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: 1051707
Sex: F
Age: 36
State: MD

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

Lab Data:

Allergies: Milk containing products

Symptoms: Sharp/shooting pain from her L butt to ankle (same side of body as vaccine), used Tylenol with no relief, started 2/23 night

Other Meds: Fluoxetine, Lorazepam, Ritalin

Current Illness: N/A

ID: 1051708
Sex: F
Age: 67
State: FL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2/15/21 Mon 2:30pm pain at injection site for 3 days 2/16/21 Tues.8:00am slight headache for 4 hours 2/21/21 Sun 10:0am itching on right side of injection site intermittently; injection site feels stiff/solid (hard) 2/22/21-2/23/21 Mon-Tues itching continues; 2/23/21 Tues at 8pm notice swelling and redness area somewhat below left of site so used ice pack to stop itching 2/24/21 Wed swelling and redness area somewhat below left of injection site is still visible - not itching or painful

Other Meds: multiple vitamins

Current Illness:

ID: 1051709
Sex: F
Age: 41
State: CO

Vax Date: 01/25/2021
Onset Date: 01/30/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Chest X-ray, labs, IV

Allergies: Avocados melons

Symptoms: Face swelling, severe congestion, tightness of lungs. Body ache. Going on 4 weeks of this. 2 er visits

Other Meds:

Current Illness:

ID: 1051710
Sex: F
Age: 80
State: MN

Vax Date: 02/02/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: Nasopharyngeal PCR negative for covid 19 on 2/14 and 2/17. 2/18 COVID IgG titer to the spike receptor binding protein was. 1:6400 . Trop

Allergies: None

Symptoms: On 2/2 received 1 st dose of vaccine. On 2/14 developed nausea, vomiting and diarrhea. Admitted to hospital and found to have a troponin of 72 and coronary angiogram done. Endomyocardial biopsy revealed myocyte damage and mixed inflammatory infiltrate concerning for myocarditis. Patient ultimately has started to recover with treatment of methylpred 1 gram x 3 days.

Other Meds: Multivitamins

Current Illness: None

ID: 1051711
Sex: M
Age: 36
State:

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

Lab Data:

Allergies: Sulfa medication

Symptoms: Fatigue; headaches; upset stomach; soreness at injection site; body aches; nausea.

Other Meds: Sertraline and Lamotrigine

Current Illness: PTSD; TBI

ID: 1051712
Sex: F
Age:
State: FL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: patient went to an Urgent care, patient admitted to the Hospital last night where they gave her IV fluids, Benadryl and a prescription for Keflex. follow up with her doctor tomorrow

Allergies:

Symptoms: arm is red and swollen , now is the size of two grapefruits , sx getting better,area still feels hot

Other Meds:

Current Illness:

ID: 1051713
Sex: M
Age: 72
State: WI

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: HEMOGRAM - Details? ?About This Test Details Past Results Graph of Past Results Component Results Component Your Value Standard Range WBC 7.5 Thou/uL 4.0 to 10.0 Thou/uL 4.0 - 10.0 Thou/uL RBC 4.98 Mill/uL 4.50 to 5.70 Mill/uL 4.50 - 5.70 Mill/uL Hgb 11.3 g/dL 13.0 to 16.8 g/dL 13.0 - 16.8 g/dL Hct 39.0 % 42.0 to 52.0 % 42.0 - 52.0 % MCV 78.3 fL 80.0 to 101.0 fL 80.0 - 101.0 fL MCH 22.7 pg 27.0 to 32.0 pg 27.0 - 32.0 pg MCHC 29.0 g/dL 30.0 to 35.0 g/dL 30.0 - 35.0 g/dL RDW 19.2 % 11.5 to 15.0 % 11.5 - 15.0 % Platelets 250 Thou/uL 150 to 400 Thou/uL 150 - 400 Thou/uL MPV 9.3 fL 9.0 to 12.5 fL 9.0 - 12.5 fL The above 10 analytes were performed by Lab General Information Ordered by MD Collected on 02/22/2021 5:03 AM from Blood Resulted on 02/22/2021 5:31 AM Result Status: Final result METABOLIC PANEL, BASIC (BMP) - Details? ?About This Test Details Past Results Graph of Past Results Component Results Component Your Value Standard Range Sodium 140 mmol/L 136 to 145 mmol/L 136 - 145 mmol/L Potassium 3.5 mmol/L 3.5 to 5.1 mmol/L 3.5 - 5.1 mmol/L Chloride 105 mmol/L 100 to 110 mmol/L 100 - 110 mmol/L Total CO2 25.0 mmol/L 22.0 to 29.0 mmol/L 22.0 - 29.0 mmol/L Calcium 9.3 mg/dL 8.4 to 10.4 mg/dL 8.4 - 10.4 mg/dL BUN 13 mg/dL 7 to 26 mg/dL 7 - 26 mg/dL Creatinine 0.62 mg/dL 0.60 to 1.30 mg/dL 0.60 - 1.30 mg/dL Glucose 107 mg/dL 74 to 99 mg/dL 74 - 99 mg/dL Anion Gap 14 mmol/L 5 to 20 mmol/L 5 - 20 mmol/L BUN/Creatinine Ratio 21 Ratio 10 to 20 Ratio 10 - 20 Ratio >60 mL/min/1.73sqm mL/min/1.73sqm mL/min/1.73sqm >60 mL/min/1.73sqm mL/min/1.73sqm mL/min/1.73sqm An Estimated result less than or equal to 60 mL/min/1.73 sqm is indicative of renal disease. The Estimated result is derived from serum creatinine, age, gender, average body surface area and race using the IDMS-traceable MDRD study equation (for creatinine methods calibrated to an IDMS reference method) as recommended by NKDEP (National Kidney Disease Education Program). The above 12 analytes were performed by lab General Information Ordered by MD Collected on 02/22/2021 5:03 AM from Blood Resulted on 02/22/2021 5:52 AM Result Status: Final result K+ PROTOCOL POTASSIUM, MG RFLX - Details? ?About This Test Details Past Results Graph of Past Results Component Results Component Your Value Standard Range Potassium 3.5 mmol/L 3.5 to 5.1 mmol/L 3.5 - 5.1 mmol/L The above 1 analytes were performed by lab General Information Ordered by MD Collected on 02/22/2021 5:03 AM from Blood Resulted on 02/22/2021 5:52 AM Result Status: Final result MRI BRAIN WO CONTRAST - Details? ?About This Test Details Study Result Narrative Exam: MRI BRAIN WO CONTRAST Clinical History: History of stroke with acute onset altered mental status. Technique: Multisequence, multiplanar imaging of the brain without IV contrast was performed. The exam was discontinued prematurely due to claustrophobia. Contrast Dose: None. Comparison: None available. FINDINGS: A mild volume of scan. Nonspecific T2/FLAIR white matter hyperintensities are present in the periventricular, deep, and subc

Allergies: shellfish, seasonal rhinitis

Symptoms: Covid 19 vaccine was administered at 2:45 pm on 2-21-21. By 2:55 pm patient began to experience Confusion and loss of short term memory. He suddenly did not know where is was, how he got there, or why he was there. He continuously asked those questions throughout the balance of the day. The nurses on duty in the clinic got a wheel chair and escorted us to the hospital ER in the same building. He was immediately taken to a room where a doctor met us and began asking him questions. The Dr quickly ordered a multitude of tests. Results shown in item 19

Other Meds: OTC and Vitamins: C, D, zinc, ocuvite, aspirin 81 mg, tylenol, Dulcolax RX: furosemide, hydrocodone, pantoprazole, potassium chloride, pravastin, silodosin, stool, eliquis, symbicort, voltaren, zonisamide

Current Illness: none

ID: 1051714
Sex: F
Age: 48
State: PR

Vax Date: 12/08/2020
Onset Date: 12/13/2020
Rec V Date: 02/24/2021
Hospital:

Lab Data: 10-16-2020 Estradiol 196, 2-5-2021 Estradiol < 24 (undetectable)

Allergies:

Symptoms: Started with severe headaches after the first covid 19 vaccine dose. Also, she had a normal estrogen October 2020 and it came to undetectable on January therefore having a premature menopause due to the vaccine

Other Meds: Lisinopril, Aldactone, Inderal, Metformin

Current Illness:

ID: 1051715
Sex: F
Age: 57
State: TN

Vax Date: 02/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Still fighting with insurance about where I can go to have a doctor order cat scan so it is an affordable copay. Pain has subsided somewhat but not gone away just a full feeling and deep ace. Have been taking digestive enzymes and apple cider with apple cider vinegar.

Allergies: Preservatives and synthetic food additives, flavor enhancers, lyrica(edema hands and feet); tetracycline(photo sensitivity), not allergies to MS or Epinephrine but highly sensitive to their effects. Pollen allergies, oaks, grasses, molds primarily,

Symptoms: Days 1-3 pain at site of injection much more than other vaccines that subsided but to this date has not gone away completely. Low grade fever and fatigue for about a week, lots of sleeping! Mild wheezing and sinus congestion, headaches. Day 4 I developed swelling in the lower legs and feet, that lasted about a week, still some fatigue and ongoing sinus congestion but feeling better, then a few days later in the 2/16 developed sudden onset moderately severe pain and tenderness in the upper right abdominal quadrant in the area of the live, gallbladder and pancreas up near and under the ribs and around to the flank and a small aspect of the back, with abdominal swelling belching and bile diarrhea and indigestion

Other Meds: Zaleplon 10 mg uid at bedtime for sleep; albuterol inhaler prn

Current Illness: Unknown etiology autoimmune inflammatory disease

ID: 1051716
Sex: M
Age: 61
State: UT

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Chills and a headache as well as congestion. Took some Theraflu but that didn't seem to help at all.

Other Meds: tamolsolsun busperone sertrazine maloxoxan sevastitin

Current Illness: No

ID: 1051717
Sex: F
Age: 28
State: NJ

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Dizziness episode with almost fainting that lasted about 10 minutes. Happened day after vaccine and then again 3 days after vaccine. nausea was present but not enough to vomit. Slight vertigo still present days after

Other Meds: none

Current Illness: none

ID: 1051718
Sex: F
Age: 80
State: MI

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: COVID positive on 2/18/21

Allergies: Fosamax (swelling), ranitidine (Rash), Sulfa drugs (swelling)

Symptoms: Vaccine administered on 2/11/21. Presented to emergency department on 2/18/21 following an episode of syncope and collapse at home. Patient reports becoming dizzy and diaphoretic at home and passed out in bathroom. Presented with left-side rib pain and headache attributed to hitting door and ground during fall. Was checked for COVID19 prior to transferring to observation unit and was found to be positive. Patient was discharged home in stable condition from observation on 2/19/21.

Other Meds: Calcium carbonate, vitamin D, meloxicam, omeprazole

Current Illness: Bursitis of left shoulder

ID: 1051719
Sex: F
Age: 41
State: NY

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Hives all over my body.

Other Meds: Tylenol , vitamins

Current Illness: None

ID: 1051720
Sex: M
Age: 61
State: FL

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: 1/04/2021, 1/25/2021 Pfizer ej1685, en5318 Reports that he "passed out" on 1/6 at work, taken to ER and was diagnosed with kidney failure & hyperkalemia, also positive for covid. Hospitalized till 1/13, underwent dialysis. Received 2nd vaccination 1/25, once again "passed out" in breakroom while at work. Pt was awoken after approx 1 hour, unable to move arm at that time, went home and did not seek medical care at that time. Pt was re-hospitalized on 2/2/2021 due to difficulty breathing & AMS. Dx with pneumonia & hyperkalemia at that time, discharged home 2/11/2021. Continues on hemodialysis 3x/week.

Other Meds: Levemir amlodipine gabapentin rosuvastatin losartan gemfibrozil hydralazine carvedilol glipizide Trulicity

Current Illness:

ID: 1051721
Sex: F
Age: 33
State: MS

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: NA

Allergies: Lactose Intolerant and Bystolic

Symptoms: I have a round lesion that is raised and warm and about 3 inches in diameter at the injection site. EXTREMELY itchy!

Other Meds: Amlodipine and nuvaring

Current Illness: None

ID: 1051722
Sex: F
Age: 92
State: MN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: NONE

Allergies: no known allergies

Symptoms: FALL ON 2/18/2021

Other Meds: tylenol, amlodipine, Calcitonin, Clearlax, duloxetine, Norco, Lorazepam, Losartan, Memantine, Prednisone, Quetiapine, senna

Current Illness: none

ID: 1051723
Sex: M
Age: 71
State: NY

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: CBC

Allergies: none

Symptoms: CBC blood count reading--all counts low, including very low hemoglobin (9.3)

Other Meds: Ruxolitinib 15 mg/day Pegasys 45 mg/weekly

Current Illness: Secondary Myelofibrosis

ID: 1051724
Sex: F
Age: 33
State: NC

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Severe fever blisters covering my entire mouth and tongue.

Other Meds: Buprenorphine, Diazepam

Current Illness: None known

ID: 1051725
Sex: F
Age: 68
State: PA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Body aches, chills, tired, nausea, started next morning, lasted a day and a half.

Other Meds: levoxyl 125mcg

Current Illness:

ID: 1051726
Sex: F
Age: 81
State: NJ

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Got medicine from Doctor on February 19th and still taking it today Wednesday February 24. Still somewhat dizzy

Allergies: None

Symptoms: Upon getting up next day felt like I was having vertigo It became full blown on the 19th (two days later). Was unable to get out of bed that day. But got medicine to help with dizzy ness and nausea. No fever. Just headache and dizziness

Other Meds: Olmesartan 20mg Levothyroxine sodium 88mcg Amlodipine 5mg Atorvastatin 40mg

Current Illness: None

ID: 1051727
Sex: F
Age: 77
State: VA

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: 2/22/2021 C-Reactive Protein <0.2, Uric Acid 8.7,

Allergies: hydromorphone sulfa adhesive Benadryl latex morphine

Symptoms: Emergency Dept visit on 2/17/2021 at Hospital, with complaints of wrist pain. Diagnosed with possible gout from recent Lasix initiation or reactive arthritis from COVID vaccine received at pharmacy. Admitted to Hospital on 2/23/2021 with diffuse body aches, joint pains, weakness and episode of afib/RVR. Remains hospitalized on 2/24/2021

Other Meds: Prednisone Hydralazine Omeprazole Loratidine Lasix Cipro Desvenlafaxine Succinate Insulin NPH Nitroglycerine Glipizide Carvedilol Aspirin

Current Illness: recently started on Lasix history of gout

ID: 1051728
Sex: F
Age: 23
State: WI

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: cats cockroaches mites molds

Symptoms: 5 d after vacc (1/11/21) tender grape size lump at inj site. 8 d after vacc HA, fatigue, feverishness 9 d after vacc (1/15/21) large red tender area at inj site. lump resolved. sore L shoulder, clavicle and LUE

Other Meds: melatonin Azelastine albuterol inhaler hydroxyzine orthotricyclen zyrtec

Current Illness: anxiety

ID: 1051729
Sex: F
Age: 76
State: FL

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Recommended to hold further doses of meds, call her doctor now and if chest pain and dyspnea to call 911. Pt verbalized understanding

Allergies:

Symptoms: Day after vaccine she felt tired, today she woke up coughed up blood then noticed that her nose was bleeding; bleeding lasted about 1.5 hours, now stopped #1 Pfizer 1/31/21 1115 #2 Pfizer 2/20/21 1300 #1 Pfizer lot EL9265 #2 Pfizer lot EN6200

Other Meds: Eloquis Plavix baby ASA

Current Illness:

ID: 1051730
Sex: F
Age: 84
State: AZ

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Codeine

Symptoms: Covid Arm ( itching/red/swollen) after one week. Headache for three days and nausea after shot. Fatigue. Bizarre dreams

Other Meds: Levothyroxin, Olive Leaf, Vit B Complex, Vit C, Vit D3, cinnamon, Ginger, Co Q10, Chromium Picolinate, Potassium, Turmeric, Alpa Lipoic Acid, Magnesium, Naicin, Probiotic, Ginkgo Biloba, Fish Oil

Current Illness: Multiple sclerosis, Parkinsons

ID: 1051731
Sex: F
Age: 28
State: TX

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

Lab Data:

Allergies:

Symptoms: chills, nausea, fever, fatigue, food aversion, headache, muscle ache, Injection site pain

Other Meds:

Current Illness:

ID: 1051732
Sex: F
Age: 53
State: MA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: large, red, warm band of swelling about 1 inch below injection site. very painful. firm to the touch. measures approx 5 inches in length and 2 inches wide

Other Meds: None

Current Illness: none - Covid negative test on 2/19/2021

ID: 1051733
Sex: M
Age: 85
State: IL

Vax Date: 01/26/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Received 2nd dose of Moderna on 1/26/21. Went to the hospital and admitted 2/21/21-2/22/21 for UTI, weakness, and neck pain.

Other Meds:

Current Illness:

ID: 1051734
Sex: F
Age: 54
State: NY

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

Lab Data:

Allergies: PCN, IBU, Bactroban, hymenoptera

Symptoms: Hives/swelling/puritis (of head/face, neck, chest, arms) and elevated blood pressure. IM Benadryl at vaccination site IM steroid and prescription for steroids in ED

Other Meds: None

Current Illness: No

ID: 1051735
Sex: F
Age: 69
State: NC

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Celiac

Symptoms: Rash

Other Meds: Citalopram 10mg, atorvastatin 10mg, latanoprost ophthalmic, triamterene 37.5mg, Nexium, D3, centrum, calcium, Sumatriptan for migraines as needed

Current Illness: None

ID: 1051736
Sex: F
Age: 84
State: MI

Vax Date: 02/19/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Not applicable.

Allergies: Iodine, Keplex, Vibramycin Alphagen eye drops

Symptoms: My left arm was a little sore for a couple of days but not bad. Then I noticed an itchy feeling on the muscle below where I had the shot. This was for a couple of days, Today (six days after the vaccine) I have a little rash there. Left arm, muscle. I put calamine lotiin on it today.

Other Meds: Lisinopril, Levothyroid, multi-vitamins Dorzolomide HCI/Timol, Lataprost

Current Illness: none

ID: 1051737
Sex: F
Age: 66
State: VA

Vax Date: 02/10/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: penicillin, morphine

Symptoms: 8 am felt arm around injection site a bit sore and found redness around injection site. A bit sore and itchy. No treatment. It went away by the next day.. I have photograph.

Other Meds: levothyroxine 112 mg, Vitamin D, calcium, multi vitamin, Areds D, saffron, curcumin chew, Probiotic RePHres Pro B yeast balance

Current Illness: none

ID: 1051738
Sex: F
Age: 75
State: IN

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Statin

Symptoms: Head ache, nausea

Other Meds: Losartan,Unithroid,Januvia,Potassium,Meloxicam,Pioglitazone,HydroCHLORthiazide , Vitamins D3 , Cholestracare, CoQ-10

Current Illness:

ID: 1051739
Sex: F
Age: 76
State: MN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: NONE

Allergies: no known allergies

Symptoms: FALL AM OF 2/18/2021 T 99.5 WITH LETHARGY

Other Meds: Donepezil, Memantine, Quetiapine, Sertraline, Vit D

Current Illness: none

ID: 1051740
Sex: M
Age: 16
State: NJ

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

Lab Data:

Allergies:

Symptoms: Patient was mistakenly given Moderna vaccine and was under the age of 18. At the time of his monitoring pt had no adverse effect of the vaccine.

Other Meds: Ativan 1 mg q A, q 3PM, qHS Lamotrigine 100 mg 1 PO Q AM, QPM Lexapro 5 mg

Current Illness:

ID: 1051741
Sex: F
Age: 66
State: CT

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Only sulfur base antibiotics

Symptoms: Deep itch at vaccine site. Used alcohol wipe and small knot in arm. The itch is a annoying bug bit sensation almost 24 hours now

Other Meds: Vitamin c and calcium d

Current Illness: None

ID: 1051742
Sex: M
Age: 68
State: GA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Low grade constant 24:7 head ache on right side if forehead. Began within 24 hours of vaccine. Going on 21 days. Difficult to sleep with pain. If I?m active It masks the pain and I do not notice it as much. But when I stop an activity iand just sitting or lying down , the pain is must prevalent.

Other Meds: None

Current Illness: None

ID: 1051743
Sex: F
Age: 16
State: MD

Vax Date: 01/28/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine given to age inappropriate patient. Pt tolerated vaccine without any complications

Other Meds:

Current Illness:

ID: 1051744
Sex: F
Age: 45
State: FL

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sx of fatigue, fever, SOB, and nausea since then that have remained the same. Says she may not have a fever anymore, but has not checked her temperature. COVID test (-) on 2/16/21. Sent to Medical facility for follow up today 2/16

Other Meds:

Current Illness:

ID: 1051745
Sex: F
Age: 64
State: MI

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

Lab Data: 146/90 100% O2 ON ROOM AIR

Allergies: EPINEPHRINE, NOVOCAINE

Symptoms: 64 YEAR OLD FEMALE HAS A HISTORY OF A-FIB. ABOUT 15 MINUTES AFTER RECEIVINE VACCINE, SHE FELT HER HEART RACE. ON SITE EMS RESPONDED. THIS WAS HER FIRST VACCINE, EVER. HER INITIAL HR WAS IN THE 140'S IT IMPROVED TO 82 OVER TIME. OTHER FINAL VITALS BELOW. EMS RAN SEVERAL EKG'S. THEY APPEARED NORMAL. IT WAS RECOMMENDED TO GO TO THE ER, BUT SHE REFUSED.

Other Meds: TOPROL AMONG OTHERS

Current Illness:

ID: 1051746
Sex: F
Age: 72
State: MO

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: iodine, adhesive tape, latex, Zyrtec, sulfur

Symptoms: statrted day after the vaccine I had Whelping and itching on my neck and my back . i took Benadryl

Other Meds: Benadryl, lisinopril-HCTZ 20 mg-12.5 2 a day, metformin 50 mg twice a day, gabapentin 300 mg 2 a day, Aleve 220 mg 1 day, Antihistamine, 180 mg omeprazole 20 mg, calcium 600 mg with vitamin D3, adult 50+ multi vitamin

Current Illness: NO

ID: 1051747
Sex: M
Age: 38
State: WI

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: The night after the injection I had a fever, chills, muscle aches and pains, joint stiffness, headache, and uncontrollable shivering.

Other Meds: Duloxetine and Benazepril

Current Illness: None

ID: 1051748
Sex: M
Age: 80
State: OH

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Tested positive for Covid-19 on 2/11/2021. Admitted into hospital. Stayed for 7 days. Released on oxygen

Other Meds: Hydrochlorothiazide 25mg Gipizide ER 5mg

Current Illness: Diabetes

ID: 1051749
Sex: F
Age: 62
State: OH

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: severe headache, general flu-like symptoms started 4 hours after vaccine and lasted 36 hours

Other Meds: lexapro, clonapin, synthroid, lamictal,

Current Illness: none

ID: 1051750
Sex: F
Age: 33
State: OH

Vax Date: 12/28/2020
Onset Date: 01/12/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Ultrasounds 1/13/21, 2/9/21, 2/16/21, and 2/24/21

Allergies: miralax

Symptoms: Prior to the vaccine my pregnancy was progressing along normally with both normal AFI and fetal size. My first dose was given 12/28/20 at 30 weeks 3 days lot #026L20A, my second dose lot # 013L20A was given 1/25/21 at 34w3d. After receiving the vaccine my fetus began to measure small for dates. An ultrasound showed the fetus has dropped in to the low 20% percentile for weight. Then my AFI decreased also. On all recent scans the AFI has been 6, prior to the vaccines all scans indicated more amniotic fluid.

Other Meds: Flonase, omeprazole, prenatal vitamin, Tylenol PRN

Current Illness: No

ID: 1051751
Sex: F
Age: 75
State: MI

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

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient stated she got a severe headache after vaccination. Onsite EMS was called and vitals taken BP 190/94 HR 72 99% O2 room air. Patient went home.

Other Meds:

Current Illness:

ID: 1051752
Sex: F
Age: 66
State:

Vax Date: 02/14/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Latex, redwine

Symptoms: Moderna COVID?19 Vaccine EUA. Red, sore, warm and itching skin around injection point. It is roundish, with a diameter of about 4 inches

Other Meds: None

Current Illness: n/a

ID: 1051753
Sex: F
Age: 64
State: NJ

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Administered dose 1 Moderna 026L20A 1/22/2021 Administered dose 2 Pfizer EL1284 2/23/2021, instead of Moderna dose 2.. Patient sat on Pfizer side instead of Moderna side. Observed for 30 minutes. Closely monitored with no adverse side effects reported.

Other Meds:

Current Illness:

ID: 1051754
Sex: F
Age: 52
State: FL

Vax Date: 02/10/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None. Dr said it was allergies or a cold or unknown on a telehealth appointment and to continue to do what I am doing. Flonase, allergy meds, zyrtec at first, tyelnol pm when not well in the beginning, benadryl after, back to zyrtec. Natural remedies ate a bunch of watercress with lemon in two days, lemon, honey, riccola.

Allergies: Aspirin, Penicillin, Tetracycline, Advil, Ibuprofen, Sulfas.

Symptoms: Tiredness, out of breath after a few normal activities. Five days later cold/sinus symptoms started with a sore throat, severe dryness of throat, nose, then congestion, runny nose, chills, NEVER a fever. A week later still tire, a little congestion, cough, some white liquid flem.

Other Meds: Zyrtec, Turmeric, B-12

Current Illness: Environmental allergies

ID: 1051755
Sex: M
Age: 64
State: MI

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

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient experienced chest tightness and anxiety 5 minutes after vaccination. Onsite EMS was called vitals are HR 89 BP 160/79 99% O2 room air. Patient went home.

Other Meds:

Current Illness:

ID: 1051760
Sex: U
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: No additional AE reported; proquad was improperly stored and then administered; This spontaneous report was received from a physician refers to a patient of an unknown age and gender. The patient's medical history, concurrent conditions, concomitant medications, drug reactions or allergies were not provided. On 12-FEB-2021, the patient was vaccinated with improperly stored measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) rHA, lot # T023920, expiration date was reported and also validated as 09-JAN-2022 (dose was unknown; strength, route of administration and anatomical location were not reported) for prophylaxis (product storage error). The data logger registered, that the vaccine was stored at the temperature of 30 Fahrenheit degree (F) for 11 hours and 45 minutes. There was no previous temperature excursion detected. No additional adverse event (AE) was reported.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm