools Genitourinary: _No hematuria, pain with urination frequency, urgency Physical Exam Vitals & Measurements T: 36.7 ?C (Skin) HR: 85(Monitored)

ID: 1050389
Sex: M
Age: 77
State: TX

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

Lab Data:

Allergies: latex, amoxiclyn,

Symptoms: Pfizer COVID vaccine first shot Jan. 16 2021 SECOND SHOT 2/6/21 first shot developed rash on left upper leg and blisters on lt foot. was almost gone then after second shot sunday morning woke up with rash both upper legs, bach and many blisters on feet, has been same but more rash on both legs and body , many blisters on both feet could hardly walk sunday and monday after second shot

Other Meds: Mycophenolate Mofetil 500mg none since 1-17 RESUMED 2/11 per doctor Prednisone 5 MG a day started 20mg a day 2/08, per doctor then 40 mg 2/16

Current Illness: bullous pemphigoid

ID: 1050390
Sex: F
Age: 41
State: VA

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

Lab Data: none.

Allergies: peanuts

Symptoms: Patient has a rash all over her body. Though, it appears in clusters. They are itchy. Has lasted 3 days without improvement

Other Meds: multivitamin

Current Illness: none.

ID: 1050391
Sex: F
Age: 64
State: NY

Vax Date: 02/12/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: NSAIDS, Cipro, shellfish

Symptoms: I had 3 days of arm pain and fatigue following the initial injection which resolved but then 9 days later developed chills( no fever) fatigue and then the injection site became very itchy, the next day the infection site was res, painful, hard...egg sized.

Other Meds: Phenobarbital, vitaminD

Current Illness: None

ID: 1050392
Sex: F
Age: 50
State: NV

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

Lab Data:

Allergies:

Symptoms: Patient didn't experience any adverse effects, but was supposed to get Shingrix instead of COVID vaccination. COVID vaccine was given incorrectly to patient.

Other Meds:

Current Illness:

ID: 1050393
Sex: F
Age: 66
State: NY

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

Lab Data:

Allergies: None

Symptoms: Left Arm became painful,swollen, hot to the touch,with a large round rash at site of vaccination.& is itchy

Other Meds: Olmesartan 40mg BISOPROLOL 5mg Esomeprazole 40mg

Current Illness: None

ID: 1050394
Sex: F
Age: 60
State: CA

Vax Date: 02/11/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: After injection, initial injection site became swollen to the size of a dime and disappeared after 48 hours. After 9 days, size of injection site quadrupled in size, became firm, warm to the touch and itched.

Other Meds: N/A

Current Illness: Hay fever Diabetes

ID: 1050395
Sex: F
Age: 47
State: FL

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: No Allergies at this time.

Symptoms: The 1st dose of Moderna vaccination, I was experciencing flu like symptoms and had swelling (edema) in the left arm for about 3 to 4 days where the injection was administered. The 2nd dose of the Moderna, I had flu like symptoms again andthe symptoms lasted for about 2 days. Six days after the Moderna vaccine, I noticed swelling (fluid / edema ) on chest, breast, neck , upper back on the left side and immediately saw my Endocrinologist. We acknowledged that it was an adverse reaction to the vaccine. The swelling dissipated after 3 days taking Advil and Zyrtec.

Other Meds: Live Well Vitamins, Iron 60mg, and Methimazole 5mg

Current Illness: Graves' Disease

ID: 1050396
Sex: F
Age: 66
State: CA

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

Lab Data: None

Allergies: Prednisone

Symptoms: Itchy, hot, red area on arm about 2.5 in wide, 6 in long

Other Meds: None

Current Illness: None

ID: 1050397
Sex: F
Age: 42
State: IA

Vax Date: 01/26/2021
Onset Date: 02/06/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: I went to the walk-in clinic on Tuesday, Feb 9th and was given an antibiotic and steroid.

Allergies: amoxicillin

Symptoms: I had a rash that was itchy, red, and hot come on the 11th day after my first Moderna Covid shot. It spread quickly around my arm and was sore if it bumped into anything.

Other Meds: birth control, loratadine, melatonin, vitamin

Current Illness: NA

ID: 1050398
Sex: M
Age: 74
State: WA

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

Lab Data: None

Allergies: Dust, pollen, mold

Symptoms: Rash on upper left arm/bicep?also sore bicep muscle

Other Meds: Aderall, Celebrex, Lipitor, senior multivitamin

Current Illness:

ID: 1050399
Sex: F
Age: 65
State: CA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Bananas, Sulfa Drugs, Medical Contrast Dyes, SOme antibiotics

Symptoms: Slight pain in arm the evening of injection that ran up into neck. Next morning, arm very sore, tired, went back to bed. had a fever of 100.8 (my normal temp registers 97.5) by afternoon. a cough, a runny nose, arm became so sore it was impossible to move, (no redness or inflamation at shot site). Severe body aches, headache sore joints all from my head to the sole of my foot on the right side. Slept most of the day and that night. Woke up the next day and had soreness every place mentioned above but to a lesser degree. I tool an extra strength Tylenol around noon and was completely back to normal with no pain within 30 minutes.

Other Meds: Vit C, D, Zinc, B-12

Current Illness:

ID: 1050400
Sex: F
Age: 53
State: CA

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

Lab Data: None

Allergies: NA

Symptoms: I have rashes on my face like rashes. They appeared few days after the first dose but is yet to clear.

Other Meds: NA

Current Illness: NA

ID: 1050401
Sex: F
Age: 43
State: CA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Neck Biopsies 1/26/21, 2/3/21, 2/9/21

Allergies: None

Symptoms: Had 1st dose 12/18/20, had 2nd dose 1/8/21. On 1/15/21 noticed right cervical lymph node swollen >5cm. After 3 biopsies , diagnosed with non Hodgkin's lymphoma 2/11/21

Other Meds: Flonase Alvesco Metformin Benefiber

Current Illness: None

ID: 1050402
Sex: F
Age: 43
State: CA

Vax Date: 01/17/2021
Onset Date: 01/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Some swelling of the injection site a few days after the initial injection, redness, itching and hot area. Size of the swelling was approximately 5 cm in diameter. Area also became hard and hot. Left untreated for a few days but when itching was uncomfortable applied some topical Benadryl to the area and swelling and itching went away within a few hours. No other side effects for the first dose. Still awaiting for appointment for second dose

Other Meds: none

Current Illness: none

ID: 1050403
Sex: F
Age: 47
State: FL

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: No Allergies at this time.

Symptoms: The 1st dose of Moderna vaccination, I was experciencing flu like symptoms and had swelling (edema) in the left arm for about 3 to 4 days where the injection was administered. The 2nd dose of the Moderna, I had flu like symptoms again and the symptoms subsided after 2 days. Six days after the Moderna vaccine, I noticed swelling (fluid / edema ) on chest, breast, neck ,and the upper back on the left side and immediately saw my Endocrinologist. We acknowledged that it was an adverse reaction to the vaccine. The swelling dissipated after 3 days taking Advil and Zyrtec.

Other Meds: Vitamins, Iron 60mg, and Methimazole 5mg

Current Illness: Graves' Disease

ID: 1050404
Sex: F
Age: 19
State: TX

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

Lab Data:

Allergies: no

Symptoms: Pt had a panic attack due to fear of needles. Hyperventilated and appeared to be near fainting, but did not lose consciousness. EMS reported to care for patient, and she was removed by stretcher.

Other Meds: unknown

Current Illness: unknown

ID: 1050405
Sex: M
Age: 46
State: CA

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

Lab Data:

Allergies: none

Symptoms: Very itchy at injection site that develop on day 7 after the first shot.

Other Meds: none

Current Illness: none

ID: 1050406
Sex: F
Age: 65
State: CA

Vax Date: 02/11/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I woke up Saturday morning 2/20/2021 - 9 days after vaccination #1 - and noticed my left arm was bright red, slightly swollen, tender but not painful, and itching like crazy. It appears the name for that is now, Covid arm. Today, 2/23/2021, the redness is fading and it is only slightly itchy. Very mild tenderness when I touch it. Checked my temp over the last few days and it was in the normal range 97.4-97.9 (for me).

Other Meds: None

Current Illness: None

Date Died: 02/23/2021

ID: 1050407
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: none

Symptoms: My mother passed away sometime in the night or this morning. I talked to her at 6:30 yesterday and she was gone this morning. She was covered in what looked like a rash of some kind and her toung was enlarged. They did say the evening she had a flushed face and her tongue seemed enlarged or swollen.

Other Meds:

Current Illness:

ID: 1050408
Sex: F
Age: 70
State: OH

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

Lab Data:

Allergies: N/A

Symptoms: The patient began to have hot flashes and some dizziness. She felt "disoriented in her eyes," while also having a slight headache. The feeling went away after 10 minutes and began 15 minutes after receiving her second Pfizer vaccine dose.

Other Meds: N/A

Current Illness: N/A

ID: 1050409
Sex: F
Age: 59
State: MD

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

Lab Data: None

Allergies: None

Symptoms: Extreme left arm ache, chills and low grade fever, headache, overall severe body aches, fatigue. Lasted about 24 hours then just arm ache.

Other Meds: One a day multi vitamin Raloxifene hcl 60mg

Current Illness: None

ID: 1050410
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: Adverse Event/Reaction: Symptoms including time of vaccination and onset time of symptoms: Felt dizzy shortly after vaccine. Was driven over to the 30' lot. History of high BP. She had taken her BP in the am, BP was normal in the am. History of allergy to green chiles with throat and tongue swelling After about 10', she reported that she felt her tongue was swollen, she had minor speech difficulties and intermittent clearing of throat. Different speech pattern. RRR not tachy, lungs clear, no clear swelling of tongue was observed, but speech pattern changed, and became less clear over time, after benadryl. Vital Signs: Time: BP: 201/106 P: 86 regular O2 Sats: 100 Labs/tests done: none Medications given: Time: 11:42am Medication: Benadryl i.m. 50 mg in RD. Outcome of the adverse event (if paramedic please list hospital taken to): 10' after benadryl. She reported improvement, however BP remained elevated and voice pattern was still abnormal. Because of the high blood pressure, epi was not provided and ambulance was called. Patient was a hospital patient, and was transported by EMS to Hospital for follow up care. Per ED note- The patient has had resolved symptoms and is in no respiratory distress with stable vital signs. Hypertension has improved. The patient is going to be discharged with primary care physician follow-up. She has been given return precautions for any new or worsening symptoms.

Other Meds:

Current Illness:

ID: 1050411
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: Red rash at injection sight which developed 7 days after vaccine administration. Lasted for 3 days.

Other Meds: armour thyroid, citalopram

Current Illness:

ID: 1050412
Sex: F
Age: 67
State: OH

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

Lab Data: N/A

Allergies: Penicillin, Bactrim, Sulpha antibiotics Seasonal and Environmental

Symptoms: day 2 rash started on opposite forearm day 3 spread to same forearm, shoulders, and trunk day 5 flu like symptoms: joint pain, very tired, slight fever, day 6 rash still there but no flu like symptoms as day before

Other Meds: Plaquenil 220mg/1.5 times a day Estradiol.05 mg/1 x/day Calcium 600 mg + D3/1x/day Vitimin D3 1000IU/1x/day Biotin +Karatin 10000mcg/1x/day Multi Vitamin/daily Invigo Flex AM/PM/2x/day

Current Illness: N/A

ID: 1050413
Sex: F
Age: 37
State: MD

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: 2 negative COVID 19 tests (2/16 and 2/19) negative for strep (2/16) normal blood panel, EKG, and urine sample (2/19)

Allergies: None

Symptoms: Night/morning 1 - muscle aches nausea subsiding and and resolving in swollen mouth, throat, lips, glands, loss of voice (went to urgent care, place on antihistamines) Night/morning 2 - swollen eyes, lips, face, hands, feet Night/morning 3 - swollen hands/feet, abdominal itching Night/morning 4 - abdominal/leg itching, rash on arms and hand, loss of voice (went to ER, placed on steroid and different antihistamines) Night/morning 5 - lesser amount of abdominal/leg itching, rash on arms and hand Morning 6 - swelling of throat mid morning resolved with OTC medication Residual loss of voice/cottony mouth feeling, afternoon headaches

Other Meds: none

Current Illness: None

ID: 1050414
Sex: F
Age: 50
State: CA

Vax Date: 01/12/2021
Onset Date: 02/09/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: RASHES NOTED ON THE BOTH THIGHS THE DAY AFTER SECOND DOSE, PROGRESSIVE AND BECOMING GENERALIZED. SEEN ON 02/23/21 RX PREDNISONE.

Other Meds: ATENOLOL, HCT, LOSARTAN, LORATADINE, VIT. D, FISH OIL, HALOBET

Current Illness: BACTERIAL FOLLICULITIS

ID: 1050415
Sex: F
Age: 63
State: CA

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

Lab Data: COVID TEST 2/12 - NEGATIVE

Allergies: REACTION TO 3 VACCINATIONS TAKEN TOGETHER ON 9/12/20 - FLU; SHINGLES; PNEUMONIA - FEVER; FATIGUE; BODY ACHE; SWOLLEN PAINFUL RED POCKETS AROUND EYES

Symptoms: 2/9 NEXT DAY IN AM 99.7 FEVER; SORE ARM MUSCLE TO MOVE ARM. 2/10 DAY TWO 48 HRS 3-6:00PM TIGHT BURNING CENTER CHEST PAIN TOOK TYLENOL; WATER. 2/11 DAY 3 - TIGHT BURNING CHEST PAIN INTERMITTENT ALL DAY - TOOK TYLENOL; HYDRATED WITH WATER. 2/12 DAY 4 - NO DISCOMFORT; GOT COVID TEST TO RULE OUT - NEGATIVE. 2/13 DAY 5 TIGHT CHEST PAIN 1:00PM TOOK TYLENOL SUBSIDED ONE HOUR. 8:00PM BLOODY NOSE 30 MINUTES. OK THERE AFTER.

Other Meds: MULTI VITAMIN; BC PILL; VITAMIN C; IRON SUPPLEMENT; CIMETIDINE; GREEN TEA; GINSENG; ASTRAGALUS; CITRACAL; ZINC; LYSINE; RESVERATOL

Current Illness: NONE

ID: 1050416
Sex: M
Age: 47
State: AK

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

Lab Data: Blood glucose: 95

Allergies: Cats

Symptoms: Vaccination @ 10:28 am, pre-syncopal, parasthesias episode @ 10:43am. Patient's vitals were monitored for an hour, ice packs on chest. Blood pressure monitored and blood sugar check. Patient was alert and stable prior to discharge.

Other Meds: Tylenol, Ibuprofen, Pro Air, Albuterol, Benadryl, Advair, Omeprazole

Current Illness: None

ID: 1050417
Sex: M
Age: 36
State: HI

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

Lab Data: None

Allergies: Acetaminophen; general anesthesia; most muscle relaxers

Symptoms: Adverse events: cramping at injection site (deltoid), cramping in injection arm, general body cramping, muscle spasms, numbness, body temperature dropping, high fever (101F), chills, severe headache, excessive sweating, severe earache, lethargy, loss of appetite, loss of balance, dizziness, vertigo, joint pain (knees), altered sense of smell (acidic smoke), altered sense of taste (metallic), altered color vision (tinted yellow), altered mouthfeel (plastic film feeling), gum sensitivity, blotchy rashes (legs), tightness in chest, difficulty breathing. All occurred within first 48 hours following injection and began to subside without intervention prior to 72 hours following injection.

Other Meds: None

Current Illness: None

ID: 1050418
Sex: F
Age: 68
State: FL

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

Lab Data: Confirmed dermatologic biopsy drug eruption systemic rash

Allergies: At the time none known. Patient reporting possible PEG and erythromycin allergy.

Symptoms: Patient called today wondering if her Miralax was the same as the PEG in the vaccine she received and would be the reason for her allergy. She had a goosebump rash all over prior to vaccination and denied any allergies prior to this event. After vaccination (not certain of time frame) she developed a goosebump, red dot, hot, itchy, spot rash all over legs and arms. Her dermatologist biopsy confirmed a drug eruption. She does use an ice pack for relief and was prescribed prednisone. My final recommendation was to stop taking Miralax and report all of this to primary care MD. Also, recommended she discuss the second vaccine with both the dermatologist and PCP. At first patient denied having and allergic type symptoms to Miralax (ex. diarrhea and cramping). She only divulged having the goosebump rash (not as bad) prior to vaccination at the end of our conversation.

Other Meds: Miralax, Iron

Current Illness: unknown

ID: 1050419
Sex: M
Age: 65
State: AZ

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

Lab Data: none

Allergies: none

Symptoms: sore arm and sore at injection site

Other Meds: quinapril, insulin, Lipitor, metopropol

Current Illness: none

ID: 1050420
Sex: F
Age: 37
State: IA

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

Lab Data: None

Allergies: Methyldopa, tekturna, ace/arbs.

Symptoms: Normal expected side effects: body aches, nausea, headache, chills. Adverse reaction: fever (101-104F), Mac/pap rash, vomiting, extreme dizziness, palpitations. OTC medications taken for symptoms: Tylenol, ibuprofen, Benadryl. Prescription medication taken for symptoms: Meclizine Symptoms began about 18-20 hours after the vaccine dose #1 was received. It took about 32 hours for the adverse reaction symptoms to resolve.

Other Meds: Levothyroxine Coreg Buspar Gabapentin Aspirin baby Zoloft Spironolactone/hctz 25/25 Trulicity

Current Illness: None

ID: 1050421
Sex: F
Age: 82
State: CA

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

Lab Data: none

Allergies: Alendronate Sodium (intolerance) sever nausea Lipitor(intolerance) Nitrofurans skin rashes and hives

Symptoms: Sudden onset of low grade fever at 100.1 F, decreased verbal responsiveness with mild confusion, generalized weakness, and unsteadiness 18 hours after getting the second covid vaccine. Recent strong smell in urine. Numbness on left arm and left leg

Other Meds: Quetiapine , Sertraline, Seroquel, Trazodone, Risperidone, Metformin, lisinopril Xalatan, Ferrous Sulfate and Calcium-Vit D 3

Current Illness: Psychosis

ID: 1050422
Sex: F
Age: 66
State: MN

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

Lab Data: None

Allergies: None

Symptoms: Facial numbness left side only

Other Meds: None

Current Illness: None

ID: 1050423
Sex: F
Age: 43
State: AR

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

Lab Data:

Allergies: Sulfa Condiene

Symptoms: Drooping eye and mouth on left side of fave

Other Meds: Contrave Best Rest (supplement)

Current Illness: None

ID: 1050424
Sex: F
Age: 45
State: TN

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

Lab Data: Will have blood and urine teated tomorrow

Allergies: None

Symptoms: Blood in urine, noticeable, since night of shot

Other Meds: Allegra, birth control, atorvastatin, spironalactone, zoloft, vit d, multivitamin

Current Illness: None

ID: 1050426
Sex: F
Age: 69
State: FL

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Office visit to internist on 02/15/2021. Nurse practitioner diagnosed cellulitis and told me the injection site was in the wrong place. Have been on Bactrim for one week and it is still not totally cleared up. Hot and itchy feelings at site went away about a day ago.

Allergies: Penicillin Lidocaine, either an overdose or allergic

Symptoms: card also says NDC#80777-0273-99 Extreme redness traveling down my arm from injection site to elbow. Was given the injection in the middle of top half of arm instead or near the top. Burning and itching.

Other Meds: Wellbutrin, Lisinopril, Rosuvastatin, Naltrexone, Vitamin D 50,000

Current Illness:

ID: 1050427
Sex: M
Age: 40
State: VA

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

Lab Data: No medical treatment yet

Allergies: None

Symptoms: My chest has been burning since Sunday. Nipples are burning. No relief

Other Meds: None

Current Illness: None

ID: 1050428
Sex: F
Age: 23
State: IN

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Tree nuts

Symptoms: Fever-up to 102 F, chills, arm soreness, headache, fever, muscle weakness for 24 hours

Other Meds: North control

Current Illness:

ID: 1050429
Sex: F
Age: 37
State: VA

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

Lab Data:

Allergies:

Symptoms: Fatigue, joint pain, nausea, rash around injection site

Other Meds:

Current Illness:

ID: 1050430
Sex: F
Age: 33
State: OH

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

Lab Data: None

Allergies: Penicillins and sulfa

Symptoms: Hives, fever, chills/sweats. Body aches/pains

Other Meds: Adderall xr 30mg

Current Illness: None

Date Died: 02/02/2021

ID: 1050431
Sex: M
Age: 80
State: FL

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

Lab Data: none

Allergies: None

Symptoms: Since I was not with my husband I can only tell you what was told to me. He walked out of the store toward our car. Someone watched him, concerned, because he was walking very slowly (normally has a slow gait because of leg braces and toe amputations so I don't know if it was unusually slow). The woman saw him fall and she ran to help-administered CPR immediately-and told me he died instantly. Medics tried to resuscitate and failed to bring a pulse. (My husband left our home around 11:15 to drop a package off at store. The store is one mile from our home. At around 12:30 a deputy came to my door and when I saw him my knees buckled. I knew something horrible happened.

Other Meds: To the best of my knowledge these are the drugs he took that morning. Furosemide 20 mg; Isosorbide Mononitrate-ER 60 mg; Calcitrol .25 mcg; Levothyroxine - .15 mg; Folic Acid 800 mcg; MultiVits; Metamucil 525 mg capsule; Metroprolol ER -

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm