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: 1051861
Sex: F
Age: 67
State: MN

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

Lab Data:

Allergies:

Symptoms: Small redness at site for 2 days, then all gone. Then 2/19/2021 Redness and swelling came back and is worsening daily

Other Meds:

Current Illness:

ID: 1051862
Sex: F
Age: 12
State: MN

Vax Date: 04/09/2015
Onset Date: 03/18/2016
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: She had CT done, several U/S, Blood work all showing abnormalities.

Allergies:

Symptoms: My daughter was an active, happy, healthy pre-teen. Her doctor had recommended she get the HPV vaccine and since my oldest daughter had done it I just figured why wouldn't I do it to her. I am a nurse and I just always trusted the doctors, never did any research into the vaccines, never read the vaccine papers that were given to me. Well with my youngest daughter things possibly are different for her and I never put two and two together until I was doing research on this covid vaccine and found so many amazing people activating on behalf of all the vaccine injured people and I can't believe how many there are. So I was listening to one doctor and she was talking about ingredients in the hpv vaccine I knew from research I had done on my daughter's health that those were hormones they put in there and I had an instant red flag and bad gut feeling. So I finished listening and I truly with all my heart believe she is a vaccine injured patient that the doctors just shrugged off as stuff happens in life and that is just the card you were dealt. I don't believe that is the case. So my daughter had her HPV vaccines starting when she was only sweet 11 on 9/18/14 then again on 11/10/14 and her last one was on 4/9/15. Well after those is when her young life changed forever and I mean FOREVER. On March 18, 2016 she had extreme sharp pains in her lower left pelvic area and it was so bad she would throw up. Me being a OB nurse I was thinking of a cyst but many of the doctors I worked for would say they will go away on their own. Well she didn't get any better for a while but then she laid down and fell asleep and I let her rest and I said if she wakes up and feels like that again I will take her in. I knew I wanted her to have an internal U/S so I called the clinic in the morning to see if they had one and they didn't so I knew I had to take her to the ER. Well when she got up and started moving to go to the ER the pain came back again and she would throw up. So we got to the hospital and in short it took forever for them to get her set up with an IV and give her some dang pain meds my sweet 13 year old was suffering. Once her bladder was full they did an u/s and found a cyst. So they scheduled emergency surgery and found she had a Torsed Ovary. When they got in there they saw her ovary was twisted 3 times but they were able to untie it and save it and there were some big cysts there as well that they removed. They also found she had endometriosis on her right side. The torsed ovary was on her left side. So they burnt off the endometriosis and then said she was all good. It was very scary but the doctor reassured us she was good to go and the chances of this ever happening again was very slim. He put her on the depo provera shot to help with the endometriosis which caused even more problems and now I know that was not a necessary medical intervention on his part at all. Then believe it or not almost 2 years to the date so patient was almost 15 she had that bad pain again and started throwing up. We went straight to the ER and the doctor who did her first surgery happened to be on call again and many hours later he came in and checked on her and had her do an internal u/s again. The u/s tech couldn't find anything and the doctor did a pelvic examination and said there was nothing wrong. Pretty much saying it was all in her head. She was in so much pain and she knew in her gut it was happening again and she told him that but he told her there was nothing there. So she went home on pain meds and came back the next morning early because the pain was so bad. The ER doctor said there has to be something wrong because she was on pain meds cancer patients use but wasn't even helping her pain. I think then he hooked her up to IV, gave her some meds and changed or added another pain medicine I can't remember forsure. A couple days went by with this same pain and I called our regular doctor to see her and he ordered her a CT scan and we followed up the next day with a OB that saw patient when she was in the hospital for observation that wow they failed her that is forsure and she said there was a cyst but if she wasn't in so much pain she wouldn't recommend surgery but since she is in so much pain she sent us back to the doctor that saw her in the ER and did her previous surgery. I want to say the cyst was 10cm I don't know how the dang u/s tech did not see it. She should have been fired. I wish I would have sued them all. Anyways she saw the OB doctor that did her surgery on Friday and made her go through this extreme pain until Monday when he had surgery rotation to do it. I can't even believe I let him do this to her. I will always feel like I should have done more for her but at the time I felt I was. Anyways let me remind you over this wait weekend my daughter turned a young 15 and then had her surgery on Monday. The worst thing ever happened that day. The doctor came and asked me to come to a room to talk and there he told me that her entire left side had to be taken out and they had to cut her open like a c-section because it was all falling apart. At the age of 15 she lost her left ovary, fallopian tube. This is devastating to any parent and my daughter had to be admitted to the hospital where she was for I think 2 days until we could get her pain under control without IV drugs because I knew I could take better care of her at home. Now we found an amazing Specialist OB/DO that is taking care of her one last side she has and my daughter has to have internal u/s every 6 months to stay on top of things. Her life is forever changed.

Other Meds:

Current Illness:

ID: 1051863
Sex: F
Age: 70
State: PA

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: COVID TEST DONE ON 2-9-2021

Allergies: Cortisone, most types of pain meds

Symptoms: I BROKE OUT THREE DAYS AFTER WITH SORES ON MY TONGUE AND THROAT. THE GLANDS IN MY NECK WERE SORE FOR DAYS, STILL HAVE SOME PAIN IN MY EARS AND MOUTH IS STILL VERY SORE. I HAD HEAD ACHES FOR FIRST FEW DAYS. THE SORE MOUTH IS VERY BOTHERSOME. WENT TO DR BUT THEY SAID I HAD TO JUST RIDE IT OUT. IT HAS BEEN FOUR WEEKS NOW AND NOT ANY BETTER. I DID HAVE A COVID TEST JUST FOR PEACE OF MIND BUT IT WAS NEGATIVE.

Other Meds: Langurs, Januvia, Levoxyl, Lisinopril, Clopidogrel, Atorvastin, Co-Q10, Multi Vit

Current Illness: None

ID: 1051864
Sex: F
Age: 83
State: MN

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

Lab Data: No

Allergies: ace inhibitors bactrim coedine flouxine flagile phosamax lipitor rosuvalstatine

Symptoms: I woke up with stomach pain and diarrhea and dry heaves. I took some tums and sparkling water. I have flu like symptoms and chills. I have congestion.

Other Meds: tylenol 500 mg 2x daily amelodpine 2.5 mg daily baby aspirin 81 mg daily panorman 25 mg 2 daily vitamin D 1000 daily vitamin b12 25 mg 2x weekly prusopt (eye drops) 2x daily glucosmine 700 mg 2x daily salatan 1 drop daily in each eye l

Current Illness: No

ID: 1051865
Sex: F
Age: 38
State: FL

Vax Date: 02/08/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient states on 02/22/21 she got a big red rash with bumps on her right arm and when she lifts her right arm to shoulder height it hurts. She will be seeing the physician.

Other Meds:

Current Illness:

ID: 1051866
Sex: F
Age: 45
State: WI

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: chest xray-normal, cbc cmp crp and ddimer in normal range. i ended up having a cta chest after i didnt respond to nebulizer, tyl, iv pepcid the cta showed groundglass opacities bilaterally but likely not acute. pulse ox was ok. they gave me 6 mg dexamethasone iv and pain subsided in an hour

Allergies: thiomerosol, seafood

Symptoms: at noon the day after my vaccine, i started with chills, body aches and fever that reached 103 at tmax, was taking tyl and ibuprofen at recommended amounts and hydrating. the feve persisted, i ended up with high pulse rate in the 120-130 range, chest pain and shortness of breath. it hurt to breathe, similar to the feeling i had when i got covid. i went to the ER for care at 9 pm

Other Meds: zyrtec, omeprazole, metformin, losartan, chlorthalidone, singulair, probiotic, zinc, vit c, advil, tylenol

Current Illness: i had covid 1 month prior-mild case

ID: 1051867
Sex: F
Age: 48
State: FL

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

Lab Data:

Allergies:

Symptoms: Received 2nd Moderna dose 2/4/21. Reports cough, shortness of breath, fatigue, muscle aches, headache starting on 2/4, late night. Headache started very strong, but became low grade and persisting till 2/7. Team member suffers from asthma, but her condition has been under control for over 10 years, with Symbicort taken twice daily, and has not had an asthma attack for over 2 years. TM missed 2/5 from work. TM has been scheduled to test on 2/12.

Other Meds:

Current Illness:

ID: 1051868
Sex: M
Age:
State: TN

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

Lab Data: None

Allergies: none

Symptoms: 4X5 inch rash with some itching

Other Meds: Atorovastatin 10MG Amlodipine Besylate 5MG Lisinopril-HCTZ 12/12.5MB

Current Illness: None

ID: 1051869
Sex: F
Age: 52
State: MI

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

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient had general malaise unknown cause after vaccination . Onsite EMS was called vitals BP 120/76 98% O2 room air BG 95 HR 82. Patient Refused Evaluation/Care released against medical adive.

Other Meds:

Current Illness:

ID: 1051870
Sex: M
Age: 43
State: AR

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: MRI of brain-normal EKG-normal Carotid artery scan-normal Bloodwork-pending

Allergies: None

Symptoms: Woke up at 4 am on 01/31/2021 with muffled hearing and numbness on left side of body. BP increased to 150/100. Vomiting and diarrhea. Went to ER on 02/01/2021 and had MRI of the brain to check for stroke/TIA. Had an EKG and carotid artery scan. All tests came back normal. Continued to have neuropathy only on the left side of the body since 01/31/21. Pain travels from nerve to nerve. Occasional HA with pain only on the left side of the head. Cold tightness in chest. Seen PCP numerous times and had bloodwork done, Symptoms have continued since onset on 01/31/21 with no increase or decrease in severity. PCP has referred him to a neurologist.

Other Meds: Omeprazole and cetirizine

Current Illness: None

ID: 1051871
Sex: F
Age: 63
State:

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

Lab Data:

Allergies:

Symptoms: I want to report an unusual reaction that I had to the 2nd Covid vaccination. I rec'd my 2nd vaccination on 02/04/2021 @ approx. 5:15, within a few hours I started to have normal and expected reaction. Approximately 9am the next morning I passed out without any type of warning (dizziness etc) I passed out another 2 times during Friday morning. I stayed in bed the remainder of Friday, felt sluggish on Saturday and back to normal on Sunday.

Other Meds:

Current Illness:

ID: 1051872
Sex: F
Age: 73
State: CT

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

Lab Data: D-Dimer elevated (number not available right now) 02/18/2021 CT angiogram 02/18/2021 - multiple pulmonary emboli in right upper and lower lobes ECHO cardiogram 02/19/2021 - wnl Doppler ultrasound of lower extremities - no DVT

Allergies: Latex, sulfa drugs, statins

Symptoms: Moderna COVID-19 Vaccine: The morning after injection, she developed shortness of breath, fever, muscle pains, joint pains, delirium. 911 called. EMTs transported her to Hospital where she was admitted after blood tests and CT angiogram of the chest indicated multiple pulmonary emboli in right upper and lower lobes of the lung. Unconscious at the time of admission. Discharged after 3 days. Continues to have significant shortness of breath. Unknown if this will be permanent or lead to death. Reasonably stable at present time although unable to function.

Other Meds: ASA 81 mg Symbicort Spiriva Amlodipine

Current Illness: None

ID: 1051873
Sex: F
Age: 68
State: MN

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

Lab Data:

Allergies: lisinopril

Symptoms: Lower extremity weakness and rhabdomyolysis

Other Meds: Jardiance, Diflucan, Amaryl, lovastatin, Metformin, metoprolol, Lyrica, spironolactone, sulindac

Current Illness:

ID: 1051874
Sex: F
Age: 35
State: OH

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

Lab Data: Contacted my physician. Waiting for instructions.

Allergies: NKA

Symptoms: Extreme pain in left jar and behind left ear. Mild face dropping on the left side, noticeable when I smile and around my eyes.

Other Meds: Bupropion 150mg, Escitalopram 20mg, Trazadone 50mg, Omeprazole20mg MVI, Iron, Vitamin D, Zinc, Probiotic, Cordyceps, Green Tea Extract, B-12, Aloe Plus, CBD extract

Current Illness: none

ID: 1051875
Sex: F
Age: 46
State: IL

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

Lab Data:

Allergies: None

Symptoms: Severe back pain

Other Meds: Vitamin D, iron pill

Current Illness: None

ID: 1051876
Sex: F
Age: 64
State: MD

Vax Date: 09/10/2020
Onset Date: 09/12/2020
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: penicillin, dairy, (sensitive to msg, garlic, gluten, crab)

Symptoms: Since getting the injection, I've have muscle soreness and reduced range of motion. When I first the injection, the arm was weakened and I couldn't left heavy objects. Continually, if I sleep on my left side, I'm awaken during the night in pain in that area. Last night the pain radiated up my shoulder and into my neck. Ironically, I can still fill the actual spot where the injection was administered. I was hopeful that this problem would just go away. But, it hasn't. I live alone. Now I am afraid to get the covid vaccine. I'm fearful that another injection in that arm will render it totally weaken. Also, if I get the covid vaccine in my right arm, then i will not have a strong arm to use.

Other Meds: D3, probiotic, Turmeric, B12, Prevagen, OTC pain meds

Current Illness: digestion irregulalties

ID: 1051877
Sex: M
Age: 81
State: IN

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

Lab Data:

Allergies: None

Symptoms: Very cold, had chills and shakes, weak, dizzy, bad head ache trouble with balance, trouble walking and in bed Monday after noon all day Tuesday. Still weak today but doing better

Other Meds: diet pill- Lipozine

Current Illness: no

ID: 1051878
Sex: F
Age: 31
State: KY

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

Lab Data:

Allergies: BACTRIM, MORPHINE

Symptoms: CHILLS, NAUSEA

Other Meds: DULOXETINE, VYVANSE, NEXPLANON,

Current Illness: NONE

ID: 1051879
Sex: F
Age: 67
State: OH

Vax Date: 02/16/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: anesthesia, prednisone, norco, compazine

Symptoms: Developed severe itchiness, redness, and swelling at site of vaccine. Also felt burning sensation in both my arms and my upper thoracic back. I took Benadryl which helped with the burning sensation, but the itchiness, redness, and swelling at site continues, and is worse today than yesterday. I plan to call my PCP today to report my symptoms.

Other Meds: Vit D3 and Biotin

Current Illness: n/a

ID: 1051880
Sex: F
Age: 60
State: OK

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

Lab Data: None known. She is going to follow up with her physician

Allergies: Vancomycin, norco, cechlor, prednisone, amoxicillin

Symptoms: Pt reported slight tongue "tingling" and also has a small patch of flat erythematous area on her skin about 8 minutes after the vaccine was administered. She does report the reddened area is itchy. She denies SOB, denies airway tightness, denies chest pain. Her vitals at 1356 hours are a HR of 66, BP of 139/74, RR of 18, Sats 100%, RR 16. Pt took a PO benadryl at 1347 hours per her request as she had already declined further EMS care (ALS and ambulance declined). Her Sxs resolved by 1356 hours. She stayed a few more minutes to be sure her symptoms were completely resolved and left POV at 1407 hours. She will follow up with her physician as soon as she leaves. She has been notified that her symptoms could return.

Other Meds: spironalactone, toprol, ASA, coumadin, calcium, vitamins, cephalexin

Current Illness: None

ID: 1051881
Sex: F
Age: 91
State: FL

Vax Date: 02/13/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: pt stated 2/22/2021 she woke up with a red itchy rash on the left arm. On 2/23/2021 pt had rash on both arms and upper chest. It has spread to neck, behind her ears and onto her shoulders. On 2/24/2021 it spread to her left thigh. Pt was putting Sarna cream on the rash. Pt called her Dermatologist. Since they told her they could not see her until 2/26/2021 and told her to go to he ER. Pt ended up going to the hospital. She was treated w/medicine and discharged w/ a prescription for prednisone, Epi pen and also told to take Zyrtec. They told her not to use the Sarna cream any longer. She is going to FU w/ her PCP on 2/26/2021.

Other Meds: Synthroid 50 mg, Darifenacin 15mg, Lorazepam 1mg, Vitamin D3, Prevision Eye Vitamin, baby aspirin 81 mg,

Current Illness: no

ID: 1051882
Sex: F
Age: 61
State: VA

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

Lab Data: None

Allergies: Avelox Amoxicillin (both were oral medications)

Symptoms: 1. Facial numbness 2. Nausea 3. Pain in back of neck 4. Headache

Other Meds: unknown

Current Illness: unknown

ID: 1051883
Sex: F
Age: 69
State: NJ

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

Lab Data:

Allergies:

Symptoms: Got dizzy and nauseous not long after the shot. The next day had a one sided headache which lasted 1 1/2 days. Very lethargic which I understand is normal. I was concerned about the one sided headache. Was on the left side of my head. The shot was in left arm. Have not idea if that would make a difference.

Other Meds:

Current Illness:

ID: 1051884
Sex: F
Age: 72
State: CA

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

Lab Data:

Allergies: No known

Symptoms: She arrives with medics after receiving Benadryl and an albuterol breathing treatment. This improved her wheeze. Upon my evaluation she is stable but begins to cough. She has moderate posterior pharyngeal irritation as well. She has been monitored. Chest x-ray is reassuring. The present do not think labs are necessary. She is been advised to monitor her symptoms at home and return for any concerns. I recommended Benadryl as well as short course of prednisone. She has received prednisone here and advised her to take prednisone tomorrow and then discuss additional doses with her primary doctor control

Other Meds: Albuterol inhaler, Celexa, Nexium, Hydrochlorothiazide, Losartan, Toprol-xl

Current Illness:

ID: 1051885
Sex: F
Age: 71
State: VA

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

Lab Data: BLOOD WORK NORMAL CT SCAN NORMAL MRI NORMAL

Allergies:

Symptoms: Bell's palsy . ON PREDNISONE. NUMBNESS IN THE FACE AND LEFT SIE OF FACE DROOPY.

Other Meds:

Current Illness:

ID: 1051886
Sex: F
Age: 69
State: OH

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

Lab Data:

Allergies: Ace Inhibitors Not Specified Allergy Cough Cephalosporins Not Specified ceftin-diarrhea Erythromycin Base Not Specified intense abdominal discomfort Neosporin [neomycin-bacitracin-polymyxin] Not Specified Allergy Rash Skin irritation Quinolones Not Specified levaquin-palpitations, hallucinations, nightmares Sulfa (sulfonamide Antibiotics

Symptoms: flu-like symptoms x 6 days. 2/23/21, 7 days later, have symptom referred to as Covid Arm. Injection site red, itchy, swollen and hard. Redness, size of a softball. Not real painful.

Other Meds: ALEVE ORAL Take by mouth as needed. esomeprazole 20 mg capsule Commonly known as: NexIUM Take 20 mg by mouth once daily. irbesartan 150 mg tablet Commonly known as: AVAPRO Take 1.5 tablets by mouth once daily. peg 3350-Electrolytes 236-22.7

Current Illness:

ID: 1051887
Sex: F
Age: 54
State: MO

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

Lab Data:

Allergies: NKA

Symptoms: tylenol

Other Meds: Extreme chills, shaking, nauseau, vomitting,, fever 100.0

Current Illness: N/A

ID: 1051888
Sex: F
Age: 82
State: OK

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: none that I am aware of

Symptoms: Rash all over body

Other Meds: I took clariten to help counteract the rash that I was having

Current Illness: none that I am aware of

ID: 1051889
Sex: F
Age: 28
State: AL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: n/a

Allergies: sulfa drugs, penicillin, evergreens

Symptoms: About 30 hours following injection, observed slow to full facial pain on the right side of face and head. Face was mildly inflamed and in pain for approximately 6 hours, then gradually the pain and inflammation subsided. No ibuprofen or other pain relievers were taken at the near the time of adverse event. Ibuprofen (400 mg) was taken at approximately 9 pm the previous evening to reduce arm pain/pain at the injection site.

Other Meds: Vitamin C, Vitamin B Complex

Current Illness: n/a

ID: 1051890
Sex: M
Age: 67
State: FL

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

Lab Data: None

Allergies: NONE

Symptoms: Generalized myalgia, severe for 24 hour with headache. No fever or respiratory symptoms. Myalgia was moderate for 24 hours more and headache lessened. Myalgia and headache waned over following 24 hours. Weakness and fatigue lasted till four days after vaccine. I was in bed for three days. I took Aleve and Tylenol and stayed well hydrated. If I had fever, I would have thought it was a severe case of flu.

Other Meds: DILTIAZEM, OLMASARTAN, HCTZ, OMEPRAZOLE, ROSUVASTATIN, SYMBICORT, CLARIN, FLONASE

Current Illness: NONE

ID: 1051891
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: TM states, she had a huge blister, rash and hives extending from her left deltoid down to her elbow. TM used cream on the rash and all other symptoms resolved except the blister that is continuing to drain. TM placed a bandaid on the blister and had a reaction to the bandaid as well. Good Afternoon I received my second covid vaccine Tuesday morning, this morning I woke up to a blister like skin lesion on the same arm I received the vaccine. I am just inquiring if this is related to the injection. If you could advise if this is something that has been seen before.

Other Meds:

Current Illness:

ID: 1051892
Sex: M
Age: 51
State:

Vax Date: 01/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 3 days of fever 102.5-101.8 , chills, muscle pains, injection site ,took Tylenol and advil

Other Meds:

Current Illness:

ID: 1051893
Sex: M
Age: 67
State: NC

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: rash on site of injection, itchy on left side of my body, slight headache, swelling on injection site, feeling warm on left side. has been going on for 3 days now.

Other Meds: Asprin, Plavex taken for heart condition

Current Illness: i have couple of stents

ID: 1051894
Sex: F
Age: 73
State: GA

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

Lab Data: No

Allergies: penicillin

Symptoms: Arm has been sore and just yesterday I noticed a rash and itching. I put cream (triamcilolone Acteonide) on it and took some benadryl and the itching has gone down.

Other Meds: multivitamin vitamin d vitamin e alodepine claritin flonase

Current Illness: No

ID: 1051895
Sex: F
Age: 85
State: NY

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

Lab Data: EKG, blood glucose, ED transfer

Allergies: none

Symptoms: dizziness, body aches and fall

Other Meds: Tylenol

Current Illness: none

ID: 1051896
Sex: F
Age: 41
State: NJ

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

Lab Data: None

Allergies: Allergic to percoset

Symptoms: Soreness at injection site beginning about 2 hours after vaccination. Intermittent mild to moderate body aches and chills starting about 6 hours after vaccination and lasting approximately 24 hours from onset. Headache, fatigue and dizziness starting about 16 hours after vaccination and lasting approximately 24 hours from onset. All symptoms were gone within 48 hours. Treated with 2 Advil about every 6 hours, which seemed to reduce severity.

Other Meds: Birth control pills

Current Illness: None

ID: 1051897
Sex: F
Age: 62
State: GA

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Penicillin, Erythromycin Intolerance to eggs and dairy

Symptoms: Low-grade fever, body aches, tiredness, severe headache, had 4-5 small blisters pop on the torso....lasted about 36 hours...unable to function at normal daily routine

Other Meds: Premarin Pepcid Zyrtec

Current Illness: none

ID: 1051898
Sex: F
Age: 79
State: VA

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Keflex, Coumadin

Symptoms: Really tired on Monday the 22nd and I felt fatigued. I began to get nauseated and then I began to vomit. I vomited 5-6 times even though I had not eaten anything. I also had diarrhea. I had chills. Some point during the night I spiked a fever, I woke up and drenched. Yesterday the 23rd I had a fever, my stomach still does not feel settled. I have not ate much since Sunday but have been trying to stay hydrated with lots of water. I also developed a cough yesterday. Tuesday night my temperature 100.6 and I think it got higher because I woke up once again drenched in sweat. This morning my temperature was 99. I am achy today with muscle and joint pain, my stomach feels better but I still leery of eating. I did eat some Ginger ale and eat some saltine crackers. I also feel horse. I called my doctor yesterday and still have not heard back. I will call again today. It feels like I feel better in the morning but as the day goes on I get worse and start feeling worse. I have been resting a lot in bed.

Other Meds: Flecainide 50 MG 3 times a day, Neurontin 600 MG 1.5 tablets a day, Crestor 5 MG daily, Zetia 5 MG daily, Metformin HCL ER 500 MG daily, Verapamil 120 MG daily, Spironolactone 6.25 MG daily, Aspirin 81 MG daily, Vitamin D3 2000 IU daily, Cu

Current Illness:

ID: 1051899
Sex: F
Age: 76
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Severe headache, body ache like pins in my body, extreme backache. Vomiting. Dizziness. Lasted 24 hours

Other Meds: Magnesium citrate, Elderberry

Current Illness: None

ID: 1051900
Sex: F
Age: 70
State: OH

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

Lab Data: 2/19/2021 my primary care physician ran blood work to see if my reaction had 'wrecked' my blood. it had not.

Allergies: penicillin, methylprednisolone tablets. (4 mg).

Symptoms: arm pain in shot arm suddenly began to get worse at 10:00 pm. , severe underarm pain began then also and found swelling like an orange, swelling lasted 8 days but was decreasing in size. became very cold and went into violent shaking tremors - 4-6 of those as i lost count. these violent tremors were from 10:30 pm on monday through 1:45 am tuesday. i had one other tremor on day 4. fever for 4 days and spiked on 5th day ranging from 101.8 - 100.3, severe all over body aching especially right armpit, lower back especially right side and across shoulders, aching lasted 8/9 days and lessened after 5 days. pressure on chest which ranged from very heavy to mild and in some form lasted 10 days, hurt to breath but i could breath. woke up on night 7 with heavy, painful chest pressure on left side but it subsided in 6-8 hours. nasty headache began day 2 and lasted several days; nothing relieved it. headache for 4/5 days and then off and on for a few days. i am not prone to headaches. coughing which lasted several days. on third day post vaccine had violent nausea one time. became weak and lightheaded. no energy and stayed in bed 5 days. on day six i started getting out of bed for several hours multiple times/day. weak and very low energy. exhausted easily. i had some of these symptoms for 10 days. the first 5 days were terrible and i was very ill.

Other Meds: synthroid, estradiol, prometrium, famitodine. multiple vitamin, turmeric, calcium tablet

Current Illness: none

ID: 1051901
Sex: F
Age: 79
State: MD

Vax Date: 02/13/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Feb 19, 2021 at ER Urinalysis 2/22/21 at lab CT Scan at radiology 2/23/21

Allergies: Many ---- many antibiotics, red food dye, pistachios, cashews , mildew, mold, fragrances both floral and chemical, Advil, dust,

Symptoms: My concern is I had no side effects except a runny nose for 2 days but then after 7 days, on 19th, I started with severe chills and fever and went to ER for 5 hours; lots of blood work and urine specimens and influenza tests and covid test showed all negative with a few smaller flags like leukocytes and ph in urine greater than 8.9, had urinalysis and negative. But still today 6 days after being in ER I still have severe chills and fever, last eve was oup to 100.4, most of the time during day hours it is 99.9 to 100 but has gone at night higher. MY QUESTION IS IS IT POSSIBLE FOR THIS KIND OF REACTION TO OCCUR 7 DAYS AFTER VACCINE AND THEN LAST ALL OF THIS TIME AND NOT SURE WHEN IT WILL END. The chills are so bad my teeth chatter, I have to curl up in a ball until the tylenol takes effect.

Other Meds: Synthroid, Cytomel , Asmanex Twisthaler, Tylenol, Vitamin D3,

Current Illness: Major cancer surgery of the small intestine January 14, 2021,

ID: 1051902
Sex: M
Age: 65
State: AZ

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

Lab Data:

Allergies: none

Symptoms: freezing for about 6 hours, then headache and body aches.

Other Meds: otezla methotrexate omprezole folic acid atorvastatin

Current Illness: none

ID: 1051903
Sex: F
Age: 51
State: NH

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: Ibuprofen, Compazine

Symptoms: initially had blister the day of the immunization at the injection site. 9 days later, patient noticed the blister had formed into a hard nodule, her arm was red and swollen and warm to the touch on the whole upper part of her left arm, and it was itchy. she contacted her primary care physician, who directed her to the pharmacy. this was still going on 72 hours after noticing initial symptoms

Other Meds: Metoprolol, Cozaar, Flexeril

Current Illness: none

ID: 1051904
Sex: F
Age: 68
State: CT

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

Lab Data:

Allergies: Penicillin , codeine, aspirin, Percocet

Symptoms: Chills, fever , nausea, aches , extreme fatigue.

Other Meds:

Current Illness: None

ID: 1051905
Sex: F
Age: 62
State: VA

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

Lab Data:

Allergies: sulfa codiene

Symptoms: extreme exhaustion, body aches, headache low grade fever

Other Meds: lisinopril welbutrin prozac evista hydorchlorothiazide

Current Illness: none

ID: 1051906
Sex: M
Age: 73
State: NC

Vax Date: 02/15/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: palpations between 5-6 pm for 5 days

Other Meds: metoprololol 25 mg/2x flecainide 50mg/2x lipitor 10 mg/1x HCT 12.5 mg/1x mg 200mg/1x

Current Illness: none

ID: 1051907
Sex: F
Age: 84
State: MN

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

Lab Data: None.

Allergies: Prevnar 13 vaccine, rash reported

Symptoms: Patient experienced rash at injection site that appeared 9 days after first Moderna vaccination. In clinic, the rash measures 5x6 cm and is not raised. It is not painful. Similar in appearance to delayed cutaneous hypersensitivity. She does not require treatment for this as it is not bothersome to her. Presented 2/24, and on day 4, the rash had already begun to fade.

Other Meds: amlodipine, digoxin, losartan, metoprolol succinate, potassium chloride, warfarin

Current Illness: none noted

ID: 1051908
Sex: F
Age: 66
State: NY

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

Lab Data:

Allergies: Unknown to me

Symptoms: When patient left pharmacy after waiting about 15 minutes after being inoculated, she told me that as she was sitting in the waiting area she developed a clear metallic taste in her mouth.

Other Meds: Unknown to me

Current Illness: Patient was diagnosed with COVID 19 in March of 2020

ID: 1051909
Sex: M
Age: 77
State: RI

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

Lab Data:

Allergies: none

Symptoms: syncopal episode 40 min after vaccine. Nurse on floor took vitals 80/62 pulse 55, pulse ox 82% temp 96.9, FS 120, put on oxygen 2 liters pulse ox up to 98%. Called 911, transported to hospital

Other Meds: unknown, cardiac meds and Seroquel mentioned (given in the am before vaccination, even though wife said he was very groggy this am)

Current Illness: unknown

ID: 1051910
Sex: F
Age: 28
State: NC

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: n/a

Allergies: NKDA

Symptoms: Normal AEs -chills, fever, fatigue, and pain at injection site for first 24 hours. Then developed severe SOB and blue hands.

Other Meds: Vyvanse 20 mg QAM, Diazepam 5 mg QHS PRN

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm