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: 1052216
Sex: M
Age: 74
State: IN

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

Lab Data: none

Allergies: none

Symptoms: Trouble breathing, restlessness (slept 1 or 2 hours), mild persistent headache, nausea (no vomiting), no appetite, skin sensitive to touch, tired

Other Meds: azelastine, famotidine, finasteride, guaifenesin, levothyroxine, Montelukast, pravastatin, Spiriva, Nasacort, wixela, acidophilus, aspirin baby, calcium citrate, fish oil, folic acid, lutein, melatonin, mMK-7, multi-vitamin, vitamin c, vita

Current Illness: none

Date Died: 02/23/2021

ID: 1052217
Sex: M
Age: 81
State: CA

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

Lab Data:

Allergies: none

Symptoms: Elevated heart rate, flushing of the face and ears, vomiting, trouble breathing, pulmonary edema

Other Meds: metoprolol, eliquis, diltiazem

Current Illness: none

ID: 1052218
Sex: F
Age: 15
State: CA

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

Lab Data: None

Allergies: None

Symptoms: 15 year old vaccinated due to Nurse not catching age of the patient prior. DOB was listed incorrectly and patient vaccinated before correction.

Other Meds: None

Current Illness: None

ID: 1052219
Sex: F
Age: 66
State: NY

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

Lab Data: None

Allergies: Penicillin -- > Rash, Erythromycin -- > Abdominal symptoms (N/V)

Symptoms: Patient upon receiving vaccination went to the bathroom after 30 minutes of wait time 2/2 history of allergic rx with penicillin developed a rash. Rash over abdominal region and b/l forearms. Papular in nature. Felt a little warm however attributed it to her sweater and jacket. One bout of diarrhea. However states she had change on diet time in the AM. Overall improved with no other symptoms.

Other Meds: Calcium-Vitamin D, Metformin, Multivitamin

Current Illness: None

ID: 1052220
Sex: F
Age: 52
State: CT

Vax Date: 02/18/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: no known

Symptoms: Large, raised, itchy rash around the injection site appeared 5 days after receiving vaccine. At the time of this report, has grown in size and inflammation and remained only on arm for two days

Other Meds: Women's Multi vitamin Eldeberry gummies for immunity boosting

Current Illness: none

ID: 1052221
Sex: M
Age: 74
State: CA

Vax Date: 02/21/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: mildly swollen lymph node in arm pit of left (vaccinated) arm

Other Meds: rosuvastatin, Flonase, omeprazole, fish oil, calcium carbonate with magnesium

Current Illness: None

ID: 1052222
Sex: F
Age: 33
State: KY

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Environ., PCN, Bactrim DS, Omnicef, Cipro, Singulair, Pyridium

Symptoms: On day 8 after receiving the vaccine, the patient woke up to her arm itching, with a small, red, raised area where she had been vaccinated. On the 9th day, January 14, 2021, the area was still itchy, red, hard, no pain, warm to touch and much larger than the prior day. Patient was previously diagnosed with COVID-19 and it was lab confirmed. Patient notified Public Health Nursing

Other Meds: Cetirizine, Lexapro, Biotin, Omeprazole

Current Illness: none

ID: 1052223
Sex: F
Age: 71
State: NV

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

Lab Data: none

Allergies: dexamethasone and penicilin

Symptoms: During the vaccine injection the syringe malfunctioned and approx half of the vaccine was leaked. * full dose was not given. No additional dose was given, the doctor was called and we decided it was best to leave as is.

Other Meds: Baby Aspirin

Current Illness: unknown

ID: 1052224
Sex: F
Age: 82
State: WI

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

Lab Data: none

Allergies: atenolol, sertraline, sulfa antibiotics

Symptoms: Patient had emesis x1 approximately 90 minutes after vaccine administered. No other symptoms

Other Meds: duloxetine, acidophilus, allopurinol, amlodipine, aspirin, atorvastatin, furosemide, vitamin B-12, Vitamin D3,

Current Illness: none

ID: 1052225
Sex: F
Age: 71
State: NC

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

Lab Data: n/a

Allergies: n/a

Symptoms: Patient arrived for 2nd dose of COVID-19 vaccine. She was given Moderna instead of Pfizer

Other Meds: n/a

Current Illness: n/a

Date Died: 02/13/2021

ID: 1052226
Sex: M
Age: 62
State: MS

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

Lab Data: None

Allergies: Bactrim

Symptoms: Patient discovered unresponsive in cell, blue coloration to skin, vital signs, undetectable. CPR initiated, Ambulance summoned. Following EMS arrival with additional unsuccessful attempts to revive patient, patient was determined to have expired.

Other Meds: Alveso, Xopenex, Aspirin, Atorvastatin, Cetirizine, Fiber, Hydralazine, Hydrochlorothiazide, Levothyroxine, Lisinopril, Meloxicam, Metformin, Metoprolol, Novolin,

Current Illness:

ID: 1052227
Sex: M
Age: 44
State: CA

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: a big oval shaped rash below the injection site on the arm. No treatment. It disappeared in a few day.

Other Meds: None

Current Illness: None

ID: 1052228
Sex: F
Age: 63
State: OR

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

Lab Data: Patient was given a bendaryl to help resolve rash.

Allergies: KNDA

Symptoms: Patient received 2nd dose of Pfizer COVID vaccine. Blanching, erythematous, somewhat serpiginous rash to L arm and hand with blister present on medial aspect of proximal forearm. Not pruritic, not painful. Area with blister is tender to the touch. Rash is not present on the L shoulder, R arm, or back. Denies fevers. 2nd dose of COVID vaccine to L arm last Thursday. The rash seems to originate from the vaccination site and does not extend upwards. The rash was noticed only today during an office visit. Patient has an intellectual disability, and very independent. always wears a long sleeve and her caregivers had not noticed it until today when rash extended down to her hands below the long sleeve.

Other Meds: Aspirin, Lisinopril-HCTZ, Metformin, Sertraline, Simvastatin, Solifenacin

Current Illness: None

ID: 1052229
Sex: M
Age: 86
State: WI

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None done

Allergies: Latex

Symptoms: On Saturday 2/20 I had what appeared hemorrhaging through penis, it lasted 1/2 or so which looked like a menstural cycle, there was a lot of blood loss, headache and I took blood thinner which helped. I called my doctor and they suggested if it didn't resolve itself I should go to urgent care.

Other Meds: Allopurinol, Dutasteride 1/2mg cap, Metoprolol Succinate 12 1/2mg, Chemo pill - Bicalutamide 50mg tab, Xarelto,

Current Illness: Preparation for radiation scheduled in March, I receive injections to prepare my system and take the Chemo pill.

ID: 1052230
Sex: M
Age: 47
State: TX

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

Lab Data: SEEN BY PCP 02/09/21 & 02/23/21 DUE TO CONSTANT FEVER AND COUGH ER 02/16/21 CT SCAN DONE NO ABNORMAL FINDINGS. COVID-19 TEST NEGATIVE. CONTINOUS TO SUFFER FROM FEVER AND COUGH

Allergies: NONE

Symptoms: WEAKNESS, CHILLS, FEVER, AND COUGH

Other Meds: LISINOPRIL 20MG 1 TAB QD THYROXINE 25MCG 1 TAB QD VIT C AND ZINC - SOLRAY ZINC COPPER VIT B12 2500 MCG VITA D 2000IU PROBIOTICS

Current Illness: NONE

ID: 1052231
Sex: M
Age: 28
State: PA

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

Lab Data:

Allergies: n/a

Symptoms: I received the 2nd vaccine at 1:30pm, by 8:30pm I was extremely fatigued and went to bed early. I woke up in the middle of the night (around 12:00AM) with terrible night sweats, chills, a fever of 101, a terrible headache (completely different from my migraines) and my arm was extremely sore and painful. I tried to avoid taking any medication as I heard that it could decrease the efficacy of the vaccine, but it became unbearable so I took ibuprofen around 3:00am. My symptoms lasted throughout the next day, the fever subsided after the first dose of ibuprofen however I still had chills and the headache. The chills finally subsided around 3:00pm and the headache did not subside until I woke up Friday (2/5/21) morning around 6:00am which was roughly 42 hours after my second dose was administered.

Other Meds: Topamax, singulair, xyzal, welbutrin, biotin

Current Illness: n/a

ID: 1052232
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies: none known

Symptoms: Red circular area near vaccination site, swolledn and feels hot. No treatment at this time. Started 9 days after vaccination. No outcome yet

Other Meds: Lisinopril, Atorvastatin. Areds2 eye vitamins

Current Illness: none

ID: 1052233
Sex: F
Age: 44
State: OH

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

Lab Data: N/A

Allergies: oranges grapefruit keflex bactrim

Symptoms: The morning after my injection, I woke up with swollen lymph nodes in my neck (on the left side) and at the base of my skull (in the back on the left side). I also had swollen tonsils. Additionally, the muscles in my shoulder, neck and head (on the left side- where I was given the injection) were tense and painful. It hurt to move them despite stretching them, massaging my shoulder and neck, applying ice to the areas to lower the swelling (for several hours), and ibuprophen. I am also fatigued, but I am told that this is a "normal" reaction to the vaccine. It is the second day and the swelling in my lymph nodes is less than yesterday, although they are still swollen, and the pain in my neck and shoulder is not as painful, but I still cannot turn my head quickly, and it is so stiff in the back of my neck that it hurts to lean my head back. I can lean my head back, but I have to take it very slowly, otherwise there is shooting pain.

Other Meds: lisinopril (80mg) wellbutrin (300 mg) zoloft (25mg) zyrtec (10mg) tumeric probiotic elderberry gummy

Current Illness: none

ID: 1052234
Sex: F
Age: 94
State: MN

Vax Date: 02/13/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Rash on same arm as shot received but not at injection site; rather outer arm closer to elbow. Mostly circular approximately 3-4" in diameter. Itchy a little when first noticed but not for long. The rash was gone after 4-5 days.

Other Meds: Thyroid PIll,Aleve/Tylenol/Eye Vitamin/Vitamin D

Current Illness: N/A

ID: 1052235
Sex: F
Age: 69
State: NY

Vax Date: 02/06/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: penicillin allergy, sedative to tetanus. other allergies include insect bites/stings, mold, dust , tree pollen, tobacco hay fever/grasses etc.

Symptoms: large sever rash on my upper arms and at site of vaccine. severe itching, arm is very hot. looks similar to pictures on line of "Covid Arm" so far it is 3 days and has not subsided. using Benedryl and icepacks for symptoms

Other Meds: Meds: synthroid, triam HTZ, simvastin, ACIFEX, suppliments: vitamin D, tumeric, cOQ10, Biotin, Probiotic, Chromium picolinate, Glucosamine/chondroitin, Calcium also take Prolia injections(2X annually) every 6 months -last injection wa

Current Illness:

ID: 1052236
Sex: F
Age: 58
State: MI

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

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient general malaise unknown cause. Onsite EMS was called vitals BP 138/90 98% 02 room air HR 72. Patient refused evaluation/care and released against medical advice.

Other Meds:

Current Illness:

ID: 1052237
Sex: F
Age: 87
State: CA

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

Lab Data:

Allergies: Environmental, Meclomen, Cortisone, Prednisone.

Symptoms: At 30 minutes post vaccination, patient felt dizzy; tingling of tongue and lips. Doctor observing patient, assessed VS. 12:10pm - BP 145/74, HR 75, O2 sat 98%. 12:27pm - BP 120/68, HR 67, O2 sat 99%. Patient discharged. Home at 12:29.

Other Meds:

Current Illness:

ID: 1052238
Sex: F
Age: 55
State:

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

Lab Data:

Allergies: Flagyl

Symptoms: Fever, chills, body aches, headache, sore arm, lasted about 2 days.

Other Meds: Synthroid; Wellbutrin

Current Illness:

ID: 1052239
Sex: F
Age: 66
State: FL

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

Lab Data: n/a

Allergies: nka

Symptoms: Pt. c/o heaviness of tongue after receiving the vaccine. Pt. seen and assessed by EMS. All vitals are within normal limits. No swelling noted. Pt. voiced that the sensation was no longer felt and was cleared to go home by EMS.

Other Meds: unknown

Current Illness: none

ID: 1052240
Sex: M
Age: 58
State: MA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: 16 hrs after shot i had extreme fatigued i didn't even eat i was so tired. When i woke up the next day I was fine.

Other Meds: Eliquis 5 mg , lisinopril, 5 mg, mesalamine

Current Illness:

ID: 1052241
Sex: M
Age: 60
State: MI

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

Lab Data: BP 153/280 HR 69 100% O2 ON ROOM AIR

Allergies:

Symptoms: HE COMPLAINED OF FEELING DIZZY. AND SAID "HE NEVER FELT LIKE THIS BEFORE? AND HE SAID HE DIDN'T FEEL SAFE TO DRIVE. ON SITE EMS RESPONDED. VITALS BELOW. GIVEN WATER AND GRAHAM CRACKERS. HE WAS MONITORED. THEN GOT OUT OF HIS CAR, WALKED AROUND AND FELT WELL ENOUGHT TO GO HOME.

Other Meds:

Current Illness:

ID: 1052242
Sex: M
Age: 79
State: CA

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

Lab Data: 02/19/2021 patient transported to Hospital with stroke like symtpoms - confirmed on CT scan patient taken to IR for clot removal.

Allergies: None

Symptoms: Patient reported as being altered, GCS 6 with noted aphasia around 1415.

Other Meds: Atenolol 25mg qDay; Celexa 20mg qDay; Depakote 250mg TID; Donepezil 10mg qDay; Memantine 10mg BID; Simvastatin 40mg qDay; Trazadone 50 TID with meals

Current Illness: None aware of

ID: 1052243
Sex: F
Age: 69
State: NY

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

Lab Data: None

Allergies: PCN, erythro, tetracycline, clindamycin

Symptoms: On 2/22 area became itchy, noticeable darker red in color and area of erythema extended further down arm from deltoid area. Tuesday area wider and extended further down arm, more itchy. Wednesday am area again extending somewhat further down from earlier measured area . At no time was area warm to touch. painful to touch( area sore first 36 hrs post injection), area blanches, a febrile.

Other Meds: Topoma. 100 mg qhs, amitriptyline 100 mg qhs amovig 70 mg IM a monthly, Mg 400 mg qhs, melatonin 5mg qhs, fish oil qhs, selenium 200 mg qam Zn 50 mg qam lutes zeaxanthin complex qam D3 2000 qam, synthroid 200 mcg qam

Current Illness: None

ID: 1052244
Sex: F
Age: 84
State: AL

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

Lab Data: no

Allergies: no

Symptoms: Rash from head to toe and cracked lips

Other Meds: Methimazole 5mg daily, cetirizel 10mg bid, celexa 40mg daily, priolosec 40mg daily, zocar 20mg, avapro 300mg daily, asa 81mg daily, b12, vit d, fish oil, vit c.

Current Illness: no

ID: 1052245
Sex: M
Age: 66
State: AZ

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

Lab Data: None

Allergies: Sulpha drugs (due to g6pd anemia)

Symptoms: Headache, Fuzzy Brain, Felt Cold, Lethargic and Tired

Other Meds: Vitamin D3 100 mcg Vitamin B12 2500 mcg

Current Illness: None

ID: 1052246
Sex: F
Age: 71
State: MD

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

Lab Data: none

Allergies: sulfa

Symptoms: for 3 days Nausea, low grade fever 1Day, joint and muscle aches /extreme fatigue/ from feb 3 to Feb 5 then nothing however then on Feb 14 hives on extremities, , Feb 15 hives stopped with Benadryl, Feb 16 again and stopped with BenadrylThen none until Feb 19 arms neck and chest, gone in 1 hour Feb 21 again Benadryl helped/feb 23 small amount on face went away without Benadryl All

Other Meds: lisinopril 10m /hydrochlorothiazide 25m/ duloxetine40 mg/ pepcid/ fish oil / vit D 1000/ baby aspirin/ emergen C

Current Illness:

ID: 1052247
Sex: F
Age: 77
State: MD

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

Lab Data:

Allergies: Season allergies.

Symptoms: Moderna COVID-19 V accine

Other Meds: 81mg Aspirin, red yeast rice, vitamin d,c,b,b12,d;100mg CoQ10; fish oil I take this once a day for the last past 10 years).

Current Illness:

ID: 1052248
Sex: M
Age: 70
State: CT

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

Lab Data: None

Allergies: None

Symptoms: A red rash developed about a week after the injection know as Covid Arm

Other Meds:

Current Illness: None

ID: 1052249
Sex: F
Age: 55
State: NY

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

Lab Data:

Allergies: Vinegar- Patient gets hives

Symptoms: Patient had a Petit Mal Seizure SP vaccine administration . Seizure lasted 25 seconds , followed by somnolence. Patient fully recovered from the seizure. Her vitals were taken , BP found to be extremely elevated. Patient has an existing hx of seizure , stated that she took her BP and seizure medication this AM . Patient refused to go to the ER for further evaluation . Patient was informed of all possible outcomes including stroke and / or death. Patient signed AMA and patient states she will call the ambulance from home of she continues to feel ill. Patient left the clinic after 1 hour.

Other Meds: Taking Lisinopril 10 MG Tablet, Sig: 1 tablet Orally Once a day Taking Diphenhydramine-Zinc Oxide , Sig: Taking Trazodone HCl 100 MG Tablet, Sig: 1 tablet at bedtime Orally Once a day Taking Ambien 10 MG Tablet, Sig: 1 tablet at bedt

Current Illness:

ID: 1052250
Sex: F
Age: 51
State: VA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None to date

Allergies: None

Symptoms: Woke up with fever, chills, headache and loud ringing in the right ear. All symptoms and lethargic feeling went away by 9:30-10:00 pm on 02/12/2021 except the ringing in the ear. The left ear started ringing approximately 8-9 days later . Ringing in both ears is still present today (02/24/2021).

Other Meds: 2000 IU Vitamin D daily

Current Illness: None

ID: 1052251
Sex: M
Age: 64
State: IN

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

Lab Data:

Allergies:

Symptoms: Elevated blood pressure. Brother picked him up after it went down a bit. He felt hot after the vaccine and has a past history of heart problems. Heart rate and pulse were normal.

Other Meds:

Current Illness:

ID: 1052252
Sex: F
Age: 79
State: PA

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

Lab Data: none

Allergies: ceflacor, tape

Symptoms: injection site and arm pain; tiredness; muscle pain; joint pain; feeling unwell; metallic taste in mouth

Other Meds: trelegy, prilosec, ipratropium bromide 0.5 mg and albuterol sulfate 3 mg.

Current Illness: none

ID: 1052253
Sex: F
Age: 66
State: TN

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

Lab Data: dental X-rays and emergency root canal day 4 after 2nd injection

Allergies: penicillin, macrodantin

Symptoms: fever, aching, spasmodic stabbing pains, teeth hurt, localized tooth pain, underwent emergency root canal on day 4 with "dying nerve", butterfly (lupus like) rash on face day 4, "covid arm" day 4 with tennis ball size red knot around injection site that extended down arm over next several days, winded for several days, fatigue and shortness of breath.

Other Meds: Losartan, Bystolic, Medroxyprogesterone, omeprazole, Vitamin D, Cranberry pills, decussate sodium, sertraline, aleve, skelaxin, tylenol

Current Illness: sacroiliacitis

ID: 1052254
Sex: F
Age: 84
State: MA

Vax Date: 02/09/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: "COVID arm" ... red itchy rash around the injection site. It started out as a bright red patch about 4-5" in diameter. This has faded into a red ring of approximately the same diameter. It has been intermittently itchy, but not painful/sore.

Other Meds: Levothyroxine, Citalopram, Metoprolol, Acyclovir, Calcium + D3

Current Illness: N/A

ID: 1052255
Sex: F
Age: 35
State: NY

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

Lab Data: None

Allergies: Seasonal allergies. No known drug or other food allergies.

Symptoms: 10 minutes after receiving the first Pfizer vaccine to the left arm, the patient developed a sensation of tongue tingling and "mouth fullness". This persisted for over an hour. She described it as mild, and she felt also as if she was thirsty. Denies any trouble breathing, chest pain, nausea, lightheadedness, or other reported symptoms. Exam of the mouth including the tongue, lungs, heart, and visible skin were within normal limits. Vitals included BP 124/84, P 84, R 16 She was taken to the medical pod, where she was given 25 mg oral of benadryl with notable improvement. Tongue tingling improved, but is still present. She was advised to go to the ER for further eval for concerns of developing severe allergic reaction or anaphylaxis, but she refused. She signed an AMA form. She has no one to drive her, but states she feels safe to drive. She was advised benadryl if symptoms continue to persist. She should not get next injection until speaking with allergist, and it being done in a controlled environment. Urged ER if any worsening symptoms.

Other Meds: Plaquenil, unspecified combined birth control, "iron pill".

Current Illness: None reported

ID: 1052256
Sex: F
Age: 0
State: AK

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

Lab Data: n/a

Allergies: Patient says none

Symptoms: Pt recieved shot at 16

Other Meds: None

Current Illness: n/a

ID: 1052257
Sex: M
Age: 72
State: IN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: I went to the Eye Doctor and the Doctor could not find any problems with my eyes. I then went to my regular Doctor and blood tests were done and no problems were found. I have had a problem with a tumor in my left ear but I have had an MRI done and at this point the tumor is so small that nothing is being done at this time. Even when the tumor was discovered I never had blurred vison or double vision.

Allergies: None

Symptoms: I believe the very next day or so I developed Blurred Vision and at times Double Vision. I 'm not saying for sure if this is a side effect or not and wondered if anyone else has had vision problems with the Vaccine.

Other Meds: Phenytoin 100MG....Metoprolol Tartrate 25MG....Aspirin low dose

Current Illness: Epilepsy, Heart Condition , Agent Orange related Health Conditions

ID: 1052258
Sex: F
Age: 84
State: MN

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Face swelling, chest pain, arms and legs swelling and aching, sore throat

Other Meds: Prednisone

Current Illness:

ID: 1052259
Sex: F
Age: 52
State: FL

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

Lab Data:

Allergies: Doxycyline

Symptoms: Client stated she felt lightheaded after receiving her vaccine. Vital signs obtained by EMS. BP 116/77, HR-81, O2 sat99%. Client states she is feeling better. Client discharged home by EMS.

Other Meds: Synthroid

Current Illness: none

ID: 1052260
Sex: F
Age: 38
State: VA

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

Lab Data: Physician appointment 2/24 to discuss if related to the vaccine. May or may not be related according to my physician.

Allergies: allergy to Diflucan- causes hot rash all on my face and trunk

Symptoms: Ocular Migranes- 6 ocular migranes total- 4 of them just ocular- 2 turned into full blown migraine- Date of onset was 2/13/2021 and the last one at the moment was 1/21/2021

Other Meds: Multi-Vitamin lexapro - 10 mg adderall xr- 10 mg

Current Illness: none that I know of

ID: 1052261
Sex: M
Age: 58
State: MA

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

Lab Data: COVID PCR (2/23) negative C diff toxin (2/23) negative Stool molecular screen for: Campylobacter species, Salmonella species, Shigella species, Vibrio species, Yersinia enterocolitica, Shiga Toxin 1, Shiga Toxin 2, Norovirus, and Rotavirus. (2/23) Negative

Allergies: Ampicillin Penicillin V

Symptoms: Nausea, vomiting, diarrhea for 4 days. Nausea and vomiting resolved but diarrhea continues to be an issue, although improved.

Other Meds: Amlodipine, Aspirin, Atorvastatin, Calcitriol, Citalopram, Doxazosin, Losartan, Metoprolol, Pantoprazole, Prednisone, Tacrolimus

Current Illness: Episode of nausea, vomiting, diarrhea related to mispositioned peritoneal dialysis catheter on 2/1/21

ID: 1052262
Sex: F
Age: 26
State: IL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Augmenting, sulfa, erythromycin

Symptoms: 3 hours after the vaccine I started running fever. I had a headache and severe pain in my right side. 2:00 am on February 12,2021 I woke up around 3 am in unbelievable pain and swelling starting at the right side of my face, down into my armpit, through my collar bone, chest and back. I had been running a fever and could not keep anything down. The swelling and unimaginable pain led me to go to ER where they treated me for anaphylactic shock. I received intramuscular shot of epi, IV Benadryl, toridol, famitodine. I was sent home, but ended up coming back after about an hour because I had gone into SVT.

Other Meds: Sertraline, amitriptyline

Current Illness: None

ID: 1052263
Sex: F
Age: 26
State: MA

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

Lab Data: I went to ER, blood and urine tests were fine, heart and blood pressure was fine, blood sugar was fine.

Allergies: No

Symptoms: I was given Moderna vaccine first dose in right arm. Sat down in observing area, within a few minutes I had a weird feeling, felt queezy. As soon as I felt queezy I passed out. I woke up they said within about 30 seconds and had full body sweats. Stomach ache, dizzy and head was tingly like I would pass out again. My calfs hurt like they had previously had muscle cramps. I went to ER, blood and urine tests were fine, heart and blood pressure was fine. Dr said he did not believe it was an allergic reaction, and that it was a stress response. I am not sure if it is because I had COVID in December.

Other Meds: Junel FE Birth Control, Women's Multi-vitamins

Current Illness: I had COVID the first two weeks of December 2020

ID: 1052264
Sex: F
Age: 85
State: IN

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

Lab Data:

Allergies: none

Symptoms: swelling redness blistering

Other Meds: Vit B Complex D3 Zinc Acetaminophen6650 Benadryl allergy 25mg Coreg6.25mg Coumadin 2mg Klor-Con10mg Lasix 20 mg Liitor 10mg Melatonin10Mg Pantoprazole 40mg Entresto 24-26mg

Current Illness: none

ID: 1052265
Sex: F
Age: 19
State: CT

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

Lab Data:

Allergies: Kiwi

Symptoms: Broke out in hives, ER gave me Epi and Benadryl immediately. Symptoms began to resolve almost immediately.

Other Meds: No

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm